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External Review of a Death during Prehospital Care November, 2018 Date Aug 8, 2019 Investigators Michael Feldman MD PhD FRCPC Jim Christenson MD FRCPC Submitted to: The Honourable Adrian Dix, Minister of Health, Government of British Columbia Stephen Brown, Deputy Minister of Health, Government of British Columbia Purpose of the Report This report is intended to provide an external and impartial assessment of the conditions surrounding the death of a patient. It is meant to explore the situation and circumstances that could have potentially prevented her death. Although all relevant information will be considered, this review is not intended to ascribe blame to individuals or organizations. However, the conclusions and recommendations of the review are intended to provide insights and potential actions to improve care of future patients.

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Page 1: External Review of a Death during Prehospital Care November, 2018 · 2019-09-20 · External Review of a Prehospital Death Executive Summary On November 8, 2018, at 08:15 hours, BCEHS

External Review of a Death during Prehospital Care November, 2018

Date Aug 8, 2019

Investigators Michael Feldman MD PhD FRCPC

Jim Christenson MD FRCPC

Submitted to: The Honourable Adrian Dix, Minister of Health, Government of British Columbia

Stephen Brown, Deputy Minister of Health, Government of British Columbia

Purpose of the Report This report is intended to provide an external and impartial assessment of the conditions surrounding

the death of a patient. It is meant to explore the situation and circumstances that could have potentially

prevented her death. Although all relevant information will be considered, this review is not intended to

ascribe blame to individuals or organizations. However, the conclusions and recommendations of the

review are intended to provide insights and potential actions to improve care of future patients.

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