“The system failed”: CIUSSS de l’Estrie CHUS releases report on internal investigation into Granby girl’s death

By Gordon Lambie
“The system failed”: CIUSSS de l’Estrie CHUS releases report on internal  investigation into Granby girl’s death
Dr. Stéphane Tremblay, President and General Manager of the CIUSSS de l’Estrie – CHUS; Josée Paquette, Director of Human Resources, Communications, and Legal Affairs; Marie-France Thibeault from the communications service; Alain St-Pierre, Interim Director of youth protection services, and Johanne Fleurant, associate director of youth programs at the press conference unveiling the results of the investigation Wednesday afternoon. (Photo : Gordon Lambie)

The report on the internal investigation into the death of a seven year old girl in Granby earlier this year was made public by the CIUSSS de l’Estrie – CHUS, the regional healthcare establishment, on Wednesday afternoon. Presented in brief by Dr. Stéphane Tremblay, President and General Manager of the CIUSSS, the report points to a systematic failure based on a large number of issues, and makes 14 recommendations on how to improve the situation.
“The investigation demonstrates that we cannot point the finger at a single person or service, but rather that an entire system that failed many times, in many ways, over the course of seven years,” Tremblay said, noting that although the investigation pointed to a wealth of services being offered over the years by different workers within the health and social services network, a succession of problems that never should have happened placed the child in a situation of elevated risk. “The social safety net was not effective enough to prevent this child’s death,” he added. See full story in the Thursday, July 4 edition of The Record.

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