CASE 7: CONCERNS AND WORKAROUNDS WITH A CLINICAL DOCUMENTATION SYSTEM Garrison Children's Hospital is a 225-bed hospital. Its seventy-seven-bed neonatal intensive care unit (NICU) provides care to the most fragile patients, premature and critically ill neonates. The twenty-eight-bed pediatric intensive care unit (PICU) cares for critically ill children from birth to eighteen years of age. Patients in this unit include those with life-threatening conditions that are acquired (trauma, child abuse, burns, surgical complications, and so forth) or congenital (congenital heart defects, craniofacial malformations, genetic disorders, inborn errors of metabolism, and so forth). 3. How might the workflow issues and concerns mentioned in this case have been detected earlier? 4. Assume you are part of the leadership team at Garrison. How would you assess the current situation? What would you do first? Next? Explain the steps you would take and why you feel your approach is necessary. 5. What lessons can be learned from this case and applied to other settings? CASE 7: CONCERNS AND WORKAROUNDS WITH A CLINICAL DOCUMENTATION SYSTEM Garrison Children's Hospital is a 225-bed hospital. Its seventy-seven-bed neonatal intensive care unit (NICU) provides care to the most fragile patients, premature and critically ill neonates. The twenty-eight-bed pediatric intensive care unit (PICU) cares for critically ill children from birth to eighteen years of age. Patients in this unit include those with life-threatening conditions that are acquired (trauma, child abuse, burns, surgical complications, and so forth) or congenital (congenital heart defects, craniofacial malformations, genetic disorders, inborn errors of metabolism, and so forth). 3. How might the workflow issues and concerns mentioned in this case have been detected earlier? 4. Assume you are part of the leadership team at Garrison. How would you assess the current situation? What would you do first? Next? Explain the steps you would take and why you feel your approach is necessary. 5. What lessons can be learned from this case and applied to other settings