28 hours ago Patients contribute to the collaborative effort when they: Are truthful and forthcoming with their physicians and strive to express their concerns clearly. Physicians likewise should encourage patients to raise questions or concerns. Provide as complete a medical history as they can, including providing information about past illnesses ... >> Go To The Portal
Autonomous, competent patients control the decisions that direct their health care. With that exercise of self-governance and choice comes a number of responsibilities. Patients contribute to the collaborative effort when they:
Physicians who receive reports of alleged incompetent or unethical conduct should: (f) Evaluate the reported information critically and objectively. (g) Hold the matter in confidence until it is resolved. (h) Ensure that identified deficiencies are remedied or reported to other appropriate authorities for action.
Nurses have a responsibility to keep patients safe at all times. Failing to report safety concerns in their work areas not only places patients at risk, but nurses and other staff as well. Nurses may feel like they are too busy to take time out to report or may be concerned about retaliation.
Likewise, physicians who do not report are protected from liability they might otherwise face if an unreported patient causes injury to himself, others, or property [7]. Pennsylvania has strict reporting requirements on the books that have been interpreted more leniently by the courts.
A patient has the responsibility to provide, to the best of his knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications, and other matters relating to his health.
right to receive information, make treatment decisions, choose doctors, and to confidentially. Which of the following are patient responsibilities? reading info carefully, following orders, and being honest and truthful.
Patients Rights. Patients have the right to receive clear explanation of treatment options, participate in health care decisions and discontinue or refuse treatment. You just studied 20 terms!
How can the medical assistant document exactly what the patient said? The MA can place quotation marks around the patient's words.
Patient ResponsibilitiesBe responsible for their own health. Maximize healthy habits such as exercising, not smoking, and eating a healthy diet. ... Provide information about their health and let healthcare provider know what they want and need. ... Be financially and administratively responsible. ... Be respectful to others.
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy, Security, and Breach Notification Rules are the main Federal laws that protect health information. The Privacy Rule gives you rights with respect to your health information.
A patient has the right to respectful care given by competent workers. A patient has the right to know the names and the jobs of his or her caregivers. A patient has the right to privacy with respect to his or her medical condition. A patient's care and treatment will be discussed only with those who need to know.
The goal of the Patient's Bill of Rights is to protect people in the U.S. and provide the best care possible. The federal government, state governments, and health plans have created their own bills of rights to further protect people undergoing care in the healthcare system.
Terms in this set (16) -People have the right to make decisions regarding their health care. Advance directives are legal documents that allow people to state what medical treatments they want or do not want in the event that they are unable to make decisions or communicate because of severe illness or injury.
the dentistYou, the dentist, are responsible for the codes selected and documented in the patient record and billing systems. No matter who enters the information, you must make sure all of the information, including any procedures codes referenced, is correct.
Medical records: facilitate good care. allow a subsequent caregiver to understand the patient's condition and the basis for the current investigations or treatments. provide a method of communicating with other team members.
Good documentation is important to protect your patients. Good documentation promotes patient safety and quality of care. Complete and accurate medical recordkeeping can help ensure that your patients get the right care at the right time.
the physician, by ignoring the nurses's assessment, contributed to a delay in treatment and injury to the patient. A solution was prepared by an employee and injected into the patient by a physician. The physician made no examination of the fluid, and the patient suffered permanent injures as a result of the injection.
A nurse trained in the delivery of primary health care and the assessment of psychological and physical health problems such as the performance of routine examinations and the ordering of routine diagnostic tests - - Nurse Practitioner. A nurse with an advanced academic degree and a major in a specific clinical specialty such as pediatrics ...
A nurse with an advanced academic degree and a major in a specific clinical specialty such as pediatrics or psychiatry - - Clinical Nurse Specialist. A nurse hired by a patient or the patient's family to perform nursing services - - Special Duty Nurse. Click again to see term 👆. Tap again to see term 👆.
Informed consent is a legal doctrine that provides that a patient has the right to know the risks, benefits, and alternatives of a proposed procedure. True or False.
A nurse has a responsibility to set appropriate professional boundaries between herself and her patients to maintain her objectivity and prevent a conflict of interest. Since nurses often work with health care teams that include unlicensed personnel, they have a duty to delegate appropriately and to supervise those tasks they have delegated. Although nurses have other responsibilities, the guiding principle that drives all of their actions is the safety and welfare of the patient.
