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The underlying problem linking all of these factors is the Hospitals' mission statement. The employees have failed to understand the intent of the arguably ambiguous mission statement. Without clearly defined and agreed to mission and vision statements, organizations frequently find themselves adrift, in real financial trouble, and unable to make an ongoing, impact on the community. The lack of a coherent mission statement is, in my opinion, the root cause of the aforementioned problems.
It's not surprising that in a busy, demanding and complex environment such as a hospital occasional differences of opinion arise about care of a patient, either among family members, nurses, physicians or other caregivers...
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