Highlights
Introduction
Hunter complained of stomach pains again at around 3:00 pm. Thinking he might be hungry, Jodie prepared some watermelon and strawberry-flavored milk, which he consumed. He continued to complain of stomach pain, so Jodie took him to the toilet. She noticed about two inches of black cotton protruding from his anus. Hunter had a tendency to bite and chew on his clothing and blankets which sometimes resulted in him ingesting and passing string or material in his stools. Jodie pulled gently on the cotton but felt resistance, so she told Hunter to push while she pulled on the cotton, but it snapped off. Hunter was unable to pass a bowel motion at that time. Jodie fixed him a hot water bottle and told him to lie down on the couch. Not long afterwards Hunter got up and ran outside to vomit.
Hospital & Health
Soon after Hunter’s death, the relevant Hospital & Health Service commissioned a root cause analysis (RCA) of the care Hunter received during his admission. This is a systemic analysis of what happened and why and is designed to make recommendations to prevent adverse health outcomes from happening again, rather than to apportion blame determine liability, or investigate an individual clinician’s professional competence. It is conducted by a review team who had no involvement in the patient’s care.
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