...Ethical Issues Nicole L. Clayton HCS/335 25 July 2011 Patricia Daugherty Administrative Ethics Paper Ethical issues are a constant in the healthcare world. Finding the line between what is legally right and what is ethical is not a simple task. In recent news a Turkish doctor is being tried for that very reason. The doctor on trial refused to treat a patient because the scenario would have required him to breach the doctor-patient confidentiality law. However, the gendarmeries were bound under orders to not leave the patient, who was also a prisoner, unsupervised due to the Tripartite Protocol. In this paper legal and ethical issues that arise from both sides, when each party is bound by separate laws, as well as what happens when these laws overlap. Issue and Impact With the case regarding Sadık Çayan Mulamahmutoğlu, a physician from south-eastern Turkey whom refused treatment of an inmate brought into the medical facility where he was working, for concerns that the scenario would violate the doctor patient confidentiality law (Bianet, 2011). This case will affect all prisoners that require healthcare treatments in a hospital setting, the law enforcement officials required to supervise the inmate and the medical professionals called on to treat the patient. This does not include the general public who agree with one side or the other. The media surrounding this case is getting many people who side with the medical professionals and less with the legal side of the...
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...Administrative Ethics Paper Introduction The ethical are a constant in the healthcare world. When finding the line between what is legally right and what is not ethical is not a simple task. There was recent news in Turkish doctor is being tired for that reason. The doctor was on trial because he refused to treat a patent because of the scenario whole have required him to breach the doctor-patient confidentially law. The gendarmeries were bound under the order to not leave the patient, which was also a prisoner, unsupervised due to the Tripartite Protocol. In this paper I will be talking about legal and ethical issue that will arise from both sides, when each of the party is bound by separates laws, as well as what happen what these laws overlap. Issue and impact With the case with regarding Sadik Cayan, Mulamahmutoğlu with a physician from south-eastern turkey whom refused a treatment of an inmate who was brought in the medical facility where we was working, for his concerns that the scenario would the doctor patient confidentiality law (Bianet, 2011). The case that I am talking about will affect all of the prisoner that are require healthcare treatment in a hospital setting, the law enforcement official requited to supervise the inmate and the medical professionals to called on of the treat the of patients. This doesn’t include the general public whose does agree with one did or the other. When the media is surrounding this case it is getting people who side with the...
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...HCS 533 WEEK 4 Security and Privacy Paper Security and Privacy Paper As an information systems manager, you will need to consider a very important aspect of your operation—patient information, privacy, and security. Review the following case scenarios and select one to use for your management plan for security and privacy. Case Scenario 1 (Security Breach) The administration at St. John’s Hospital takes pride in its sound policies and procedures for the protection of confidential client information. In fact, it serves as a model for other institutions in the area, however, printouts discarded in the restricted-access IS department are not shredded. On numerous occasions, personnel working late have observed the cleaning staff reading discarded printouts. What actions, if any, should these personnel take toward the actions of the cleaning staff? What actions, if any, should be taken by IS administration? Case Scenario 2 (Natural Disaster): Living on the Gulf Coast is a benefit that many residents of this small Southern town enjoy, however, natural disasters are a concern. The town has just been struck by a hurricane and the entire basement of your operation is flooded by the storm surge. Patient files were destroyed or washed away with the receding water. What actions do you take when patients ask for their health records? What processes did you have in place to protect your records in anticipation of such an event? Choose one of the scenarios above and develop...
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...Fired Over Patient Privacy Violations Luanne D. Walters HCS/335 Ethics: Health Care and Social Responsibility February 29, 2012 Jacqueline Paik Employees Fired Over Patient Privacy Violations “Whatsoever things I see or hear concerning the life of men, in the attendance on the sick or even apart there from, which ought not be noised abroad, I will keep silence thereon, counting such things to be as sacred secrets (Oath of Hippocrates, 4th Century, B.C.E.)”. Addressing issues pertaining to the privacy of a patient is not new to the medical arena. In the past the confidentiality between a patient and the doctor should have been taken seriously, however, was sometimes taken for granted, and information was passed to people with no need to know. In 1996 The Health Insurance Portability and Accountability Act of 1996 (HIPPA) was legislated. Rules and regulations to guard patient privacy were brought to the forefront in the world of patient care. Safeguarding a patient’s electronic data continues to be a high emphasis in doctor/patient confidentiality. The issue that will be addressed in regard to violating patient privacy in this paper took place in a Minneapolis hospital in March 2011. The issue involved nearly 32 hospital employees who took it upon themselves to look up information on a number of patients who were part...
