“Communication of Patient Information During Transitions in Care”

on pages 570-571 of the eText. Please read through the case very carefully and then think
about the issues covered in the case in light of the information that you learned in Chapter 7. Next, read
through the questions at the end of the case — This will help you to consider the various aspects of the case
before you post your discussion post. Lastly, answer the following question in your initial post:

1. Which of the Quality Improvement tools (p. 160-164) mentioned in Chapter 7 would be the most appropriate
   to analyze this situation? Why?
2. What are the top 3 management issues in this case? Explain how they each relate to this case.
3. What are the legal and ethical obligations a health care organization has to its patients and families, and
   how do they apply to this case? Be sure to use the correct names/terminology in your response.
4. Who should be held responsible for addressing these problems? (This question is not asking who caused
   the problems. It is asking who should be responsible for analyzing what happened and figuring out how to
   ensure that it doesn’t happen again.)
5. Which health care facility (or facilities) is responsible for the medication errors? What obligations does the
   facility (or facilities) have to Margaret and her family?