The legal team and public affairs office would like to speak with you regarding
ID: 127358 • Letter: T
Question
The legal team and public affairs office would like to speak with you regarding a plan to address known medical errors after they happen. Your CEO believes that if you influence a harm, you should accept responsibility and do what you can to make things whole. You know that several elements are needed to work through this process. 1. Discuss "Ethical Codes" or an inclusion in your corporate "Code of Conduct" that supports Full Disclosure. 2. Decide on "Guiding Principles" for your organization. 3. Discuss a "system" that would support your values within your organization for communications related to disclosure and apology. 4. Illustrate how you would develop an Early-Offer program. 5. Discuss rational considerations for developing a disaster management program (policy, training, altered standards of care).
Explanation / Answer
1Ans. The purpose of this Code of Conduct is to inform all employees, volunteers, suppliers, and other parties of our standards. Hospital is committed to approaching all of its activities, especially compliance with laws and regulations, in an ethical manner.
It must respect all four of these principles: autonomy, justice, beneficence, and non-maleficence.
Employees must at all times protect and safeguard patients’ health and personal information and employees’ personal information in all forms, including paper, electronic, verbal, telephonic, or any other form.
Employees should maintain confidentiality
Employees must report any practice or condition that may violate any law, rule, regulation, safety standard, Hospital policy or the Code of Conduct to immediate supervisor, management, the Quality and Medico Legal Executive.
2Ans: The below are the guiding principles in our organisation
3Ans:
As more healthcare delivery systems begin to refocus on improving outcomes and reducing costs, six principles of what value-based care looks like in practice have emerged
The Disclosure, Apology, and Offer model, a response to patient injuries caused by medical care, is an innovative approach receiving national attention for its early success as an alternative to the existing inherently adversarial, inefficient, and inequitable medical liability system.
In conjunction with disclosure, health care organization leaders are increasingly recognizing that a pervasive culture of individual blame substantially limits their capacity to improve patient safety and clinical outcomes.
The Disclosure, Apology, and Offer model emphasizes both honest communication with patients and families and a systems approach to errors. It promotes a principled institutional response to unanticipated clinical outcomes in which health care organizations
Below are the system which supports hospital to work in an effective manner “Patient care centered”
Common Sense Prevails: Most clinicians and patients frequently confront situations where the structure of healthcare financing gets in the way of delivering the most appropriate (and often cheaper) services.
Long term view of patient outcomes: Organizations that are focused on value typically move beyond thinking of patient health in terms of weeks and months and instead focus on the health of patients over the long-term. For the average patient, true value is accrued over years of preventing chronic diseases, and delaying their progression.
New roles support delivery of health care : At Care More, we have recognized the high skill level of nurse practitioners to deliver chronic disease management programs for the most common chronic diseases of the elderly, such as congestive heart failure, diabetes and chronic obstructive pulmonary disease
Culture of caring: When healthcare organizations and clinicians focus on what matters most to patients, they often do things differently—and define outcomes more broadly.
4Ans:
The adversarial nature of a malpractice lawsuit also does little to improve patient safety. Ideally, doctors and hospitals should openly discuss and learn from these mistakes so they won’t be repeated. However, the current system revolves around an intimidating legal environment that promotes a culture of fear and secrecy. Many malpractice insurers, for instance, tell doctors not to talk to injured patients.
5Ans:
If any disaster occurs we raise different codes for different disasters
Disaster management plan is prepared to reduce the pressure on the hospital management
Plan should be activated immediately after the event to start care to the patient to avoid maximum deaths and save patient life
Moc drill to be conducted periodically for both patient safety and employee safety
Disaster committee will plan such sessions to be trained to manage and take wise decisions when the disaster arises
Keep adequate storage supplies for an emergency
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