The misdiagnosis of a patient is an occurrence that happens quite frequently within clinical practice for various reasons. Many times these misdiagnoses are due to unintentional errors. However, there are times when practitioners intentionally misdiagnosis patients (Kirk and Kutchins, 1988). Deliberate acts of misdiagnosis exist that are universally viewed as being unethical such as blatant use of fraud or abuse. However, there are forms of deliberate misdiagnosis that are viewed less objectively, and are often justified as being in the best interest of the client. The inclination to justify the use of misdiagnosis is often intensified for clinicians due to internal and external
Nurses’ primary goals are to promote patient safety and give the best quality of care to the patients. They also play a vital role in preventing and reducing medical errors in their work place. Nurses must be fully aware of the new recommendations and guidelines to follow in the healthcare setting. The Joint Commission established the National Patient Safety Goals (NPSGs) in 2002 (The Joint Commission, 2015). The goal of this program is to assist the health care providers with issues and concerns regarding patient safety and to help solve them. Hospital National Patient Safety Goals include: a) identify patients correctly, b) improve staff communication, c) use medicines safely, d) use alarms safely, e) prevent infection, d) identify patient safety risks, and, e) prevent mistakes in surgery (National Patient Safety Goals, 2016).
This is generally a nationwide priority particularly focused on preventing medical errors before they can occur and cause either death, permanent injury or temporary harm.(Nursingcentre.com,2015).Statistically, medical errors affect 1 in 10 patients worldwide (Who.int,2015), and implications could include death, permanent injury, financial loss or psychological harm to the patient or in some situations to the caregiver (Nursingcentre.com,2015).Therefore
Compliance management in a complicated and ever expanding portion of the Health Information Management (HIM) field. As federal, state and local laws are created and revised, HIM professionals must stay current of not only the regulations but also the consequences of non-compliance. Along with federal, state and local laws, attention must be paid to the guidelines of various accreditation and credentialing bodies.
Claudia Kalb’s article “ Do No Harm,” published in the October 4, 2010, issue of Society, discuses the healthcare professionals’ defensive behavior that causes the malpractices among patients. Kalb reports that since the Health system’s applied the lawyer Boothman’s program of “ disclosure and compensation,” then the number of lawsuits reduced as well as the legal- defense costs have dropped around 61 percent. In 1999, there were around 100,000 Americans people are killed from the preventable medical errors, noted Kalb. Also, the header of Centers for Medicare and Medicaid Services even claims that there won’t be any refund to the hospitals for preventable medical error cases. According to Kalb, Harvard’s Institute for Professionalism and
NU 413 Week 9 Discussion Board Post student response to Katie-Lynn Fournier by Kathryn Moultrie
Misdiagnosis is a huge problem that accounts for a large number of deaths in the United States and around the world. Some of the causes of this could be from the amount of time doctors have with their patients and bias the doctors can have. Susannah was an exception in being able to pay for the treatment she received. The average American would have likely not been able to afford this type of care. This highlights the major medical divide that is present in the country. Susannah is a first-hand account of the dangers of misdiagnosing a patient and the call for better policies that address a better plan of action when making a
Bedside reporting has been shown to improve communication and quality of handoff between nurses. It is also credited to promote patient safety and improve patient satisfaction. Patient satisfaction, patient safety and nursing communication and quality of report from a 32 bed surgical hospital in Dallas, Texas is to be evaluated using various surveys, HCAHPS scores, incident reports, and call light logs. Data will be collected 2 months prior and 6 months following the implementation of bedside report. Scores and communication survey results will be reviewed in this time period to determine increases or decreases from pre-implementation results using traditional nurse-to-nurse report.. The projected goals and outcomes of this project are to increase quality of report, increase patient safety and increase patient satisfaction.
Throughout Jane’s medical records many abbreviations were used from the face sheet to the progress notes. The use of medical abbreviations in health records have numerous benefits and limitations. For example, physicians spend a large amount of time documenting what occurred during the day. By using abbreviations in medical records, physicians can save time, which allows them to complete other tasks. It can also help minimize spelling errors. However, the limitations of abbreviations exceed the benefits. Medical abbreviations can have multiple meanings in the different fields of medicine. This could cause confusion and lead to clinical errors. This creates poor communication with the staff and could cause more health problems for the patient or even death.
As we transition into the new role of NPs, our scope of practice expands. Moreover, as our responsibilities increase, we later become policy makers, and develop autonomy and decision–making skills. NPs are responsible for providing safe nursing care with more specialized knowledge and advanced education. We are also responsible for pursuing continuing education and advanced knowledge to remain competent quality providers, and meet the needs of the community. With our acquired repertoire of skills, it is essential that we utilize them to make informed decisions and collaborate with our community to promote wellness and healthy living. As advanced practice nurses (APN), we work to deliver and provide family-focused, culturally competent, and
Overall, incomplete documentation and delinquent medical records cause inaccurate reimbursement and results in inaccurate gross revenue to the hospital. It can have a negative impact on the hospital budgeting and financial planning process for the hospital. It is for this purpose that every healthcare institution should be purposeful on reviewing the accuracy and completeness in clinical documentation, no matter the cost. Even though, for most physicians, most of their time is focused on the actual care of the patient and there is little to no time to devote to extensive documentation, it is imperative to understand patient care includes both the one-to-one attention and the documentation of said treatment.
Chaboyer (2008) approved a research on bedside reporting and the grades show that bedside reporting perk up the quality of patient concern. Chaboyer’s (2008) crams that bedside reporting recover patient protection, for instance it recognized that nurses are capable enough to scrutinize things forbade to sign for or any malformation in the patients’ baseline annotations (P.Maxson, K.Derby, & D.Foss, 2012).
This paper will evaluate and address issues surrounding never event in healthcare. In this regard, the guiding question for this analysis is, ‘How can never events be prevented in acute healthcare institutions?’
The role of Nurse Practitioner came into inception in the mid 60s. This was in response to a shortage of physicians across the nation. With the demand for primary care services for all ages, one option to close the demand gap and increase the number of providers is the option for states to revisit the laws governing how Nurse Practitioners practice and provide care to patients in different settings like hospitals, outpatient clinics and others. Whether they work autonomously or under a physicians' supervision, their scope of practice involves but is not limited to assessment and planning with a goal to provide the the best care for optimal patient health and outcomes.
This assignment is about interviewing and discussing with a pharmacist methods to report medication errors per facility’s policy and ways to encourage nurses to report medication errors promptly. This was a face-to-face interview with pharmacist BB at work. He is a qualified professional pharmacist and appropriate for this assignment.