This milestone analyzes a 2003 malpractice case from Hawaii (Iturralde vs Hilo Medical Center). The case involved a patient, Arturo Iturralde, who was admitted to the hospital to examine weakness in his legs that caused falls. He was diagnosed by Dr. Robert Ricketson with a back condition. During surgery to treat this, Dr. Ricketson inserted a screwdriver into Arturo's spine, causing significant injury. The patient's wife sued the doctor, hospital, and medical device companies on his behalf. This milestone examines the case components of standard of care, breach of care, and causation based on the facts presented.
1 Final Project I Guidelines and Rubric Overview.docxmarilynnhoare
1
Final Project I Guidelines and Rubric
Overview
Healthcare professionals must have a strong working knowledge of ethics and law to be competent and successful. A qualified professional knows how to
provide safe, quality healthcare to a population of culturally diverse consumers. To address the needs of all patients, you can apply models such as shared
decision making, where patients are encouraged to share their preferences and needs. The application of this model requires that healthcare professionals know
how to apply ethical theories such as patient autonomy, beneficence, nonmaleficence, justice, and fidelity when caring for patients. On a daily basis, healthcare
professionals face ethical dilemmas involving patients and colleagues. Understanding how to effectively apply the code of ethics in your field, and various other
codes of professional conduct, is an important skill required of all healthcare professionals. By applying ethical decision making, you positively impact the
delivery of safe, quality healthcare.
Under certain circumstances, healthcare professionals can be sued by patients for malpractice; it is more common for physicians to be sued when patients are
injured or die as a result of their medical care. Healthcare professionals need a clear understanding of the elements of medical malpractice (standard of care,
breach, causation, and damages) and how they are applied by a judge in a court of law. Healthcare professionals play a critical role due to the nature of their
relationship with both patients and physicians. To remain competent and grow in the field, healthcare professionals are expected to understand how their
professional responsibility includes a wide-ranging accountability to self, their profession, their patients, and the public.
Your final case study for this course will require you to analyze a court decision in which a physician was found liable for medical malpractice. You will focus on
facts pertaining to the medical standard of care, breach of care, and causation, and explain how they were applied to law. You will then use the facts of the case
to identify an ethics issue and determine an ethical theory that would help provide a safe, quality healthcare experience for the patient. Next, you will apply a
clinician–patient shared decision-making model to describe how the ethics issue could be resolved. You will also include a discussion about possible violations of
the code of ethics in your given field. Lastly, you will augment or vary the facts of the case to create a hypothetical scenario that changes the outcome so that
the physician is no longer liable for medical malpractice.
Final Project I is divided into two milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final
submissions. These milestones will be submitted in Modules Three and Five. The final product will be submitted in Module Seven.
In this.
You have been working on this project for weeks, and now it is twalthamcoretta
You have been working on this project for weeks, and now it is time to submit your final version. This should be a complete, polished artifact that contains all of the required critical elements and incorporates the feedback you received from your instructor on Milestones One and Two. This is your opportunity to shine!
To complete this assignment, review the
Final Project I Guidelines and Rubric
document.
Note:
This activity is one of many that will contribute to the completion of the final projects. See the
Final Project Assignment Table
for more information.
