CASE STUDY: It is extraordinarily difficult to manage communications in health c
ID: 424200 • Letter: C
Question
CASE STUDY: It is extraordinarily difficult to manage communications in health care settings. Few cases offer a better illustration of that difficulty than Jessica Santillon?s. She was a 17- year old girl who died in 2003 after undergoing a heart and lung transplant in which, at one of the nation?s top medical centers, she received organs with the wrong blood type. Her tragic story shows how social, technical, and organizational complexity combines to create daunting communication barriers for health providers and administrators. Consider the complicating factors in this situation, and the related leadership questions they raise: The Family. Jessica?s parents smuggled her into the country from Mexico, hoping to find a cure for a heart and lung disorder that doctors in her home country could not treat. The family settled in North Carolina, settling down in a trailer. They soon came to the attention of a local builder, who started a charity that eventually raised enough money for her to receive a transplant at Duke Medical Center. The procedure went terribly wrong, leading to severe and irreversible brain damage. When the doctors informed Jessica?s mother they planned to stop treatment, she announced at a press conference, through a translator, ?They are taking her off of the medicine little by little in order to kill her. They want to rid themselves of this problem.? Answer the following questions using the case study above. In a narrative format, discuss the key facts and critical issues presented in the case.
Explanation / Answer
This is a case of faulty communication and negligence by medical department. Jessica suffered a lot due to miscommunication and many wrong treatments have been done on her. The doctors gave the organs with wrong blood group which is the primary cause for the damage. The parents fled into another country without permissions which might have turned very dangerous for the girl if found out. The transplant also went terribly wrong and caused permanent damage to the girl. The doctors who need to try till the end tried to get out of the fauld done by them by stopping the treatment and resulting in the deathof the patient. . In the end a girl is victim of negligence by the medical department itself .
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