Offering the latest news in health care quality and safety, the ISQua blog also features guest posts from the best and brightest in the industry.
It is with great sadness that the International Society for Quality in Healthcare (ISQua) wishes to pay tribute to Professor Chris Brook of Melbourne, Australia, who served as an ISQua Board Member from 1993 to 2001 and as President of the Society from 1997 to 1999.
When I was in my first week of training as a paediatrician in the role of paediatric registrar, a young doctor, a house officer, was in the assessment area for children with gastroenteritis. He assessed a baby who was 10% dehydrated and acidotic. He asked a nurse for 5mls of Sodium Chloride (NCl). The nurse drew up the NCl and handed to the doctor who injected the medication into the intravenous line. The baby had a cardiac arrest and died a few hours later.