Healthcare professionals must have a strong working knowledge of ethics and law to be competent and successful. A qualified professional knows how to provide safe, quality healthcare to a population of culturally diverse consumers. To address the needs of all patients, you can apply models such as shared decision making, where patients are encouraged to share their preferences and needs. The application of this model requires that healthcare professionals know how to apply ethical theories such as patient autonomy, beneficence, nonmaleficence, justice, and fidelity when caring for patients. On a daily basis, healthcare professionals face ethical dilemmas involving patients and colleagues. Understanding how to effectively apply the code of ethics in your field, and various other codes of professional conduct, is an important skill required of all healthcare professionals. By applying ethical decision making, you positively impact the delivery of safe, quality healthcare. Under certain circumstances, healthcare professionals can be sued by patients for malpractice; it is more common for physicians to be sued when patients are injured or die as a result of their medical care. Healthcare professionals need a clear understanding of the elements of medical malpractice (standard of care, breach, causation, and damages) and how they are applied by a judge in a court of law. Healthcare professionals play a critical role due to the nature of their relationship with both patients and physicians. To remain competent and grow in the field, healthcare professionals are expected to understand how their professional responsibility includes a wide-ranging accountability to self, their profession, their patients, and the public. Your final case study for this course will require you to analyze a court decision in which a physician was found liable for medical malpractice. You will focus on facts pertaining to the medical standard of care, breach of care, and causation, and explain how they were applied to law. You will then use the facts of the case to identify an ethics issue and determine an ethical theory that would help provide a safe, quality healthcare experience for the patient. Next, you will apply a clinician–patient shared decision-making model to describe how the ethics issue could be resolved. You will also include a discussion about possible violations of the code of ethics in you ...
Disscusion 1Procreation and Ethical Dilemmas in Health Care .docxlefrancoishazlett
Disscusion 1
"
Procreation and Ethical Dilemmas in Health Care"
Part A
From the scenario, examine the concept of health care ethics, and ascertain the fundamental way in which such concepts apply to procreation-related issues. Speculate on the major ramifications of using moral principles to make decisions concerning such issues.
Part B
Consider the concept of ethics in health care predicated on ethical theories and moral theories, and explore the connection of such ethics with ethics committee decision making. Rationalize the primary concerns of conception, wrongful birth, and abortion from the perspective of health care professionals who must make these decisions.
Disscussion 2
"
End-of-Life Issues and Professional Liability Insurance"
Part A
From the scenario, analyze the concept of patients’ rights and the concerns of physicians and nurses, as they apply to patients facing end-of-life decisions. Give your opinion on whether or not health care professionals are suitably educated in the sensitive nature of end-of-life and patient expectations. Provide a rationale for your response.
Part B
Analyze the major connections between liability of professionals, insurance policy coverage, and settlement of claims due to health care liability issues. Consider the concept of insurance coverage denial, and ascertain the manner in which such denial is built upon the limitation clauses and conditions set forth by the insurance provider.
This is a required resource, however supplemental resources can be added.
Pozgar, G. D. & Santucci, N. (2016).
Legal aspects of health care administration
. (12th ed.). Sudbury, MA: Jones & Bartlett Learning.
Write clearly and concisely using proper writing mechanics.
½- 1 page each discussion, double-spaced; 12 point, Times New Roman font; following APA requirements
References should be on a separate reference page, appropriately double-spaced, and organized alphabetically.
.
IHP 610 Final Project Guidelines and Rubric Overview MalikPinckney86
IHP 610 Final Project Guidelines and Rubric
Overview
Healthcare is a field dominated by complex regulation, limited resources, highly charged debates, changing reimbursement, expensive education barriers to
entry, and knowledge imbalances. Healthcare decision-makers often have to review information about an issue, analyze the applicable law, and make a decision.
Those decisions are often not founded on clearly right or clearly wrong “answers.” Nonetheless, after decision makers conduct or review a policy analysis and a
legal analysis and arrive at a conclusion, they must be able to support and defend that decision. Stakeholder values are often in conflict; decision makers working
in the field of healthcare and health law have many opportunities to defend their decisions!
The final project for this course will give you an opportunity to build policy and legal analysis skills. You will choose from one of three issue prompts at the
beginning of the course. Throughout the course, you will draft a memo containing an overview and analysis of your selected issue, as well as a series of
recommendations for a healthcare executive. You will experience some of the challenges of reconciling competing values, demands for resources, and
organizational needs. Each issue prompt is based on “real world” scenarios, so take this opportunity to practice developing health law and policy analysis skills.
