...HOW TO USE CLASSICAL MANAGEMENT APPROACH IN UTILIZING ACCIDENT &EMERGENCY DEPA RMENT? BY ZAHRA AHMED EBRAHIM Master in Business Administration General Management Organization and Business Management Open Asia e University 2011 Introduction Background of the Study A number of approaches to the structure and management of organizations developed during the late 1800s and early 1900s .The early philosophies are traditionally labelled classical theory while the later approaches include systems theory and contingency theory. The classical approach to organization focuses efficiency through design. Eleanor and Phillip (2009) kept four elements to build classical theory: division and specialization of labour, chain of command, organizational structure, and span of control. The first element emphasised about dividing the work reduces the number of task that lead to proficiency and specialization. The second element is the chain of command which is meant the hierarchy of authority and responsibility within the organization. However, the collaboration between staff and there managers improve the efficiency and productivity of the unit. Moreover, the third element is organizational structure that describes the arrangement of the work group. The design of the Organization is intended to faster the organization survival and success. Finally, the span of control addresses the pragmatic concern of how many employees a manager can effectively supervise. The later approaches...
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... In the case study, the nurse is facing ethical as well as professional dilemma regarding the patient’s rights. The nurse’s role in this case study is to, work according to the Maryland state regulations and nursing standards; But as per Maryland nursing standards, she is not working as an advocate for her patient, Mr. E at this situation (Code of Ethics - the Division of State Documents, 10.27.19.02). The patient already signed advanced directive against life saving measures almost seven years ago, at the time of admission to a nursing home, with the help of patient advocate; but Dr G. is planning patient care in opposition to Mr.E’s active advance directive and his expressed objections to the medical care. There are numerous issues to consider in this case study. The nurse has to review her professional role according to code of ethics and nursing standards in relation to advance directives and medical power of attorney. The nurse also has to consider the patient’s right to privacy and confidentiality according to HIPPA Policy. The issues in contemporary healthcare facilities are sometimes the statues can be vague, and issues can be in conflict with own personal beliefs in most areas. A) State Regulations and Nursing Standards of practice There are specific Maryland state regulations and nursing standards regarding patient rights in this case study. However, the most relevant regulation is that, the nurse...
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...ETHICS CASE STUDY PAM SIMMONS UNIVERSITY OF PHOENIX HCS/335 HEALTH CARE AND SOCIAL RESPONSIBILITY STEVE LINERODE FEBRUARY 21, 2011 This is an ethic case study that is very important for everyone to know and to understand. People face different situations, every day in their lives. Whether it being a doctor, lawyer, or whatever, everyone goes through tough times. Ever since, we can remember, health care has been the main focus for an individual having anything that is wrong with them, such as an illness or a disease, that isn’t preventable. People like this go through a rough time. They face a lot things, especially expensive medical bills, for any treatment. The worse thing about this is that the government is making it really hard for people, like this, to obtain any kind of medical insurance, which is very tough, because people, that can’t get any kind of insurance, doesn’t have a chance for any treatment, which everyone needs. In the following case study, I will explain the different situations that people face, every day and in this case, I will determine what a doctor, any medical personnel, or even a patient should do in any kind of health care situation. The following case is about a man named Jerry McCall, which is a doctor’s assistant. He has training as an LPN and a medical assistant. He has an issue and a decision to make. He is the only one in the office at the time and a man calls and wants a refill on some Valium, because...
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...Ethics Case Study Angela Gentile HCS/335 May 21, 2012 Claudia Unrein This paper is on an ethics case study, I will first explain the case study, and address why the person involved is not qualified to refill prescription medication. Also does it matter if the medication is on a daily need bases, and will that person be protected from a lawsuit? All these questions will be answered, so let me give you a little background on the case and some definition that might help you understand the circumstances. “Case Study: Jerry McCall is Dr. Williams’s office assistant. He has received professional training as both a Medical assistant and a LPN. He is handling all the phone calls while the receptionist is at lunch. A patient calls and says he must have a prescription refill for Valium, an antidepressant medication, called in right away to the pharmacy, since he is leaving for the airport in thirty minutes. He says that Dr. Williams is a personal friend and always gives him a small supply of Valium when he has to fly. No one except Jerry is in the office at this time.” (Fremgen (2009) pg.85. Definitions: “CMA, certified medical assistant, duties are grouped into two categories: administrative and clinical. Work in a variety of healthcare settings including physician’s offices, and clinics. Must graduate from an accredited program and pass a national certification exam. “LPN, licensed practical nurse, performs some of the same, but not all, tasks as the registered nurse. Must graduate...
