Problem regarding congenital heart malformation


Question:

Quinn is a three-year-old boy with a congenital heart malformation. While recovering in the pediatric intensive care unit after surgical correction, he is accidentally given a tenfold dose of heparin. What else should the leadership do as they plan for the RCA? • Wait to conduct the RCA for a period of time, in order to let the emotions surrounding the incident subside. • Make sure the team has time and resources to conduct the RCA, including access to advisors when necessary. • Make sure that the team conducting the RCA is clear about what they can and cannot review from the records. • Make sure there is at least one member of the senior leadership on the team.

 

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Other Subject: Problem regarding congenital heart malformation
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