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...Administrative Ethics Paper Marie Hammond HCS 335 01/13/2014 Susan Fajfasz Abstract This document is going to talk about the importance of patient information and how private it is. There are many article, magazines, and newspaper ads that deal with confidentiality and the HIPPA rules and regulations that limit doctors from giving patient information to a third party. Doctors are not able to give out patient information without the consent of the patient, in this paper though it will be talking about nurse administrator’s privacy. This document is going to explain the issues in this topic and its impacts that it has on populations it affects the most. Describe the facts that used in an article to support proposed solutions. Describe the ethical and legal issues reported to administrative issue. Explain the managerial responsibilities related to administrative ethical issues, and lastly this document will present information on proposed solutions. Administrative Ethics Paper Patients have the right to privacy especially when giving away their information in order for them to get medical help patient information such as name, number, initials, or hospital numbers are not allowed to be published in written descriptions, photos, etc. Any patient information is only allowed to be given away or talked about to a third party if there is consent from the patient himself. Patient consent must be written and archived with the authors, journal, or both, as dictated by local...
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...for the king as well as for himself.” This is a type of legal case in which the whistle-blower or relator files on behalf of the government. The government can then decide to take over the prosecution or not. If the government chooses not to proceed with the case, the relator may continue alone (Showalter, 2012). In order to file a suit, both the plaintiff and the allegations must meet certain guidelines. The same allegations should not have been brought to light previously, unless the qui tam plaintiff is the original source of information that was previously disclosed. The federal law provides a solution for whistle-blowers who are discharged, demoted, harassed, or discriminated against. This type of law suit has become popular and effective in fighting fraud and abuse because of this protection (Showalter, 2012). In healthcare, sometimes the qui tam plaintiffs argue that a claim involving a kickback or an illegal doctor self-referral is a violation of the False Claims Act (FCA). The case may be legitimate otherwise. One case is the United States ex rel. Marcus v. Hess. In this WWII case the contractor’s claims were fraudulent because the contract was secured through collusion. Another case, United States ex. rel. Woodard v. Country View Care Center, Inc. involved defendants who submitted cost reports to Medicare payments to “consultants” that was really kickbacks for referrals. The FCA applied to this case because the defendants’ reimbursement was based on these cost...
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...University of Phoenix Material Health Care Information Systems Terms Define the following terms. Your definitions must be in your own words; do not copy them from the textbook. After you have defined each term in your own words, describe in 40 to 60 words the health care setting in which each term would be applied. Utilize a minimum of two research sources to support your claims—one from the University Library and the other from the textbook. Be sure to cite your sources in the References section consistent with APA guidelines. |Term |Definition |How Used in Healthcare | |Health Insurance Portability and | | According to "U.s Department Of Health And| |Accountability Act (HIPAA) |According to "What Does Hippa Stand For" |Human Services" (n.d.), the Office for | | |(2012), HIPPA stands for the Health |Civil Rights enforces the HIPAA Privacy | | |Insurance Portability and Accountability |Rule, which protects the privacy of | | |Act, enacted by the US Congress in in 1996.|individually identifiable health | | | |information; the HIPAA Security Rule, which| | ...
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...Introduction Administration of medicines is a key element of nursing care. Every day some 7000 doses of medication are administered in a typical NHS hospital (Audit commission 2002). Drug administration forms a major part of the clinical nurses role. Medicines are prescribed by the doctor and dispensed by the pharmacist but responsibility for correct administration rests with the registered nurse (O'Shea 1999). Each registered nurse is accountable for his/her practice. This practice includes preparing, checking and administering medications, updating knowledge of medications, monitoring the effectiveness of treatment, reporting adverse drug reactions and teaching patients about the drugs that they receive (O'Shea 1999). The patient is expected to receive the correct medication at each drug round but several studies have shown that this is not always the case (Raju et al 1988, Ferner 1995). Medication errors do occur and are a persistent problem associated with nursing practice (O'Shea 1999). The aim of this paper is to answer the question: Why are nurses still continuing to make drug errors? In order to answer this question this paper shall examine the guidelines that nurses must adhere to when administering drugs, shall provide a definition of a drug errors, look at reasons why drug errors occur and approaches that are aimed at reducing drug errors on the ward. There are a number of pieces of legislation that relate to prescribing, supply, storage and administration. It is essential...