This final project addresses your mastery with regard to the following course outcomes:
Assess the impact of stakeholder needs on decision making for ensuring effective implementation of health law and policy
Assess the impact of current healthcare laws, policies, and financing practices on affected key stakeholders for informing policy recommendations
Determine the extent to which legal risks and potential malpractice issues influence policy decision making
Recommend appropriate strategies for resolving value conflicts among key healthcare stakeholders
Analyze the role of key stakeholders in shaping, implementing, and evaluating health law and policy for improving population health outcomes
Prompt
You will write a policy memorandum, with recommendations, paper in which you will analyze a health law and policy issue and make a series of
recommendations to a healthcare executive. At the beginning of this course, you chose one of three issue scenarios. Now, you will create each section of the
policy memorandum using the tools and strategies you developed in this course. You have developed those tools and strategies in a stepwise fashion in each
module. Remember that the purpose of the policy memorandum is to analyze the issue scenario, make thoughtful arguments about the issue, and make
recommendations based on your analysis.
Your policy memorandum with recommendations paper must contain the following critical elements. Most of the critical elements align with a particular course
outcome (shown in brackets).
I ...
Assignment 1 Legal Aspects of U.S. Health Care System Administrat.docxbraycarissa250
Assignment 1: Legal Aspects of U.S. Health Care System Administration
Due Week 3 and worth 200 points
Prevailing wisdom reinforces the fact that working in U.S. health care administration in the 21st Century requires knowledge of the various aspects of health laws as they apply to dealing with medical professionals. Further, because U.S. health care administrators must potentially interact with many levels of professionals beyond the medical profession, it is prudent that they be aware of any federal, state, and local laws that may be applicable to their organizations. Thus, their conduct is also subject to the letter of the law. They must evaluate the quality of their professional interactions and be mindful of the implications and ramifications of their decisions.
Nearly 65 million surgical operations were performed in 2015 in the U.S. resulting in an estimated 200,000 deaths from complications or other post-operative issues (Ghaferi, Myers, Sutcliffe, & Pronovost, 2016). Ongoing innovation in healthcare can improve patient outcomes. According to the Harvard Business Review article, The Next Wave of Hospital Innovation to Make Patients Safer, over the past several decades, there have been three distinct waves of surgical improvement: technical advancements, standardizing procedures, and high reliability organizing.
Assume the role of a top health administrator at We Care Hospital. You are interested in propelling the hospital to the next level by applying for the Malcolm Baldrige National Quality Award. However, you want to ensure surgical outcomes for patient morbidity and mortality rates. You begin by researching the Surgical Care Improvement Project (SCIP) aimed to improve adherence to quality protocols. You need to ensure the hospital policy is consistent with the law and that the hospital is correctly reporting Sentinel Events to the Joint Commission, a hospital regulatory agency.
Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.
Write a three to four (3-4) page paper in which you:
1. Analyze how standardizing procedures and documenting steps can improve outcomes when performing a complex procedure. Review the peer-reviewed journal article, The Next Wave of Hospital Innovation to Make Patients Safer. Articulate your position as the top administrator concerned about the importance of professional conduct and negligence in SCIP quality guidelines.
2. High Reliability Organizing emphasizes the varying actions that can affect patient safety given that standardized systems ignore the fact that each patient is different. Ascertain the major ramifications when the health care team “fails to rescue” the patient. Identify what hospital policies should be in place and identify previous case laws.
3. Analyze the four (4) elements required of a plaintiff to prove medical negligence.
4. Discuss the overarching duties of the health care governing board in mitigating the effects of medical non- ...
Assignment 2 FAQsQuestion 1I am eager to start my next piece o.docxrock73
Assignment 2 FAQs
Question 1
I am eager to start my next piece of assessment, my understanding is we have to identify and explain our understanding of process and outcome data in delivery of safe, high quality care.
The example I would like to use is the five moments of hand hygiene, with promotes infection control, my data would be the auditing process of the five moments and how this is acheived. The outcomes would be improved patient outcomes or adversely, death due to nosocomial infection or readmission. Am I on the right track or does the example have to be based on an a specific ILLNESS such as CA or pneumothorax for example using the Donabedian model of measuring health care
such as treatment process, stages of treatment, appropriateness of treatment and outcomes such as death, adverse events etc..
