Five year old Matty died at Children's Hospital Boston as a result of elective neurosurgery to "cure" his epilepsy. The organizational system, not the surgery, had failed. During post-operative recovery, he experienced a prolonged seizure that resulted in his death. Confused leadership, organizational differentiation, structurally induced silence, and organizational mis-alignment contributed to the death. How could this happen in such a world class medical facility?

【書誌情報】

ページ数：10ページ

サイズ：A4

商品番号：HBSP-411041

発行日：2010/11/16

登録日：2011/4/13