Nursing Bill of Rights. Registered nurses actually have a specific bill of rights, according to the American Nurses Association (ANA). Among these are practice rights, such as being able to practice in a manner that allows them to fulfill their professional responsibilities to patients and society. They have a right to be able to practice ethically ...
In addition to their direct patient care responsibilities, physicians should help improve their communities and the public’s health. Like nurses, a physician’s responsibility to the patient takes precedence over other responsibilities.
Although nurses have other responsibilities, the guiding principle that drives all of their actions is the safety and welfare of the patient.
In some cases, these professional rights and responsibilities are the same or very similar, while in others they are quite different.
For example, California only requires reporting of disorders "characterized by lapses of consciousness." Reporting disorders characterized by lapses of consciousness. Cal Health & Safety sec 103900 (2006). Accessed May 8, 2008.
Other states’ physician reporting laws are more permissive. Montana’s statute says that a “physician who diagnoses a physical or mental condition that, in the physician’s judgment, will significantly impair a person’s ability to safely operate a motor vehicle may voluntarily report [italics added]” the patient [11].
Whether they mandate reporting, prohibit it, or make it voluntary, the laws have much room for improvement. Ethically and professionally physicians’ duties do not stop with existing laws; they are encouraged to “work with their state medical societies to create statutes that uphold the best interests of patients and community and that safeguard physicians from liability when reporting in good faith” [14].
Although a number of states mandate or permit physician reporting of diseases or illness that may impair driving abilities, those that don ’t address the physicians’ role in reporting put physicians in a peculiar position. On the one hand, the American Medical Association’s Code of Medical Ethics explicitly acknowledges that physicians have a responsibility “to recognize impairments in patients’ driving ability that pose a strong threat to public safety and which ultimately may need to be reported to the Department of Motor Vehicles” [14]. On the other hand, the law may prohibit physicians from disclosing confidential information without an explicit exception. In other words, if informing driver’s licensing agencies (i.e., the Department of Motor Vehicles) about potentially dangerous drivers is not a legally sanctioned reason for breaching confidentiality, physicians may be unable to disclose. So, if they follow their professional obligation to report patients (pursuant to detailed guidelines [14]), doctors may face civil and criminal liability for unauthorized disclosure under some state laws [15].
Physicians should be aware of their professional responsibilities and the legal requirements of the states in which they practice. When determining whether to report a patient’s medical condition that may impair driving, physicians may have to weigh conflicting guidelines: a professional obligation to report and a legal requirement to maintain confidentiality, even in the face of danger to the public.
Oregon, for example, has broad regulations. Its laws require physicians ( especially primary care physicians) to report conditions that impair sensory, motor, and cognitive functioning to state authorities [5], and they provide comprehensive standards for determining when a driver is impaired.
Where obligated to report, physicians must do so. When reporting is voluntary, they should also consider their professional obligations before deciding on a course of action. Certainly, limited criminal and civil liability protections that place the physician at legal risk should be a factor in cases where reporting is not mandated.
Reporting a colleague who is incompetent or who engages in unethical behavior is intended not only to protect patients , but also to help ensure that colleagues receive appropriate assistance from a physician health program or other service to be able to practice safely and ethically.
Medicine has a long tradition of self-regulation, based on physicians’ enduring commitment to safeguard the welfare of patients and the trust of the public. The obligation to report incompetent or unethical conduct that may put patients at risk is recognized in both the ethical standards of the profession and in law and physicians should be able ...
Nurses are constantly faced with issues that require critical thinking and decision making. One of the most problematic concerns involves ethical dilemmas.
Nurses should verbalize concerns to their supervisor so that assignments can be switched or replacements found. However, when possible, nurses should practice in care areas where they will be less likely to be faced with these dilemmas. Personal beliefs can also affect how nurses approach patient education.
Privacy screens help reduce the visibility of patient charts, and passwords are required to access integrated systems. Nurses must keep patient privacy as one of their top priorities. However, breaches can occur even with the best intentions. One common occurrence involves divulging health information to a family member.
Being open and honest about the prognosis using factual data is also essential, but at the same time, nurses should include the family to educate on pros and cons of treatment and work to inspire hope, encouragement, and positivity.
A common ethical dilemma nurses face is when the values and beliefs of the patient differ from the family. For example, a family may ask members of the healthcare team to downplay (or even avoid disclosing) the severity of a diagnosis to avoid burdening the patient.