And do we have to go into depth about what the illness. or is it just simply demonstrating our understanding of the processes and outcomes data for an illness?
Thank you for your email.
Yes you are on the right track as you are discussing safety and quality of nursing care NOT the process or outcome of a disease.
And do we have to go into depth about what the illness. or is it just simply demonstrating our understanding of the processes and outcomes data for an illness?
If you were discussing infection you would need to discuss the impact of the infection.For example,
1. What would be the impact on the client/patient? eg prolonging of illness, complications, longer hospital stay, financial costs, psychological costs,
2. What would be the impact on the health organisation/hospital? eg Inefficiency, increased length of patient stay, bed blocking, increased costs of hospitalisation, possible court claim
3. What would be the impact on the state? eg Decreased productivity of the individual if they remain hospitalised and are unable to work, increased costs if client/patient a pensioner
Question 2
In regards to the second assessment piece, it says:
"Use the scholarly literature to identify and explain the use of process and outcome data in the delivery of safe, quality nursing care in health institutions.
The use 1 example of process and outcome data to demonstrate your understanding of their use in providing safe, high quality care in health institutions."
Did you want us to use the 1 example for the whole paper in identifying and explaining the use of process and outcome data in the delivery of safe, quality nursing care in health institutions to demonstrate our understanding of it. Or did you want us to address both points separately as they are explaining what it is first, then explaining it again using the example we choose?
Thank you for your email.
How you go about addressing the question is up to you. What you have been asked to do is:
1. Explain the use of process and outcome data in the delivery of safe, quality nursing care in health institutions.
2. Demonstrate your understanding of these two phenomena by providing examples of ...
1 Final Project I Guidelines and Rubric Overview.docxmarilynnhoare
1
Final Project I Guidelines and Rubric
Overview
Healthcare professionals must have a strong working knowledge of ethics and law to be competent and successful. A qualified professional knows how to
provide safe, quality healthcare to a population of culturally diverse consumers. To address the needs of all patients, you can apply models such as shared
decision making, where patients are encouraged to share their preferences and needs. The application of this model requires that healthcare professionals know
how to apply ethical theories such as patient autonomy, beneficence, nonmaleficence, justice, and fidelity when caring for patients. On a daily basis, healthcare
professionals face ethical dilemmas involving patients and colleagues. Understanding how to effectively apply the code of ethics in your field, and various other
codes of professional conduct, is an important skill required of all healthcare professionals. By applying ethical decision making, you positively impact the
delivery of safe, quality healthcare.
Under certain circumstances, healthcare professionals can be sued by patients for malpractice; it is more common for physicians to be sued when patients are
injured or die as a result of their medical care. Healthcare professionals need a clear understanding of the elements of medical malpractice (standard of care,
breach, causation, and damages) and how they are applied by a judge in a court of law. Healthcare professionals play a critical role due to the nature of their
relationship with both patients and physicians. To remain competent and grow in the field, healthcare professionals are expected to understand how their
professional responsibility includes a wide-ranging accountability to self, their profession, their patients, and the public.
Your final case study for this course will require you to analyze a court decision in which a physician was found liable for medical malpractice. You will focus on
facts pertaining to the medical standard of care, breach of care, and causation, and explain how they were applied to law. You will then use the facts of the case
to identify an ethics issue and determine an ethical theory that would help provide a safe, quality healthcare experience for the patient. Next, you will apply a
clinician–patient shared decision-making model to describe how the ethics issue could be resolved. You will also include a discussion about possible violations of
the code of ethics in your given field. Lastly, you will augment or vary the facts of the case to create a hypothetical scenario that changes the outcome so that
the physician is no longer liable for medical malpractice.
Final Project I is divided into two milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final
submissions. These milestones will be submitted in Modules Three and Five. The final product will be submitted in Module Seven.
In this.
You have been working on this project for weeks, and now it is twalthamcoretta
You have been working on this project for weeks, and now it is time to submit your final version. This should be a complete, polished artifact that contains all of the required critical elements and incorporates the feedback you received from your instructor on Milestones One and Two. This is your opportunity to shine!
