The Lewis Blackman Hospital Patient Safety Act

1. Where did the system fail Lewis and his family?

2. What were the system failures in Lewis’s care process related to a) Preparation b)
Organization 0) Environment d) Technology e) Work tasks f) Healthcare provider

3. What would be the elements of a more transparent process?

Be sure to include the book reference.

McLaughlin, C. P-, Johnson, J. K, & Sollec’rto, W- A. (2012). Implementing continuous
quality improvement in health care: A global casebook Sudbury, Massachusetts:
Jones & Bartlett Learning- ISBN-13: 978-07637-9536-8