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...though medicine and technology have come a long way, I think we have gone back in time. Years ago doctors would make house calls, then came the big hospitals and the long waits to get a simple prescription. Now we have the option of getting a consultation online or via telemedicine. Amwell has been providing direct to consumer telehealth medicine since 2009. Not only is it convenient, online visits are cost effective. Consumers save time, accessibility and have lower fees. Amwell is largest telehealth company in the country that offers a variety of care from Trauma to substance abuse. Overview of AmWell Tired of having to make an appointment to see a doctor or visit your nearest clinic when symptoms of health concerns strike? Well, there's a new breakthrough in technology. A mobile healthcare service that is available on your cell phone or mobile device. Just download the App "AmWell" (American Well) allows you to connect instantly with a doctor by downloading the App from your smartphone or mobile device. Whether you connect with your actual doctor or choose one from the network providers. This technology is sweeping the nation. Blue Cross and Blue Shield has joined the partnership to provide its members with easy access to available healthcare. The joint effort of the two is available in 26 states. That's half of America (American Well, 2015). Founded by Doctors Ido and Ray Schoenberg. It is there mission to “improve access to quality care (Amwell, 2014).” American...
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...religion and medicine and whether they should even overlap at all. In my opinion, if you are a Christian or of another religion, that will govern how you do things and how you perceive what are the right decisions to make. It is evident that each person thinks differently from others and I believe that this is due to certain beliefs that are a part of that individual. Doctors have extremely important roles in society. They have actual lives in their hands meaning they must do all things that are in their power to keep a person alive. Regardless of how a person believes, a doctor or other medical professional should use all the knowledge and information they have to best treat a patient in need of care. In this case study, I believe that the doctor was doing all that he could to give the best care to his patient. After realizing the family’s opinions towards care there may be some controversy on the matter of how treatment should be given based on age, type of care, and religion. It is my understanding that the doctor wanted to provide care for the patient in order to keep her alive longer. The doctor did nothing wrong since he was following his healthcare pledge that he made when he became a...
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...CIS 333 WK 3 CASE STUDY 1 MOBILE DEVICES To purchase this visit here: http://www.activitymode.com/product/cis-333-wk-3-case-study-1-mobile-devices/ Contact us at: SUPPORT@ACTIVITYMODE.COM CIS 333 WK 3 CASE STUDY 1 MOBILE DEVICES CIS 333 WK 3 Case Study 1 - Mobile Devices You are an Information Security consultant for a small doctor’s office consisting of three doctors and two nurses. The office is physically located among several other professional office spaces. The doctors have decided they would like to replace the current method of using paper based medical records with automated medical records. The doctors would like to use mobile devices over a wireless network to move from one examining room to the next to document patient visits. Given the extremely sensitive information captured by the mobile devices and the wireless network, the doctors require you to provide a detailed plan identifying inherent risks associated with this network environment and establish mobile device and wireless security methods that will mitigate the risks. Research findings will be submitted with a minimum of three (3) scholarly level APA references. Write a two to three (2-3) page paper in which you: 1. Identify risks inherent in the use of wireless and mobile technologies. 2. Analyze the identified risks and develop factors to mitigate the risks. 3. Provide a sound recommendation to be employed in the doctor’s office. Activity mode aims to provide quality study notes and...