To complete this assignment, review the
Final Project I Guidelines and Rubric
document.
Note:
This activity is one of many that will contribute to the completion of the final projects. See the
Final Project Assignment Table
for more information.
Healthcare professionals must have a strong working knowledge of ethics and law to be competent and successful. A qualified professional knows how to provide safe, quality healthcare to a population of culturally diverse consumers. To address the needs of all patients, you can apply models such as shared decision making, where patients are encouraged to share their preferences and needs. The application of this model requires that healthcare professionals know how to apply ethical theories such as patient autonomy, beneficence, nonmaleficence, justice, and fidelity when caring for patients. On a daily basis, healthcare professionals face ethical dilemmas involving patients and colleagues. Understanding how to effectively apply the code of ethics in your field, and various other codes of professional conduct, is an important skill required of all healthcare professionals. By applying ethical decision making, you positively impact the delivery of safe, quality healthcare. Under certain circumstances, healthcare professionals can be sued by patients for malpractice; it is more common for physicians to be sued when patients are injured or die as a result of their medical care. Healthcare professionals need a clear understanding of the elements of medical malpractice (standard of care, breach, causation, and damages) and how they are applied by a judge in a court of law. Healthcare professionals play a critical role due to the nature of their relationship with both patients and physicians. To remain competent and grow in the field, healthcare professionals are expected to understand how their professional responsibility includes a wide-ranging accountability to self, their profession, their patients, and the public. Your final case study for this course will require you to analyze a court decision in which a physician was found liable for medical malpractice. You will focus on facts pertaining to the medical standard of care, breach of care, and causation, and explain how they were applied to law. You will then use the facts of the case to identify an ethics issue and determine an ethical theory that would help provide a safe, quality healthcare experience for the patient. Next, you will apply a clinician–patient shared decision-making model to describe how the ethics issue could be resolved. You will also include a discussion about possible violations of the code of ethics in you ...
Disscusion 1Procreation and Ethical Dilemmas in Health Care .docxlefrancoishazlett
Disscusion 1
"
Procreation and Ethical Dilemmas in Health Care"
Part A
From the scenario, examine the concept of health care ethics, and ascertain the fundamental way in which such concepts apply to procreation-related issues. Speculate on the major ramifications of using moral principles to make decisions concerning such issues.
Part B
Consider the concept of ethics in health care predicated on ethical theories and moral theories, and explore the connection of such ethics with ethics committee decision making. Rationalize the primary concerns of conception, wrongful birth, and abortion from the perspective of health care professionals who must make these decisions.
Disscussion 2
"
End-of-Life Issues and Professional Liability Insurance"
Part A
From the scenario, analyze the concept of patients’ rights and the concerns of physicians and nurses, as they apply to patients facing end-of-life decisions. Give your opinion on whether or not health care professionals are suitably educated in the sensitive nature of end-of-life and patient expectations. Provide a rationale for your response.
Part B
Analyze the major connections between liability of professionals, insurance policy coverage, and settlement of claims due to health care liability issues. Consider the concept of insurance coverage denial, and ascertain the manner in which such denial is built upon the limitation clauses and conditions set forth by the insurance provider.
This is a required resource, however supplemental resources can be added.
Pozgar, G. D. & Santucci, N. (2016).
Legal aspects of health care administration
. (12th ed.). Sudbury, MA: Jones & Bartlett Learning.
Write clearly and concisely using proper writing mechanics.
½- 1 page each discussion, double-spaced; 12 point, Times New Roman font; following APA requirements
References should be on a separate reference page, appropriately double-spaced, and organized alphabetically.
.
IHP 610 Final Project Guidelines and Rubric Overview MalikPinckney86
IHP 610 Final Project Guidelines and Rubric
Overview
Healthcare is a field dominated by complex regulation, limited resources, highly charged debates, changing reimbursement, expensive education barriers to
entry, and knowledge imbalances. Healthcare decision-makers often have to review information about an issue, analyze the applicable law, and make a decision.
