Corporate Governance and Ethical Responsibility Student Name Date: 6/4/2012 Introduction In this analysis paper i'll be explaining what Dr. DoRight of Universal Human Care Hospital can manage when he discovers that patients inside the hospital are dying as a results of a spread of illegal procedures by doctors and nurses and negligent supervision and oversight on their half. I'll analyze the rights of staff to health and safety within the work place. i'll address the duty of loyalty, and conflicts of interest between internal and external stakeholders. i'll additionally discuss the moral duties to report illegal procedures, along side the deontology and utilitarianism principles. The Universal Human Care Hospital has
Leaving a medical facility against a physician’s advice puts a patient at risk for untreated or incompletely treated medical issues, increases the need for subsequent readmission or visits to emergency departments and increases the risk of mortality. DAMA presents a dilemma not only to the attending physician but to the nursing staff caring for the patient. Ethically and legally, patients do have the right to agree to or retract consent for medical treatment; however the nursing management of DAMA is much more complicated and multi-faceted than the patient’s right to consent or dissent to treatment. Problems occur with the understanding of the different types of self-discharge from emergency departments, as well as how best to document such encounters and ultimately, how to improve upon current nursing
MEMO From: Joshua A. Burger (Gibbs), Phlebotomist, Genesys Regional Medical Center To: Office of Susan K. Kolka, Hospital Administrator, Genesys Regional Medical Center Subject: Excessive needlestick complaints and proposed corrective action 11/11/2009 Introduction Statement of Problem Inpatients of Genesys Regional Medical Center are complaining of excessive needlesticks during their stay at our facility. After receiving dozens of complaints, policy changes were made to allow the patients to receive a heparin lock as standard procedure, but the complaints continued. To promote patient comfort, safety, and well being, the hospital needs to take immediate action to reduce the number of needlesticks that our patients must endure
The Spirit Catches You and You Fall Down The barrier of communication that results from cultural collusion is one of the most commonly-seen obstructions in providing timely and appropriate medical care for the patients. The cost is doubtless immense not only to the health of the patients themselves but also to the professional ethics of the hospital staff involved if delay or mistreatment occurs due to cultural difference. Therefore, it becomes extremely important to understand the difference between cultures so as to ensure quality medical treatments to all patients and ,in some extreme cases, prevent treatable illnesses from becoming life-threatening ones. The book" The Spirit Catches You and You Fall down " vividly illustrates the difficulties, brought about by cross-cultural misunderstanding, in providing medical treatment to a child from Laos, Lia, who is diagnosed with epilepsy, who, unfortunately, belongs to a religion that asserts epileptic attacks are perceived as evidence of the epileptic's ability to enter and journey momentarily into the spirit realm------hence the title "The Spirit Catches You and You Fall Down". In chapter 3 of the book, it reveals that Lia began having epileptic seizures when she was about 3 months old.
It is expensive and has serious side effects. It must be administered intravenously because it is ineffective if given PO (http://goapic.org/MRSA.htm). Vancomycin is metabolized by the liver and excreted by the kidneys. Each individual metabolizes differently and this may be further compounded by disease, illness, age and sex, so trough levels need to be monitored to prevent toxicity and/or damage to major organs (Williams & Hopper, 2007 pg 105). There is fear that further mutation will cause resistance to all currently available antibiotics, including Vancomycin.
Introduction Medication errors are considered to be one of the most seriously issues concerning patients’ safety in the health care systems (Joolaee, S. et al, 2011). Medication errors contribute directly to patient morbidity and mortality (white, 2011. McBride-Henry & Foureur, 2006). There are laws, regulations and policies that govern the practices of healthcare professionals in the health care system (McIlwraith & Madden, 2010). Nursing is governed by many laws and breaching of these laws may result in legal implication.
Opposition will also challenge the capability of hospitals to connect in cross-point, again within the community and cites throughout the U.S. is the key to health care delivery system. Hospitals are here when Americans die, have a chronic illness or give birth. Community memorial Hospitals react to the health care dispute within the community, if the issues are syphilis, SARS, influenza, obesity, or anthrax (Levit,
Root Cause Analysis of a Case Study Alice Holliday Western Governors University Organizational Systems and Quality Leadership RTT1 Root Cause Analysis of a Case Study Healthcare presents numerous opportunities for patients to be helped by healthcare personnel. Unfortunately, there are also numerous opportunities for patients to be failed by healthcare personnel. When patients are failed by healthcare personnel, it is required by the Joint Commission for hospitals to carry out a Root Cause Analysis in order to understand the systems within the organization that failed so that improvements can be made and the failures can be prevented from happening in the future. (Cherry & Jacob, 2011) This paper will describe how a Root Cause Analysis (RCA) can be used following the death of a patient, and how Change Theory and Failure Mode and Effects Analysis (FMEA) can be utilized to come up with ways to prevent the failure from being repeated. A. Root Cause Analysis A Root Cause Analysis is an organized process used to determine the processes that lead to sentinel events.
Uncertainty and errors in prognosis and diagnosis is feared. The State has an obligation to protect lives from these inevitable mistakes and to improve the quality of pain and symptom management at the end of life. Fallibility of the profession is going to happen in any circumstance and patients will be adversely affected. Doctors have performed surgery on the wrong limb and have left instruments in the patient only to cause serious harm that lead the patient right back to the hospital! As with these mistakes, progress is being made to the laws surrounding PAD to eliminate these unfortunate occurrences.
Handwritten reports or notes, manual order entry, non-standard abbreviation and poor legibility lead to errors and injuries to patients, according to a 1999 Institute of Medicine Report. CPOE significantly improved timely discontinuation of antibacterial from 38.8 percent of surgeries to 55.7 percent in the intervention hospital. CPOE/e-prescribing systems can provide automatic dosing alerts (for example, letting the user know that the dose is too high and thus dangerous and interaction checking. In this way, specialist in pharmacy informatics work with the medical and nursing staff at hospitals to improve the safety and effectiveness of medication use by utilizing CPOE systems. In using CPOE for medications, orders are incorporated with patient information, such as other prescriptions and lab results, which can be automatically checked for potential errors or problems.