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.