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Report into Lakeshore hospital ER finds ‘toxic’ work environment, 135 recommendations issued

WATCH: An independent investigator has made more than 100 recommendations in a report on deaths at the Lakeshore General Hospital's emergency room. The investigator met with close to 70 people and describes the ER as being entrenched with bad habits where communication problems are critical. The work environment is considered toxic with little accountability on behalf of staff. As Global's Phil Carpenter reports, there were six reported deaths in the hospital's ER since 2019 – Jun 1, 2023

A report into problems plaguing a suburban Montreal hospital emergency room makes 135 recommendations for improving the situation, chief among them accelerating the building of a replacement for the aging critical care unit.

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The report into the Lakeshore General Hospital was ordered by Health Minister Christian Dubé in February after a series of articles published in the Montreal Gazette about six deaths since 2019 that health-care workers had described as preventable.

The independent report released Thursday was prepared by Francine Dupuis, a retired executive at one of Montreal’s regional health boards.

Her mandate was to identify ways to improve the Pointe-Claire, Que., emergency room and she met with 70 people at all levels of the hospital’s management and staff.

The recommendations are divided into main themes that include better communication, decentralizing tasks and quality assurance, but the report adds that without renovations to the current, aging facilities, other “unfortunate events” are likely to occur.

Dupuis described an emergency room that had seen bad habits “crystallized,” where communication problems resulted in an inability to bring about changes already recommended.

She writes that a toxic work environment existed in the unit, highlighted by tensions between various groups of employees and management and a practice of blaming each other.

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