Those decisions are often not founded on clearly right or clearly wrong “answers.” Nonetheless, after decision makers conduct or review a policy analysis and a
legal analysis and arrive at a conclusion, they must be able to support and defend that decision. Stakeholder values are often in conflict; decision makers working
in the field of healthcare and health law have many opportunities to defend their decisions!
The final project for this course will give you an opportunity to build policy and legal analysis skills. You will choose from one of three issue prompts at the
beginning of the course. Throughout the course, you will draft a memo containing an overview and analysis of your selected issue, as well as a series of
recommendations for a healthcare executive. You will experience some of the challenges of reconciling competing values, demands for resources, and
organizational needs. Each issue prompt is based on “real world” scenarios, so take this opportunity to practice developing health law and policy analysis skills.
This final project addresses your mastery with regard to the following course outcomes:
Assess the impact of stakeholder needs on decision making for ensuring effective implementation of health law and policy
Assess the impact of current healthcare laws, policies, and financing practices on affected key stakeholders for informing policy recommendations
Determine the extent to which legal risks and potential malpractice issues influence policy decision making
Recommend appropriate strategies for resolving value conflicts among key healthcare stakeholders
Analyze the role of key stakeholders in shaping, implementing, and evaluating health law and policy for improving population health outcomes
Prompt
You will write a policy memorandum, with recommendations, paper in which you will analyze a health law and policy issue and make a series of
recommendations to a healthcare executive. At the beginning of this course, you chose one of three issue scenarios. Now, you will create each section of the
policy memorandum using the tools and strategies you developed in this course. You have developed those tools and strategies in a stepwise fashion in each
module. Remember that the purpose of the policy memorandum is to analyze the issue scenario, make thoughtful arguments about the issue, and make
recommendations based on your analysis.
Your policy memorandum with recommendations paper must contain the following critical elements. Most of the critical elements align with a particular course
outcome (shown in brackets).
I ...
Assignment 1 Legal Aspects of U.S. Health Care System Administrat.docxbraycarissa250
Assignment 1: Legal Aspects of U.S. Health Care System Administration
Due Week 3 and worth 200 points
Prevailing wisdom reinforces the fact that working in U.S. health care administration in the 21st Century requires knowledge of the various aspects of health laws as they apply to dealing with medical professionals. Further, because U.S. health care administrators must potentially interact with many levels of professionals beyond the medical profession, it is prudent that they be aware of any federal, state, and local laws that may be applicable to their organizations. Thus, their conduct is also subject to the letter of the law. They must evaluate the quality of their professional interactions and be mindful of the implications and ramifications of their decisions.
Nearly 65 million surgical operations were performed in 2015 in the U.S. resulting in an estimated 200,000 deaths from complications or other post-operative issues (Ghaferi, Myers, Sutcliffe, & Pronovost, 2016). Ongoing innovation in healthcare can improve patient outcomes. According to the Harvard Business Review article, The Next Wave of Hospital Innovation to Make Patients Safer, over the past several decades, there have been three distinct waves of surgical improvement: technical advancements, standardizing procedures, and high reliability organizing.
Assume the role of a top health administrator at We Care Hospital. You are interested in propelling the hospital to the next level by applying for the Malcolm Baldrige National Quality Award. However, you want to ensure surgical outcomes for patient morbidity and mortality rates. You begin by researching the Surgical Care Improvement Project (SCIP) aimed to improve adherence to quality protocols. You need to ensure the hospital policy is consistent with the law and that the hospital is correctly reporting Sentinel Events to the Joint Commission, a hospital regulatory agency.
Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.
Write a three to four (3-4) page paper in which you:
1. Analyze how standardizing procedures and documenting steps can improve outcomes when performing a complex procedure. Review the peer-reviewed journal article, The Next Wave of Hospital Innovation to Make Patients Safer. Articulate your position as the top administrator concerned about the importance of professional conduct and negligence in SCIP quality guidelines.
