Throughout history, we have seen many unethical forms of human research done, which have ultimately led to dire consequences (Brandt, Lecture 7, Slide 6). Today, ethical research tools have been put forward to determine when experimentation for human research should be allowed. Equipoise is the balance between two conflicting demands, where one demand will promote the welfare of the patient while the other demand will promote the advancement of medical knowledge (Freedman, 1987, 95). There are two types of equipoise: clinical equipoise and therapeutic equipoise. Clinical equipoise looks at the balance through the scientific community, whereas therapeutic equipoise looks at the balance through the judgment of a single physician (Weiger et al., 2013, 93).
Problem of staff. In this case study, I found out there had human errors on staff. Human error is “A failure of a planned action to achieve a desired outcome” (Human error, n. d.). From the beginning part of the statement, we knew that the untrained anesthesiologist had make a wrong decision to accept the oxygen tank for the intention of saving Michael’s life. The human error made by medical worker In the human error classification, Reason (1990) said “Greater understanding of the why of human error is provided by a popular approach based, in part, on the distinction between whether the inappropriate action was intended or not”.
After trying all the approaches to solve his current state, Mr X was obliged to seek further medical attention. In the same quest, Mr. X came to the hospital and that is how we meet. In this disclosure, it is important to understand the limits of confidentiality. As it is the case, the patient is anonymous, hence the code X. Gastric bypass surgery or is a corrective technique that aims at dividing the stomach into two parts where there is a relatively small upper pouch and a lower larger remnant pouch with the small intestine connecting to both. The approach is quite invasive.
INTRODUCTION Wound infections are one of the bad complications in patients undergoing surgeries. Consequently, infections of different organs or tissues that visible to surgeons may lead to significant increment of postoperative morbidity and mortality beside prolongation of hospital stay.1 It has been well documented that eradication of wound infection resulted in significant increment of patient comfort and decreased medical costs.2 Onche and Adedeji3 stated that Staphylococcus aureus is the predominate cause of surgical wound and nosocomial infections. Currently, the antibiotic drug resistance is a fast growing concern in wound infection management beside the risk of impairment of wound healing, bacteraemia, or even sepsis.4 National Nosocomial
Corruption presents many challenges to the health sector. The impact of corruption on health care access and outcomes, as well as anti-corruption measures receive increasing interest among health policy-makers, since corruption in the health sector is a wide-spread problem with negatively affecting health status and social welfare. (46) 2.5.1 Literature Review In broader literature, the concept of corruption resp. mechanisms for controlling and enforcing corruption are often associated with governance and financing (7,46,47). Kaufmann (48) argues that in the progress towards UHC, governance resp.
However specialist doctors witnessed errors due to the delegation of authority more than other. Weakness in controlling team members varied with hospital type, position, preferred working style and team leadership. In summary, it is evident from Table 4.4 that the majority of medical errors causes vary with medical unit where all of them were more likely to occur in the ICUs. Also, they varied with team leadership. However, those who perceive autocratic team leadership style witnessed more frequently errors than other.
This is where the technology kicks in. advanced computers are being used during trials in order to deal with different kinds of problems such as calculating the right doses, finding the active ingredients or the possibilities of drug interactions which can lead to serious health problems and even death. A human mind can commit errors especially that he can’t be aware of all the side effects of the ingredients, this is why machines are very helpful and important in a research. This reliability on technology will help improving the infrastructure since it requires very developed and modern equipment in order to perform the researches with high precision. Research trials have always been a subject of conflict between nations in the old times.
Patients experience different health problems hence they want to get adequate diagnostic facilities and drugs in the hospital. They did not want to be referred in the private sector to get diagnostic facilities and drugs since private facilities are relatively costly. The reason to come to the hospital is to get their problems to be known by the health care provider by getting adequate laboratory investigations and get appropriate drugs in the hospital compound. Getting services of lab investigations and appropriate drugs in the hospital compound is related to fulfilling patient needs. Patients expect important diagnostics and drugs should be avail in the hospital compound.
A medication error is an event that is posing serious threat to the society nowadays. It may lead to an inappropriate medication use or patient harm.  There may be several reasons or factors relating to these errors which should be ruled out to bring a change in the healthcare practice. These errors on the other hand can also be considered as a failure in the treatment process. The errors could lead to various problems which include decreased therapeutic efficacy, added workload and financial burden, litigation problems and most importantly toxic effects in patients.
INTRODUCTION The diagnosis and treatment of diseases pertaining to human beings is a very risky profession as it is accompanied by a high degree of morbidity and mortality. Since the profession is risky therefore the professionals should be more cautious while practicing medicine. Even the mere mistakes and recklessness can cause severe injuries that to an extent which possibly can take anyone’s lives. It means if a good treatment can save the life of a person the negligent one can take the very same. In early day’s medical science used to be a kind of a miracle for a layman.
According to the Associated Press in 2005 after the incident of anesthesia not working properly on patients undergoing surgery the American society of Anesthesiologists created guidelines for doctors to follow to make sure the anesthesia was given correctly and with this came the outcome of less medical mistakes dealing with the misuse of anesthesia. In “The effect of clinical guidelines on medical practice: a systematic review of rigorous evaluations” by PubMed and “Implementing clinical practice guidelines” by Effective Health Care it stated that the greatest benefit that could be achieved by guidelines is to improve health outcomes and reduce death rates. This proves that the use of guidelines clarified the doctor’s motives and gave patients the resolve they needed. The article “Developing information materials to present the findings of technology assessments to consumers: the experience of the NHS Centre for Reviews and Dissemination” by Int J Tech Assess Health Care stated that guidelines also inform patients on their best options. Guidelines help develop a sense of security for patients and doctors while also benefiting the organization of the hospital
The cost of being sued, and the cost of malpractice insurance, greatly influences medical professionals (Braunstein, 2012). Healthcare costs in the United States are, in general, expensive. However, the cost of medical malpractice insurance coverage is becoming so expensive that they are starting to affect the practices of medicine. Due to this, many states have passed tort reform measures to limit the amounts rewarded to plaintiffs in medical malpractice suits (Hellinger & Encinosa, 2006). It is believed, by many in the medical profession, that limiting payments helps reduce the amount of malpractice claims.
Specificity of diagnosis, abnormal lab test and medication is often vital healthcare information in the medical record. Failure to document this information significantly slows hospitals from collecting the correct level of payment. Hospitals should not only target coders for performance improvement given that no level of accurate coding can overcome the lack of documentation. The Doctors that underdocument care and services provided represent the most significant opportunity to increase charge and reflect the severity level and provide adequate defense. When researched, Advisory Boards nationwide has uncovered multiple cases in which improved physician documentation has increased annual by 1.5 million.
The hospital should cut down on expenses- the amount of money used for operations is very high. The hospital can enter into contracts with drug a supplier that allows them to buy the medicine discounted prices. 2. Liquefy assets- To increase the cash on hand the hospital can sell some of their assets in order to have more money for their operations thus discouraging borrowing (Langabeer, 2015). 3.
Finger Print Scanner Pill Dispenser: A Potential Solution to Medication Misuse or Abuse Introduction In the field of Medicine today, prescription drug abuse is a major problem and drug overdose is a leading cause of death. The increase in opioid prescription drug use and abuse has lead states like Washington to draft new standards for physician practice. Physicians have numerous patients that need pain medications for their medical conditions but after prescribing the medication there is limited control over what the patient does with it. The dilemma of making sure patients are compliant with their medication and not abusing it arises, making the physician have monitor the patient. Researchers at Johns Hopkins Bloomberg School of Public Health’s