Category: Compliance With Policy

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  • 34. Case: To Tell or Not to Tell

    The head pathologist of the regional hospital informs the head pathologist of the tertiary care centre that the post-mortem examination of a former patient, Mrs. Dempsey, has revealed that she suffered from a neurological infection called CJD (Creutzfeldt-Jakob Disease). The tertiary centre pathologist reports this to the VP of Acute Care who determines through investigation…

    View Case Study: 34. Case: To Tell or Not to Tell

  • 33. Case: Ethical Advertising?

    A hospital has placed billboards throughout the region with the following statement:  “Are You a Victim of Sexual or Domestic Assault?  Come to Warman Center Where We Will Treat You Immediately. Our Staff of Counsellors and Providers Have Received Special Sensitivity Training in This Area. You Are Our Main Concern.” A twenty-five-year-old college student presents…

    View Case Study: 33. Case: Ethical Advertising?

  • 32. Case: To Report or Not

    Dr. B is the epidemiologist and director of infection control for an academic health centre. The reportable disease statutes and regulations in Dr. B’s province specify that hospitals and other health care facilities throughout the province are required to track nosocomial infections (infections not present in patients prior to their admission to the hospital) and…

    View Case Study: 32. Case: To Report or Not

  • 31. Case: Stakeholders’ Role in Decision-Making

    This case concerns parental involvement in decision-making related to maintaining a residential facility for adolescent patients. Due to a lack of sustainable funding, in consultation with the operations team, the facility board has made a decision to close the facility. The requestor indicated that the parents of the adolescent residents were concerned because they felt…

    View Case Study: 31. Case: Stakeholders’ Role in Decision-Making

  • 30. Case: Awards – Who Gets Them and Why?

    This case involves an organizational concern about inconsistency in the approach to applying for, being nominated for, and receiving awards.  Specifically, the requestor identified that there wasn’t a process or policy in place to objectively review each application and there were inconsistencies in the process for selecting those to receive individual awards. Overall, the motivation…

    View Case Study: 30. Case: Awards – Who Gets Them and Why?

  • 21. Case: Balancing Concerns

    “Where’s the door to my bathroom? Can’t a man get some privacy?” “Uh oh, that’s Elias again. We’d better make sure he’s alright.” “How many times are we going to have to go through this with him? Maybe we should just put the bathroom door on again.” “The only problem is that on his ‘bad’…

    View Case Study: 21. Case: Balancing Concerns

  • 19. Case: Craig’s Right to Choose?

    Craig Renaldo is a 14-year old boy who was recently diagnosed with a right lower leg malignant vascular tumour. Staging investigations have been negative for distant metastases. Craig’s attending medical oncologist, Dr. Purvis, consults a pediatric orthopedic surgeon, Dr. Mendes, who recommends a below-knee amputation. Dr. Purvis concurs with this recommendation given the aggressive nature…

    View Case Study: 19. Case: Craig’s Right to Choose?

  • 12. Case: Should Steve Go Home?

    Throughout his life, Steve was the athlete that everyone admired. He played all sports well, especially excelling at basketball. While being quite competitive, Steve was a team player who enjoyed being a part of the team experience. Unfortunately, while ‘horsing around’ with his friends last summer, Steve dove off a dock into water that was…

    View Case Study: 12. Case: Should Steve Go Home?

  • 10. Case: At a Crossroads…

    Sandra Livingstone, age 45, was admitted to the hospital with diffuse ischemic encephalopathy – a very significant, global brain injury – secondary to sustaining a massive stroke at home. It is now ten months after her admission. Ms. Livingstone is on an acute internal medicine unit where she has been living since her discharge from…

    View Case Study: 10. Case: At a Crossroads…

  • 3. Case: Superbugs

    Jeannette Cutler is an 83-year old woman admitted to hospital after falling and breaking her arm.  She reports that she fell because she passed out, and so further investigations are being conducted.  She has mild dementia but is otherwise seemingly healthy.  Upon admission, she screens positive for MRSA and is subject to strict isolation procedures…

    View Case Study: 3. Case: Superbugs

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