Sometimes, for medical employees, it is hard to maintain confidentiality when family members want to know about their loved ones. They can be awful demanding and hurtful when their heart is breaking over a seriously ill family member. But we must remember our duty is to the patient and what we can do is refer that mother, father, brother, sister, wife or husband to someone better equipped to deal with them. I read a statement once by the American Medical Association that states that no physician or medical staff should reveal any confidential communication or information without the express written consent of the patient unless required by law. To me that is pretty cut and dry….Glenn’s lips are sealed.
Williams first would be a malpractice lawsuit if something was to go wrong with the caller taking the medication. If the patient passed away from complications of taking the refill then that opens the door for a wrongful death lawsuit. Jerry could lose his license as well as Dr. Williams if Jerry calls in the refill and the patient has an adverse reaction. When it comes to problem solving for this situation, Jerry just need to weigh out the pros and cons of him calling in the refill without consulting Dr. Williams. He needs to think about what is best for the practice, for Dr. Williams, and what’s best for Jerry and his job.
Other stakeholders include nonhospital corporate services that deal with the board, local community physicians who operate privately but see patients at UMMS. In preparation for The World Cup (2014), physicians from Brazil work with UMMS to develop a Shock Trauma Center the system is #1 for. Therefore, foreign hospitals and physicians are stakeholders that UMMS may report to as well. Now if third party payers fail to reimburse UMMS, then the system bills patients directly. Patients are key stakeholders for without visits and admissions, UMMS loses out
Some of the criticism is part of a larger body of criticism of pathways and guidelines in general. Some critics believe that pathways undermine individualised care and remove the ability of clinicians to make small changes in patient care (Palmer 2008, Rycroft-Malone et al 2008). For more information on this debate, refer to the discussion in Kennedy et al (2009). Some of the criticism of end of life care pathways relates to law and ethics. In particular, critics state that diagnosing death and putting people on end of life care pathways is a form of euthanasia – one newspaper story featured the headline ‘Sentenced to death on the NHS’ (Devlin 2009).
Everything you do must be in their best interest and protect them from harm in every sense including but by no means restricted to, physical, emotional, financial and medical. I must report any risks I come across to a manager or supervisor; this can include poor working practices by other members of staff, equipment, other individuals, the working environment and even family members. Failure to report these would be seen as negligence on my part and could even result in prosecution. 2.1 Describe potential conflicts or dilemmas that may arise between the duty of care and an individual’s right. A potential dilemma could be the client not wanting to visit the hospital when the client has been medically advised that it is essential for them to do so, refusal of medication or any time the service user exercises their rights, to choose or refuse, that could potentially cause harm to themselves or others.
Also incorrect medical coding linkage could lead to incorrect medical diagnoses being put into the patients’ medical record and could potentially cause the patient to be uninsurable should they lose their health insurance coverage and need to find a new insurance company. Some diagnosis could possibly be the reason for a person being denied insurance coverage with some
Policies are arising in several directions to prevent the intentional, or unintentional, slip of information. Each facility should adapt their own personal rules and regulations regarding the issue of social media and patient privacy. In a law suit regarding a potential violation of the HIPAA, The General Hospital Corporation and Massachusetts General Physicians Organization Inc. agreed to a substantial fine to the U.S. government (U.S. Department of Health and Human Services, 2011). This type of fine sets the example that a violation of patient’s privacy and rights is strictly prohibited. Within social media, a disgruntled employee may also use the sites to damage confidential information regarding a patient.
The routine practice of physician-assisted suicide raises serious ethical and other concerns (Snyder, 2004). According to ACP-ASIM, legalization of physician assisted suicide would undermine the patient–physician relationship and the trust necessary to sustain it. It would alter the medical profession's role in society and endanger the value our society places on life; especially on the lives of disabled, incompetent, and vulnerable individuals. The Hippocratic Oath is one of the oldest binding documents in history. Its principles are held sacred by doctors, “Treat the sick to the best of one's ability, preserve patient privacy, and teach the secrets of medicine to the next generation” (Hippocratic Oath, n.d.).
Management and certain workers should acquire education on drug seeking behavior among patients and workers (Harldorsson 2007). Clinicians need to be taught about the regulations concerning control use of substances and the ethical rules and regulations that follow them. It is essential for doctors to understand their moral duty to their patients and to their employers. Cases concerning ethical violation tend to destroy the reputation of the employers (hospitals), ruining the name of the hospital. It is the work of the health practitioner to acquire knowledge on how to help a patient who gets control drugs from online pharmacies.
Current Issues Situations that arise in healthcare settings include the mishandling of personal information. This can cause embarrassment to patients and violating trust between healthcare providers and patient. It can also diminish the reputation of the facility in the