32 hours ago a) the survivors have a good case since hospital policy and procedures do not supersede national standards b) the survivors have a good case since the death was unexpected c) since the patient is dead and can't report variation from the standards no case is possible d) the case against the nurse is weak since they followed hospital policy and procedures e) the case against the … >> Go To The Portal
It should be considered that knowing the truth is one of the basic rights of patients and their family members. According to similar studies, explaining the error to the patients could be a stressful situation combined with intense emotional reactions from patient/family members or the care team.
Ethical considerations of the terminally ill patient include 1. withdrawing versus withholding treatment. 2. active euthanasia versus passive euthanasia 3. ordinary versus extraordinary means. Withdrawing life-sustaining treatment refers to
Indeed, fear of blame, penalties, limited organizational support, inadequate feedback, and lack of knowledge about the associated factors are some of the barriers to reporting medical errors in hospitals (12). Assessment and reduction of patients’ risk of injury, or risk management in the clinical setting is influenced by several factors.
Furthermore, the provision of emotional support and legal protection of the staffs by the organization is essential to encourage voluntary reporting of incidents. Moreover, training and emphasizing on the professional code of ethics can be effective on deepening the understanding of and belief in the moral foundations of patient safety.
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The UDDA simply states: 'An individual who has sustained either (1) irreversible cessation of circulatory and respiratory functions, or (2) irreversible cessation of all functions of the entire brain, including the brain stem, is dead.
After “careful consideration to contending positions” of the “clinical and ethical validity of the neurologic standard” of death, the council concluded that this standard of death remained valid. The presence and uniformity of laws defining death (including brain death) have been adopted and widely accepted.
It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care. A cornerstone of the discipline is continuous improvement based on learning from errors and adverse events. Patient safety is fundamental to delivering quality essential health services.
Cerebral angiography: Four vessel angiography is considered the gold standard for tests that evaluate cerebral blood flow. It can confirm brain death when it shows cessation of blood flow to the brain. Limitations include invasiveness of the test and transferring the patient to the radiology suite.
Verification of Death: is a clinical assessment process undertaken to establish that a person has died. Using a standard regime of clinical assessment tools, a registered medical practitioner, registered nurse / registered midwife or qualified paramedic can establish and document that death has occurred.
Doctors examining the patient will conduct a battery of tests to determine whether any brain activity is present. If all brain activity is absent, the patient is dead.
Determining the moment of death is vital to avoid the use of unnecessary medical interventions on patients who have already died and to make sure that the method of organ donation is obvious and transparent. Also, the time of death is important because of survivorship clauses in wills.
there is a specific direction to the developmental pattern of reacting to one's death. When attempting to determine if someone is "whole-brain dead," a physician would be LEAST likely to ask: "Has there been any movement for the past hour? What is the MOST likely complaint of a hospice client?
Standards of care in nursing are important because they recognize the trusted role that a nurse plays. These standards are considered the baseline for quality care. They must be developed while assessing the state and federal rules, regulations and laws that govern the practice of nursing.
Abstract. Patient safety is an essential and vital component of quality nursing care. However, the nation's health care system is prone to errors, and can be detrimental to safe patient care, as a result of basic systems flaws.
The main purpose of professional standards is to direct and maintain safe and clinically competent nursing practice. These standards are important to our profession because they promote and guide our clinical practice.
The Institute of Medicine (IOM) released a report in 1999 entitled "Man is fallible: create a safe health system" in relation to the incidence of medical errors in United States, and consequently, initiated widespread international change in the field of patient safety (2).
It should be considered that knowing the truth is one of the basic rights of patients and their family members. According to similar studies, explaining the error to the patients could be a stressful situation combined with intense emotional reactions from patient/family members or the care team.
Despite increased attention toward the quality of health care services, there are still numerous threats to patient safety in healthcare settings. Since patient safety is multidimensional and grounded in ethical and legal imperatives, both ethical and legal challenges should be taken into account.
Physician orders preapproved by the medical staff, which are preprinted and placed on a patient's record, are called: advance directive notification form. A form that is signed by the patient to document that the patient has been notified of his or her right to have an advance directive is called a (n) addressograph.
Any pertinent changes and physical findings that occurred since a previous inpatient admission, if the patient is readmitted with 30 days after discharge for the same condition, can be documented in a (n) immediately.