1) What observations were made or what evidence was there to indicate that Dr. Johnson had a narcotics problem?
2) Does Community Hospital of the West bear any responsibility for Dr. Johnson’s predicament? Why or why not?
3) What are the root causes of this situation? Build a cause-and effect diagram on the basis of the findings in this study.
4) What are the costs to the organization in terms of reputation, patient safety, marketing, and organizational culture? What would you recommend Community Hospital of the West do to mitigate the impact of these costs?