Unsafe practices in Hillcroft nursing home in Slyne-with-Hest near Lancaster (May 2010 – September 2011): In report it states that nursing home staff neglected, emotionally and physically abused a persons with lack of capacity under The Mental Capacity Act 2000 because they would have no memory of the abuse and they couldn’t report it by themselves. There are few examples of how abuse happen: deliberately tipping resident out of wheelchair, striking, slapping, mocking and bullying resident, pelting residents with bean bags and balls at their heads “for entertainment as abusers felt bored”, laughing about residents. Failures to protect individuals: • Failure from staff team to provide care, treatment and support that meets people's needs.
On the 18TH June 2011 the CQC published its findings following an inspection of services provided at Winterbourne View. After considering a range of evidence inspectors conclude that the registered provider, Castlebeck Care (Teesdale) Ltd, had failed to ensure that people living at Winterbourne View were adequately protected from risk, including the risks of unsafe practices by its own staff. The report concludes that there was a systemic failure to protect people or to investigate allegations of abuse. The provider had failed in its legal duty to notify the Care Quality Commission of serious incidents including injuries to patients or occasions when they had gone missing. Inspectors said that staff did not appear to understand the needs of the people in their care, adults with learning disabilities, complex needs and challenging behaviour.
Multiple problems with the Therac-25 Factors were lapses in good safety design Insufficient testing of the software Bugs in the software that controlled the machine Inadequate system of reporting and investigating accidents Attorneys for the family against the hospital. Hopsital technicians made gross errors when operating the Therac-25. Errors became so common, hospital technicians habitually performed overrides. Warnings were ignored or assumed to be benign errors. Employees also failed to take standard precautions, failed to make constant contact with patients during procedures.
Mike Hammer believe that “physicians didn’t understand, nor were they interested in, the role of costs in determining the viability of hospitals” (p. 546). Hammer tried different approaches to cutting costs, which were always rejected by the physicians. He even ran into conflict with the hospital’s board of trustees who would always side with the physicians. Dr. Williams felt that “Hammer was asking for a cultural change that was impossible” (p. 546) Hammer hired a chief operating officer (COO) that would help him implement cost cutting procedures. Discuss the conflict management styles that are evident in the case.
Signs and symptoms of financial abuse would be: * Missing personal possessions * Lack of clothing and/or toiletries * Unexplained money withdrawals * Unexplained paranoia Institutional abuse: the mistreatment of a person from a system of power. Signs and symptoms of institutional abuse would be: * Poor or lack of communication with residents * Poor standards of cleanliness * Low staff morale Neglect by others: when a person is neglected by those who are responsible for their care. Signs and symptoms of neglect by others would be: * Inadequate heating and/or lighting * Basic needs not been met * Uncared for in appearance Emotional/ psychological abuse: when a person is treated in a way that causes emotional or psychological harm. Signs and symptoms of emotional/psychological abuse would be: * Compulsive behaviour * Overly anxious to please * Loss of skills or abilities Self-neglect: when a person harms or neglects themselves. Signs and symptoms of self-neglect would be: * Unexplained cuts or marks * Dirty or unkempt appearance * Not eating
Sanderson stated that their reason for terminating Mr. Reeves was due to inaccurate record keeping. Mr. Chestnut ordered an audit of the Hinge Room’s timesheet and found numerous errors and he recommended that Mr. Reeves be terminated. Mr. Reeves and Mr. Oswalt testified that the automated timeclock often failed to scan employee’s timecards and they would visually check the workstations and recorded the employees as present. Mr.
* Financial abuse- is when a person mistreatment and fraud in which someone forcibly controls another person's money or other assets. * Institutional abuse-It is the failure of an organization to provide an appropriate and professional service to vulnerable people. * Self neglect- is a behavioural condition in which a person neglects to attend to their basic needs, such as personal hygiene, suitable clothing, feeding, or tending to suitable medical conditions. * Neglect by others abuse- including ignoring medical or physical care needs, failure to provide access to appropriate health care, social care, or misuse of medication, adequate nutrition or heating. Identifying signs and symptoms of the different types of abuse: * Physical abuse-unexplained falls or major injuries, injuries/bruise at different stages of healing, bruise in unusual places e.g.
The remark the nurse made was also inappropriate and shows she did not have the patient or family’s satisfaction in mind. NURSING SYSTEMS & LEADERSHIP QUALITY 3 References Cherry, B., & Jacob, S. R. (2008). Quality improvement and patient safety. In (Ed. ), Contemporary nursing (4 ed.
Gross negligence can be defined as a conscious and voluntary disregard of the need to use reasonable care, which is likely to cause foreseeable grave injury or harm to persons, property, or both (West, 1998). If a patient suffered a fall and the nurse failed to report it to the physician and did not follow the accepted standard of practice this is an example of gross negligence Malpractice refers to negligence or misconduct by a professional person, such as a lawyer, a doctor, a dentist, etc. (West, 1998). Patient injury or damaged because of error to meet a standard of care or conduct is recognized by a profession is considered malpractice. If a patient is seen in the physician’s office with symptoms of a stroke and is
Negligence is a failure to exercise the degree of care considered reasonable under the circumstances, resulting in an unintended injury to the patient or to another part, yahoo.com (2014). Negligence occurs in most of the areas, but more likely happens in elderly patients in health care setting for example, hospital unit, convalescent home, and boarding care facilities. Common example of negligence includes medication errors, refusal to provide adequate food, dehydration, poor skin integrity, and physical injuries. Usually a family member is the one who discovers and report the incidents because residents are too fearful, or are unable, to report incidents themselves. According to cecp.org (1999), there are four elements of negligence includes a duty to protect, failing to exercise a reasonable standard of care, proximate cause, and actual injury.