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...Legal Aspects of U. S. Health Care System Administration Lillie Cox Dr. A. M. Miller HSA 515 Health Care Policy, Law, and Ethics October 31, 2014 Legal Aspects of U. S. Health Care System Administration In the United States health care administration, there are lots of health laws, such as federal, state and local. The administrator will need to know these laws, because they will be interacting with top professionals at all levels. The health administrator is new to Well Care Hospital, and the hospital for the past six months has been under scrutiny for breach of medical compliance. It is important that the top administrator be concerned about the importance of his or her conduct within the health care setting; compromise the boundaries of ethics and medical conduct. This paper will also discuss the four elements required of a plaintiff, to prove medical negligence and the duties of the health care governing board in mitigating the effects of medical non-compliance, as they apply to the rules of practice set forth in the Well Care Hospital governing board manifesto. As the top health administrator, professional conduct is very important. The staff is to conduct themselves likewise. There is no room for a lot of playing around, because patients, family members, hospital directors, and the administrators are depending on each and everyone to set their difference aside, and be the professional they are. According to Wolper...
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...a simple task. There was recent news in Turkish doctor is being tired for that reason. The doctor was on trial because he refused to treat a patent because of the scenario whole have required him to breach the doctor-patient confidentially law. The gendarmeries were bound under the order to not leave the patient, which was also a prisoner, unsupervised due to the Tripartite Protocol. In this paper I will be talking about legal and ethical issue that will arise from both sides, when each of the party is bound by separates laws, as well as what happen what these laws overlap. Issue and impact With the case with regarding Sadik Cayan, Mulamahmutoğlu with a physician from south-eastern turkey whom refused a treatment of an inmate who was brought in the medical facility where we was working, for his concerns that the scenario would the doctor patient confidentiality law (Bianet, 2011). The case that I am talking about will affect all of the prisoner that are require healthcare treatment in a hospital setting, the law enforcement official requited to supervise the inmate and the medical professionals to called on of the treat the of patients. This doesn’t include the general public whose does agree with one did or the other. When the media is surrounding this case it is getting people who side with the medical professionals and les with the legal side of the dilemma. Many of the community member have gone so far as to create sign expressing their dissatisfaction on how the Dr....
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...Applied Legal Concepts in Healthcare Law Brewster v. University Hospital This paragraph will include a summary from the case which was obtained from the Healthcare Law Writing Assignment. In December 31, 1987 the Brewster’s had a daughter Emma that was born a week premature. Emma was transported to Children’s Hospital Medical Center the next day when she began showing signs of respiratory distress. She was treated by Dr. Craig Jackson, a neonatologist employed by the University of Washington. Emma suffered from hyperbilirubinemia, or jaundice, caused by elevated levels of bilirubin, a substance that is released into the bloodstream. Jaundice is not uncommon among infants as approximately a third or more of all newborns at the intensive care unit at Children’s hospital have jaundice. Greatly elevated bilirubin levels can result in permanent in brain damage. When Emma was admitted to Children’s Hospital, her serum bilirubin level was 4.2 micrograms per deciliter. It gradually increased to as high as 22.0 mcg/dl on January 7, 1988, then decreased to 5.7 mcg/dl on January 18, 1988. The type of jaundice Emma experience is generally treated with phototherapy. More serious cases are treated with a transfusion of all the blood in the infant’s body, a treatment entailing greater risks including cardiac arrhythmia, bleeding, bacterial infection and the development of air bubbles in the circulatory system. Dr. Martin prescribed phototherapy for Emma, which was unsuccessful, and Emma...
