ase study: C was a six year old boy who passed away at the Lady Cilento Children’s Hospital on 14 January 2017. He was a generally healthy and happy child. C’s treating team at the Lady Cilento Children’s Hospital attributed his death to overwhelming sepsis due to melioidosis. His death was not discussed with the coroner at that time. No autopsy was performed. C’s death was first reported to the State Coroner on 3 May 2018 due to the family’s concerns about the care C received from a remote hospital over several days leading up to his admission on 10 January 2017 and subsequent transfer to a regional hospital by which time he was seriously ill. The family also lodged a complaint with the Office of the Health Ombudsman. The Health Ombudsman considered the family’s complaint potentially identified broader systemic issues and undertook a systemic investigation. The family’s concerns related to failure by remote hospital staff to correctly diagnose and investigate the cause of C’s worsening symptoms having attributed them to gastroenteritis for several days. Q: what are the key safety concepts that this case highlights and that the analysis will address. With a focus on the responsibility, accountability, and communication requirements of the Registered Nurse within their scope of practice?
case study: C was a six year old boy who passed away at the Lady Cilento Children’s Hospital on
14 January 2017. He was a generally healthy and happy child. C’s treating team at the Lady Cilento Children’s Hospital attributed his death to overwhelming sepsis due to melioidosis. His death was not discussed with the coroner at that time. No autopsy was performed. C’s death was first reported to the State Coroner on 3 May 2018 due to the family’s concerns about the care C received from a remote hospital over several days leading up to his admission on 10 January 2017 and subsequent transfer to a regional hospital by which time he was seriously ill. The family also lodged a complaint with the Office of the Health Ombudsman. The Health Ombudsman considered the family’s
complaint potentially identified broader systemic issues and undertook a systemic
investigation. The family’s concerns related to failure by remote hospital staff to correctly diagnose
and investigate the cause of C’s worsening symptoms having attributed them to
gastroenteritis for several days.
Q: what are the key safety concepts that this case highlights and that the analysis will address. With a focus on the responsibility, accountability, and communication requirements of the Registered Nurse within their scope of practice?
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