2. High Reliability Organizing emphasizes the varying actions that can affect patient safety given that standardized systems ignore the fact that each patient is different. Ascertain the major ramifications when the health care team “fails to rescue” the patient. Identify what hospital policies should be in place and identify previous case laws.
3. Analyze the four (4) elements required of a plaintiff to prove medical negligence.
4. Discuss the overarching duties of the health care governing board in mitigating the effects of medical non- ...
Assignment 2 FAQsQuestion 1I am eager to start my next piece o.docxrock73
Assignment 2 FAQs
Question 1
I am eager to start my next piece of assessment, my understanding is we have to identify and explain our understanding of process and outcome data in delivery of safe, high quality care.
The example I would like to use is the five moments of hand hygiene, with promotes infection control, my data would be the auditing process of the five moments and how this is acheived. The outcomes would be improved patient outcomes or adversely, death due to nosocomial infection or readmission. Am I on the right track or does the example have to be based on an a specific ILLNESS such as CA or pneumothorax for example using the Donabedian model of measuring health care
such as treatment process, stages of treatment, appropriateness of treatment and outcomes such as death, adverse events etc..
And do we have to go into depth about what the illness. or is it just simply demonstrating our understanding of the processes and outcomes data for an illness?
Thank you for your email.
Yes you are on the right track as you are discussing safety and quality of nursing care NOT the process or outcome of a disease.
And do we have to go into depth about what the illness. or is it just simply demonstrating our understanding of the processes and outcomes data for an illness?
If you were discussing infection you would need to discuss the impact of the infection.For example,
1. What would be the impact on the client/patient? eg prolonging of illness, complications, longer hospital stay, financial costs, psychological costs,
2. What would be the impact on the health organisation/hospital? eg Inefficiency, increased length of patient stay, bed blocking, increased costs of hospitalisation, possible court claim
3. What would be the impact on the state? eg Decreased productivity of the individual if they remain hospitalised and are unable to work, increased costs if client/patient a pensioner
Question 2
In regards to the second assessment piece, it says:
"Use the scholarly literature to identify and explain the use of process and outcome data in the delivery of safe, quality nursing care in health institutions.
The use 1 example of process and outcome data to demonstrate your understanding of their use in providing safe, high quality care in health institutions."
Did you want us to use the 1 example for the whole paper in identifying and explaining the use of process and outcome data in the delivery of safe, quality nursing care in health institutions to demonstrate our understanding of it. Or did you want us to address both points separately as they are explaining what it is first, then explaining it again using the example we choose?
Thank you for your email.
How you go about addressing the question is up to you. What you have been asked to do is:
1. Explain the use of process and outcome data in the delivery of safe, quality nursing care in health institutions.
2. Demonstrate your understanding of these two phenomena by providing examples of ...
Point Value Descriptive TitlePurpose and Analytical .docxLeilaniPoolsy
Point Value Descriptive Title
Purpose and
Analytical
Technique(s)
Summary of Results
Summary of
Conclusions
Error Analysis
Professional
Presentation
2
Title is complete and
informative, and written
in a scientific tone
A general purpose and
all relevant analytical
techniques are given
using the correct
scientific terminology
All major numerical
results are given with
correct units and
significant figures - All
important descriptive
results are given with
appropriate context
Conclusions are made
based on the results, any
accepted values are
given for comparison,
and percent error values
are provided
Errors are given,
followed through the
calculations, and the
effect on the result is
explained - Errors are
used to explain
deviations from the
expected results
Abstract is typed, proof
read, and printed on an
appropriate medium
1
Title is informative and
appropriate, yet is
somewhat incomplete,
contains errors, or is
written in an unscientific
tone
Purpose or techniques
are partially incomplete
or use layman's terms
Result section is mostly
complete, but some
relevant results are
omitted, or incorrect
units or significant
figures are used
Conclusion section is
mostly complete, but
some relevant
conclusions are omitted
Errors are given, but not
followed through the
calculations, or not used
to explain results
Abstract contains several
errors, or has
handwritten edits
0
Title is absent, or neither
informative nor
appropriate
Section is absent or not
relevant to the
experiment
Section is absent, less
than half complete, or
not relevant to the
experiment
Section is absent, less
than half complete, or
not relevant to the
experiment
Section is absent or not
relevant to the
experiment
Abstract is handwritten,
contains numerous
errors, or otherwise
unacceptably presented
Rubric for a Scientific Abstract
In general, abstracts will be graded on the six criteria below (column headings), worth two points each.
