EHRs will always have pros and cons impact in the healthcare organizations. The biggest limitations of the electronic health record system could be that the system is not yet integrated in all hospitals and health care facilities. The health care providers and researchers are enthusiastic and anticipate better technology because it would be more beneficial for health care IT technology as it advances. Last but not least, I believe that the government should support on the network improvement to achieve meaningful use of EHRs
I, like some of the companies referred to in the paper always lumped both together. It is many times useful to break things down clearly into congruent units so it is more feasible to understand the issue and proffer relevant workable solutions. Meanwhile, as mentioned in the paper, such hairsplitting difference is not a usually a concern for an organization looking to make a change or improvement. While I think this understanding would be good to help in hospitals or clinics to deal with the opioid crisis. I believe that even if the hospital leadership are able to understand the climate and culture theory, it would be very difficult for them to translate to nurses, physicians and other professionals who already have a professional and organizational culture they are used to.
They were supposed to ask questions. These questions are supposed to tell the doctors if there is anything wrong with doing the operation to the patient. These questions are very important in making ethical decisions because it makes sure that the patient will be fine with the operation. You need to ask these questions to make sure the patient is not under any real risk, says Dobrin Arthur. Dobrin Arthur is the author of the website "Five Steps to Better Ethical Decision Making" Dr. Nemur and Straus did not ask Charlie these questions.
The clinician-patient confidentiality relationship is an important bond for patients to feel secure. This relationship is almost unbreakable; however, it is not invincible. Confidentiality of the patient can be broken if the patient discloses information about harming themselves or someone else. In the Tarasoff case study, the ethical question posed is: is it ethical for a therapist to break patient confidentiality if imminent danger of the patient or another person is disclosed during a therapy session? Arguing that this is indeed unethical, counterarguments pose that breaking confidentiality is a risk to all patients.
Carolyn, Thanks for sharing your thoughts. Medical fraud and abuse are the serious problems for health care system, which need to be prevented from reducing the health care cost and providing quality of services to the people who need care. It is most important to educate health care worker and new employees about these issues so that they will be aware providing patient 's personal information to others. Also, potential providers need to be surveyed to ensure that they are reasonable providers or
Autonomy is defined as the freedom to make choices about issues that affect one’s life, free from lies, restraint, or coercion (Burkhardt & Nathaniel, 2014, p 60). As this case study unravels itself it’s clear that autonomy is the ethical dilemma at hand. It is ethical wrong for health care providers not to obtain informed consent directly from the patient or in other words acting paternalistically, which in return violates the patients’ autonomy. If Linda were deemed incompetent, her autonomy rights would be removed, but since the patient decisional capacity is seen as intact all treatment should be consented to by her and her only, not the mother or any health care provider. Furthermore, not only has the conflict of these ethical principles
There are various methods to adjust health care services into becoming more approachable for low literacy patients. We shall let our society be aware of the problem and accommodate to the needs of low literacy people in our health care facilities. While communicating we must talk with sensitivity, allow the patients to speak out their opinions, respect their values, goals, and beliefs, and act with acceptance. Often times, while connecting with our patients can have the ability to heal them, but others times it can hurt the patient. We must not make any assumptions about the patients, we overestimate people’s reading levels because we are not in their position and we do not think about how something so “easy” to us can be such a challenge for others.
Most common medical errors are errors in orders, however misdiagnosis is an error in oversight, misunderstanding or failure of clinician to notice clinical data and disease pattern. It is increasingly difficult to track these errors currently as most of these cases are only found through negligence and malpractice litigation as well as autopsy cases (Sternberg, 2015). It is imperative that clinicians research and study this to change outcomes that continue to adversely affect patients and providers. Patient safety goals have focused every year on safety and adherence to best practices. The Joint Commission determines the highest priority patient safety issues and how best to address them (The Joint Commission, 2016).
However, the responsible and trusted caregiver team must take an action through multiple processes in order to favor the patient. Although the physicians have known earlier when the terminally ill patient near to die, they are not comfortable with withdrawing of life-sustaining treatments. The intention is not to kill the patient, but using the available technology and creating a moral obligation to use what ethical principle prescribes. Underlining the disease process cannot be reversed, life-sustaining treatment can be withdrawn acknowledging that the treatment limitation (Reynolds, Coper, & McKneally, 2005). Ethics committee is a helpful source of advice that can provide consultation about ethical issues in treatment limitation.
Many will attempt to change the patient’s ideals to fit what the physician has determined as being the optimal health plan. However, this does not coincide with being culturally competent. Health care providers must be open to different approaches to the same problem and be willing to investigate all options to come to a conclusion that takes into consideration the patients cultural beliefs (Kodjo,
There are three implications that would occur if a change in law were past, one would be the change in palliative care. Adequate palliative care is a prerequisite to the legalization of medical aid in dying. Patients should never have to choose death because of unbearable pain, which can be treated but cannot be accessed. It is wrong to deny grievously ill patients the option of medical aid in dying because of systematic inadequacies in the delivery of palliative care. Safeguarding patients by building a strong patient physician relationship must be established so that there is no foul play in the outcome.
S does raise the possibility of higher risks for not doing the surgery, but not having any other health issues contributes to her decision to not take the risk of having the surgery. The physician is ethical in the decision to decrease Mrs. S anxiety. The physician made the correct call which is backed by the principle that the patient is assumed competent unless there is strong evidence to the contrary. Medical professionals may not agree with the patient’s decision but it must be respected to avoid issues. Beauchamp TL, Childress JF.
Besides, doctors also respect for a person’s autonomy by letting the patient make their own decisions. Nowadays, doctor will be trained to stop ourselves from making a decision for patients. However,
Once a healthcare organization decides to hire an outsource provider, that provider then takes over the project that was assigned to them. This leaves the company in the dark when it comes to the IT project. Of course, outsource providers are not supposed to abuse their responsibilities, but companies run the risk of having that happen to them (Tesler, n.d.). In the end, it is important that any healthcare organization research on whether or not an outsource provider would be beneficial to their company. This is the only way to understand whether outsourcing would be right for the company or not.
All of these remarks are true but Patient care; safety and satisfaction should be at the tiptop of their list. What if a Doctor forgets to mention to the patient that they need to prepare their bowels for the colonoscopy they have tomorrow, or the Surgeon forgets to inject a vial of medicine that is crucial to a positive outcome of a surgery? It will not turn out good for the Patient as it could severely injure them and possibly kill them. It will not be good for the Doctor or Specialist as they can be sued for wrongdoing. It will also not be good for the Office or Hospital, as it will give it a bad name.