Lessons learned from a death outside a hospital's doorstep.
Approach to Improving Safety
Setting of Care
- Health Care Providers
- Health Care Executives and Administrators
- Family Members and Caregivers
Organizations must learn from adverse events to prevent similar incidents. Reporting on lessons to be learned from the cascade of failures connected with the preventable death of a patient during an acute asthma attack at the door of a hospital emergency department, this magazine article outlines the importance of effective signage, appropriate security staff placement, and acceptance of the responsibility for failure.