To avoid inadvertently divulging health information inappropriately, nurses should be familiar with their organization's policies and procedures; some facilities must have written release of information forms or use passwords/other identifying information with family members.
HIPAA laws protect healthcare consumers from having their personal health information shared inappropriately. Nurses are trained to protect private health information in nursing school and throughout their career by their employer. Healthcare technology is set up to protect privacy as well. Access to electronic health records is granted and monitored. Privacy screens help reduce the visibility of patient charts, and passwords are required to access integrated systems.
The physician's interaction with the health care delivery organization starts not upon entering practice, but at the beginning of the medical educational experience. A physician's clinical training starts in medical school and occurs within a health care delivery setting. Indeed, it is hard to imagine how changing the education of physicians with respect to patient safety would be successful without corresponding changes in the environment and culture of the health care delivery systems in which they train. Therefore, any changes in the health care delivery system with the goal of creating a culture of safety will have to address not only practicing physicians but also physicians in training.
Without these, physicians are much less likely to cooperate in any initiatives, quality or otherwise. With respect to quality, there is evidence that physicians are more likely to respond to quality initiatives if they lead them rather than if they have them imposed from the outside, regardless of the natures of their relationships with the delivery system. 17
As strong physician leadership is essential to engage physicians in any efforts to improve patient safety as well as the overall quality of care, 23 the high-reliability organization will have to address various barriers to practicing physicians' involvement in improving the safety of care.
20 Physicians are often reluctant to participate in hospital quality improvement projects due to distrust of hospital motives, lack of time, and fear that pressure to reduce variations in care in will compromise their flexibility in managing care to meet individual patients' needs. 21 In addition, physicians lack training in the principles of quality improvement, team leadership, and general management, making them less comfortable and competent than they would like to be in these roles.
The group is targeting three interventions that they believe will improve patient safety: 1) computerized physician order entry; 2) volume-based referrals for selected procedures, and 3) medical intensivist ICU coverage. 26
Another problem with attempts by delivery systems to integrate physicians has been the bewildering complexity of models for this relationship. Physicians often have multiple simultaneous relationships with integrated delivery networks (IDNs), hospitals, management service organizations, physician—hospital organizations, independent practice associations, and IDN-owned insurance companies. Few of these arrangements exist in pure form, and one IDN might offer several different options to meet the different interests of physicians. 16
Incentive alignment between physicians and health care delivery organizations is therefore critical to any effort to improve the quality and safety of care . Cost savings from reduced complications often go to the managed care company, not the physician, and depending on the reimbursement approach, often not to the delivery system either. 13 Because much of the improvement in quality that these initiatives entail may lead to potentially direct negative economic effects on physicians, physician incentives will of necessity be a major focus of any attempt to link physicians and delivery system around the issue of quality and safety of care. Currently, physician incentives vary tremendously among delivery systems; however, most of these incentives involve financial performance, reimbursement, and productivity, not quality of care. 25 Important incentives for physicians to participate in quality improvement initiatives include:
We can also consider some equally important nonmedical contributors to quality of life, such as social connections, activities, and physical independence . The complex interactions between organic disease and personal well-being are extensively documented as, for instance, in data suggesting that married people live longer and remain more self-sufficient than their unmarried peers (both single and widowed) [5]. Can we make a meaningful distinction between our duty to ensure that patients have the wherewithal to obtain the drugs or other treatments we prescribe and our duty to look out for the social factors and milieu that contribute so heavily to the success that we hope to achieve by medical intervention?
To be sure, doctors who treat patients with life-threatening conditions focus quite rightly on instituting therapeutic measures to preserve life, and often they are not able to address the impact of medical care on quality of life (QOL) until after the life-saving intervention.
Of course doctors, consciously or unconsciously, take social factors and QOL into consideration all the time when making decisions about whether to institute or even continue therapies that may extend biological life, though not necessarily improve it. If one is caring for an elderly, partially demented man with recurrent urosepsis and a large Stage 3 or 4 decubitus ulcer, who lives in a nursing home with marginal resident conditions and care, how are we helping him or enhancing his QOL by curing his infection and healing his wound, only to send him back to the environment that promoted the problems in the first place? Naturally, we would do everything we could to see whether it was possible to place him in a more healthful setting, but the fact of the matter is that we would probably not succeed in finding him a home that was significantly better than the original, given the resources available for his care [4]. It goes without saying that the decision about a patient’s quality of life—whether he would prefer being dead to living under the described conditions—belongs to the patient and his family. It is not up to the doctor to decide.