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...Read the attached article regarding new techniques for treating heart attack victims and identify the problem statement for a study among residents in the Minn. area where this new technique is being practiced. This study is to learn how the residents feel about the new technique being used. You might want to include survivors of this technique to learn of their assessment of the technique vs. the more commonly used techinque of clot busting. |PAGE ONE | | | | | | | | | | | |[pic] | |[pic] ...
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...| CASE: KEEP PATIENTS WAITING? NOT IN MY OFFICE | BUSN 6110/ME – OPERATIONS & PROJECT MANAGEMENT | | | CASE KEEP PATIENTS WAITING? NOT IN MY OFFICE 1. What features of the appointment scheduling system were crucial in capturing “many grateful patients”? By seeing patients at their “exact” appointment times, the patients were very grateful. It is rare that the doctor did not see the patients during their allotted time. The key to ensuring appointments remained on schedule was to book appointment realistically. By allotting the proper amount of time for each visit (this was tied to the services require) this kept the schedule on track. Patients are also given a specific time, e.g., 10:30 or 2:40 vice the usual come in 10 minutes or 30 minutes. There was an adequate number of examining rooms and her 2-3 assistants depending on the workload were well instructed on the standing operating procedures. New patients were asked to arrive in the office early to get their initial paperwork completed. New patients were also told about the strict adherence to appointment times. 2. What procedures were followed to keep the appointment system flexible enough to accommodate the emergency cases, and yet be able to keep up with the other patients’ appointments? The doctor felt that most doctors used them having an emergency as an excuse not to stick to their appointment times and felt this would not work in her practice. If it was a true emergency...
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...few documented cases, since it can be easily confused with other illnesses. Both diagnosing and treating this illness can be very difficult for doctors. Although this Syndrome is extremely rare, the public should have at least some knowledge about it to prevent further confusion, and also so doctors can diagnose it more quickly and prevent the patient from self-harming themselves. Cotard’s Syndrome, is a rare mental illness in which the patient believes that they have already passed away, or that their organs have shut down. There has been a case study of a “43- year- old woman who believed that she had ‘no brain, nerves, chest, or entrails and was just skin and bone’ that ‘neither God or the Devil existed,’ and that she did not need food, for ‘she was eternal and would live forever.’ she had asked to be burned alive and had made various suicidal attempts.” (Berrios). Even with the illness being so rare, there have been multiple case studies done upon it, which means that it may not always be linked to other psychological disorders as many believe. With many psychological disorders, there is the risk of the patient harming others, which has been seen in a few cases, it is more common for a patient to harm themselves (Huber). While “the delusion of being dead is common, but delusions of immortality can also be present” ( Huber). Not only does the delusion of immortality confirm that the patient does have some psychological problems, but it also challenges doctors when trying to...
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...Ethics Case Study Ranacia Alford HCS/335 Ruby Wesley Shadow In order to make ethical decisions in the medical office setting, everyone should have a clear understanding of their role in the practice. Knowing the scope of their work allows employees to perform their jobs better and to keep from making mistakes that could reflect badly on the liable provider. In the case study that will be discussed, Jerry, the office assistant, is asked to refill a prescription for Valium, a controlled substance, without the doctor’s presence or authorization based on the word of the patient. Does Jerry’s Medical Training Qualify Him to Issue This Refill Order? Why or Why Not? According to the case study, Jerry’s job title is Office Assistant. He has professional training as a medical assistant and a licensed practical nurse. Technically, Jerry’s medical training does qualify him to refill this order. Unfortunately, his current job title disqualifies since the doctor has neither authorized this prescription nor hired him as a nurse. Since Valium is a controlled substance and the patient stated that the doctor calls it in from time to time, there likely are no refills at the pharmacy, thus Jerry would be calling in a new prescription which is completed outside of the scope of his position. Would It Make A Difference If the Medication Was For Controlling High Blood Pressure That the Patient Critically Needs on a Daily Basis? Why or Why Not? As previously stated, Jerry’s current position does...