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...severe pain in cancer patients: Dose titration: A systematic review Palliative Medicine 25(5) 424–430 ! The Author(s) 2010 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0269216310386280 pmj.sagepub.com ˚ Pal Klepstad Pain and Palliation Research Group, Department of Circulation and Medical Imaging, Faculty of Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway; Department of Intensive Care, St Olavs University Hospital, Trondheim, Norway Stein Kaasa Pain and Palliation Research Group, Department of Cancer Research and Molecular Medicine, Faculty of Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway; Department of Palliative Care, St Olavs University Hospital, Trondheim, Norway Petter C Borchgrevink Pain and Palliation Research Group, Department of Circulation and Medical Imaging, Faculty of Medicine, Norwegian University of Science and Technology (NTNU), Trondheim, Norway; Center for Pain and Complex Disorders, St. Olav University Hospital, Trondheim, Norway Abstract The European Association for Palliative Care recommendation for starting morphine for cancer pain is dose titration with immediate release (IR) oral morphine given every 4 h with additionally doses for breakthrough pain. As part of a EU 6th framework programme to revise the guidelines we review the evidence regarding starting treatment and dose titration of opioids in adult patients with moderate to severe...
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...“Transformational change is associated with organizational restructuring and represents a broad and complex radical shift, as the organization “reinvents itself.” (Johnson, 2009) In the healthcare industry, things are changing every day. New technology, medication, and the way we deal with patients changes on a daily basis. Change is necessary because there are people behind the scenes always finding new ways to better improve the quality of care we give to our patients as well as creating new technology to help assist with the way we treat our patients. Adding and taking away from departments are changing as well. With change we may want to be uninterested with it, supportive of it, to be a participate in it, or unreceptive about it. Whether the case may be, change has increased and will continue to happen whether we like it or not. Throughout this paper I will discuss two healthcare organizations that have experienced change. “Effective change has been characterized as unfreezing old behaviors, introducing new ones, and refreezing them.” (Al-Abir, 2007) Change can be random, rare, occasional, or continuous. Change that are predictable allow preparation time, whereas change that is unpredictable may be difficult for everyone to respond effectively too. Since in healthcare changes happen so fast, they are more than likely predicable. Even though change is recognized, the employees what to be able to understand why change is occurring and how it will affect them in...
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...Technology and Healthcare Administration Warren Thomas Kaplan University HS290-01 Technology and Healthcare Administration As technology continues to improve and become more cost effective, how providers store and access their patient’s medical records has evolved. Many providers now opt for electronic records. Some providers enter information directly into their systems, having a computer station in each exam room. Other providers will hand write on paper forms and will have them coded later. This can sometimes cause delays in the update of the medical records. Each record keeping system has its own benefits and issues unique to it. For electronic records, the first benefit is a reduction of cost in record keeping. While there is an initial cost of implementing an electronic filing system, the cost of these systems will be less in the long run. Less time will be required to manage, file, and maintain the records. This time savings can allow doctors to see more patients and can even reduce the number of employees required to run a clinic. There is, however, a learning curve when using electronic records. Not only will the entire staff need to be trained when a new system is emplaced, new employees who may be veterans of the healthcare fields will need training. Even someone experienced with electronic records may have to learn a new system when changing job. Adding to the cost savings, storage space will also be reduced. Since healthcare providers are required...
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...Quality Leadership Task 2 Mark Woodard Western Governors University This paper will analyze the cause of the sentinel event which occurred to Mr. B, a sixty seven year old patient which presented to the emergency room with left leg pain. A root cause analysis will be necessary in this case to investigate the causative factors which led to Mr. B’s sentinel event. The factors in this unfortunate case weather they were errors in his care, or hazards in the system will be identified. The Change theory will be used to develop an improvement plan that will be used to decrease the chances of a reoccurrence of the sentinel event that happened to Mr. B. in the scenario. Root Cause Analysis A root cause analysis, is a system that is used to develop a plan that will identifying the causative factors of an adverse event and formulate a plan to decrease the occurrence or chances of a sentinel event. A team consisting of , a member of the hospital administration, a pharmacist, a respiratory therapist, a charge nurse or nurse manager, a physician, and a member of the family board should be brought together to perform a root cause analysis in this case. These team members would have a meeting to discuss the factors that led to Mr. B’s sentinel event. The first step would be for the team to begin interviewing the staff involved with the case to gather as much data as possible. The data that would be needed include, Mr. B’s vital signs, laboratory results...
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