On August 22, 2012, 36-year-old Elaine O’Hara, a childcare worker from Dublin, left home for what appeared to be a normal day. Elaine, who had struggled with mental health issues but hoped to rebuild her life and pursue teaching, was last seen walking in Shanganagh Park. She never came back. Days later, her car was found abandoned nearby — keys inside, no sign of a struggle. For nearly a year, Elaine’s disappearance remained a mystery. Then, in September 2013, a dog walker made a grim discovery
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Elaine’s nurses knew what was happening and knew what needed to happen. They brought a trach table into the room. They spoke up, but no one heard them. This is a small clip from “Just a routine operation” by Martin Bromiley, Elaine’s husband. As an airline pilot, he was uniquely equipped to break down what lead to his wife’s unnecessary death. Multiple factors have been identified: communication breakdown, lack of a plan, not listening to all team members, loss of control. If you haven’t seen th
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