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...A case study done by Kyle E. Miller, who is a graduate of medical education at Naval Medical Center Portsmouth, the study was done to a male weightlifter who ended up rupturing his bicep. This whole accident came about when the male was lifting weights and he was doing bicep curls when all of a sudden he felt a snap. Right away he did not do anything but then went to a clinic about three days after the accident and the doctors found out that he had ruptured the long head of the bicep brachii. The author talks about how this was such a rare case done to a twenty eight year old who was healthy and was in great shape. There was no one real reason that pointed the doctors in the right direction for what had caused this. Doctors and the patient...
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...Ethics Case Study Jennifer Edwards HCS/335 February 20, 2014 Dr. Lena Watson University of Phoenix Ethics Case Study: Background and Medical Training In the case study Jerry is an office assistant for Dr. William’s office. Jerry’s professional skill and training is in medical assistance and licensed practical nurse (LPN). At the time of day, the receptionist in Dr. Williams’s office was at lunch. In Jerry’s satisfaction he was in the position where he could be used the most, answering phones. A patient calls asking for a refill on the prescription drug Valium an antidepressant medication. The patient is asking for this prescription called in right away before leaving for the airport in thirty minutes. The patient states he is a personal friend of Dr. Williams and the doctor has always given him a small supply of Valium when he has to fly. Jerry’s training does not qualify him to make refilled medication request for patients. Because Jerry is not trained to look at the last clinical from the doctor, the dosage Jerry may or may not give the patient will cause an adverse effect. Prescription management based on the patients’ needs will be based on the recommendation of the physician. One must take in to account the age of the patient, disorder and other important information (not mentioned), Jerry may find it hard to give the correct dosage to the pharmacists. Valium and Controlled medications The issue of calling...
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...with the consulting segment growing by 8 per cent. Despite massive growth in Indian healthcare industry, an alarming 98,000 patients die every year due to medical errors in the country, a top official in the National Accreditation Board for Hospitals and Healthcare Providers said. Prevalence of medical errors was still a matter of concern as it occurred in 2.9 to 3.7 per cent of hospital admissions, of which 8.8 to 13.6 per cent resulted in death, Dr K K Karla, Chief Executive Officer, NABH, said. According to a study, atleast one in every 20 adults who seeks medical care in a U.S. emergency room or community health clinic may walk away with the wrong diagnosis, according to a new analysis that estimates that 12 million Americans a year could be affected by such errors. Of those misdiagnosis mistakes, about 6 million could potentially cause harm, according to patient safety expert Dr. Hardeep Singh, who is the first to provide robust population-level data on the impact of the problem in outpatient settings. “What we say is, was there a missed opportunity? Was there some kind of a red flag?” said Singh, a researcher at the Veterans Affairs Center for Innovations in Quality, Effectiveness and Safety, the Michael E. DeBakey VA Medical Center and Baylor College of Medicine in US. In the new study, Singh and his colleagues used data from three previous studies that focused on unusual patterns of return visits after primary care visits,...
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...Ethics case study Ashley Bruckman March 12, 2013 HCS/335 Introduction Jerry McCall is Dr. William’s office assistant. He has received professional training as both a medical assistant and a LPN. He is handling all the phone calls while the receptionist is at lunch. A patient calls and says he must have a prescription refill for Valium, an antidepressant medication, called in right away to his pharmacy, since he is leaving for the airport in thirty minutes. He says that Dr. Williams is a personal friend and always gives him a small supply of Valium when he has to fly. No one except Jerry is in the office at this time. What should he do? In this case study I am going to answer a few questions and give some advice to jerry. Jerry is just on call while Dr. Williams is away; even though he has had medical assisting and LPN training does not qualify him to refill the prescription. LPN’s do see patients while the Doctor is out but for prescriptions the doctor must authorize it. The fact that the medications are to make the patient comfortable while he is flying is not an urgent matter. If the situation were more impotant I could see where it would be hard for jerry to tell the patient he can’t refill him prescriptions; nevertheless he is not authorized. It would not make any difference if the medication was for high blood pressure or something that had to be taken daily, jerry is still not licensed to prescribe anything so his hands are completely tied in this situation...
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