since the patient is dead and cannot report variation from the standards no case is possible

by Giovanna Jenkins 10 min read

Nurse Case Study: Failure to report changes in the …

13 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


Should doctors explain errors to patients and their family members?

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.

What are the ethical considerations of the terminally ill patient?

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

What are the barriers to reporting medical errors in hospitals?

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.

How to encourage voluntary reporting of incidents of patient safety?

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.

Under which circumstances can you disclose PHI?

We may disclose your PHI as authorized to comply with workers' compensation laws and other similar programs. Threats to Health or Safety. We may disclose limited PHI if we believe it is necessary to prevent or lessen a serious and imminent threat to you or to the public. Specialized Government Functions.

What is the medical criteria for death?

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.

Is brain death a morally acceptable criterion for determining when death occurs?

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.

Why is it important to adhere to patient safety standards?

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.

What tests confirm death?

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.

What is the clinical assessment of death?

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.

Is no brain activity the same as brain death?

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.

Why is death determination important?

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.

What is attempting to determine if a person is whole brain dead?

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?

Why are standards of care essential to nursing practice?

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.

Why is it important that health professionals share a common understanding of patient safety standards and practices?

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.

Why are standards of care required for health care professionals and organizations?

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.

When was the report "Man is fallible" released?

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).

Is knowing the truth a right?

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.

Is patient safety a threat?

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.

What is a physician's order preapproved by the medical staff called?

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.

How long after discharge can you be readmitted?

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.

Risk Management Comments

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During the deposition of the admitting ICU practitioner, he testified that he was not informed of the second laboratory results or the patient’s vital signs until the patient went into respiratory distress. It is the defense expert’s opinion that by the time the patient was seen by our nurse she had already suffered significant bleedi…
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Resolution

  • At the onset of the claim, the estimate on the chance to prevail was 60 percent, however, throughout the investigation of the claim and while working with the other defendants there was significant finger pointing causing our nurse to suffer a greater apportionment and less of a chance to prevail at trail. Our estimate of the insured apportionment was 20 percent with a 40 p…
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Risk Management Recommendations

  1. Maintain competencies (including experience, training, and skills) consistent with the needs of assigned patients and/or patient care units.
  2. Maintain thorough, accurate and timely patient assessment and monitoring, which are core nursing functions.
  3. Timely implement practitioner orders.
  1. Maintain competencies (including experience, training, and skills) consistent with the needs of assigned patients and/or patient care units.
  2. Maintain thorough, accurate and timely patient assessment and monitoring, which are core nursing functions.
  3. Timely implement practitioner orders.
  4. Communicate in a timely and accurate manner both initial and ongoing findings regarding the patient’s status and response to treatment.

Guide to Sample Risk Management Plan

  • Risk management is an integral part of a healthcare professional’s standard business practice. Risk management activities include identifying and evaluating risks, followed by implementing the most advantageous methods of reducing or eliminating these risks. A good risk management plan will help you perform these steps quickly and easily. See the Risk Management Plan create…
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