The resulting points out of 12 will be converted to a gradebook score out of five.
Score = (
5
/12 ) × Points
Some rules for it:
1. Font size 12, times new roman style.
2. 600 words
About Abstracts:
An abstract is a brief, written summary of the specific idea or concepts to be presented, and a statement of their relevance to practice or research.
This is one type to write abstracts:
Research abstracts: include a brief description of the author’s original objective or hypothesis research methodology, including design, participant characteristics and procedures, major findings, and conclusions or implications for dietetics.
All words should write by yourself, no quote from any website or paper.
Please check abstract grading rubric for get higher grade. Thanks.
PRACTICE APPLICATIONS
Business of Dietetics
Hospital-Acquired Conditions: Knowing, Preventing,
and Treating .
10:42 PM (CST)
Assignment Details
Assignment Description
Assignment Details
The HITECH Act was incorporated into ARRA to promote the adoption and meaningful use of health information technology. Subtitle D of the HITECH Act, sections 13400–
13424, addresses the privacy and security concerns associated with the electronic transmission of health information. It does so, in part, through several provisions that
strengthen the civil and criminal enforcement of the HIPAA rules. (HHS.gov, 2017)
Consider the following case from the course scenario on St. Michael's Medical Center.
Case I: The Blue Wall
Many patients and regulators have accused the hospital of neglecting its organizational responsibilities to respect patient rights. The hospital has established a socalled blue
wall to withhold information and protect its employees. The administration and the ethics committee overseeing these ethical issues were accused of coverup and making
decisions that endangered vulnerable people. In most cases, the hospital has failed to meet its responsibilities to patients and to comply with regulations. Some of the violations
are the following:
Employees have exposed patient information to unauthorized people.
Nurses have made unilateral decisions and ignored informed consent mandates.
Administrators have covered up instances of medication errors and failed to meet regulatory compliance regarding the handling, storage, and retention of medical records.
Visitors have found sensitive patient information in files left in hallways and on laptops left in patients' rooms. Mobile devices containing patient information that doctors
have claimed were missing have been found lying around in public areas.
Few employees have done the right thing. Organizational lapses in policies and procedures occur at all levels.
As the newly hired chief executive officer (CEO), you have been asked to address these issues. You will make a presentation to help managers, supervisors, and general staff
members to curb the Health Insurance Portability and Accountability Act (HIPAA) violations in the following areas:
Communication
Secure storage of information
Retention of health information
Prepare a 15slide PowerPoint addressing the following items:
What are 5 effective health information communication methods? What are the advantages and disadvantages of these methods?
What healthcare laws guide the sharing and delivery of health information among stakeholders? What type of health information could be shared and with whom?
What are the benefits of sharing patient health information? What current applications are available to share patient information?
What HIPAA mandates are about the disclosure of patient information, especially the Privacy and Security Rules?
What are the benefits of using social media applications for sharing health information? What limitations exist in sharing health information using social media
applications?
What is the purpose of seeking patient co ...
10:42 PM (CST)
Assignment Details
Assignment Description
Assignment Details
The HITECH Act was incorporated into ARRA to promote the adoption and meaningful use of health information technology. Subtitle D of the HITECH Act, sections 13400–
13424, addresses the privacy and security concerns associated with the electronic transmission of health information. It does so, in part, through several provisions that
strengthen the civil and criminal enforcement of the HIPAA rules. (HHS.gov, 2017)
Consider the following case from the course scenario on St. Michael's Medical Center.
Case I: The Blue Wall
Many patients and regulators have accused the hospital of neglecting its organizational responsibilities to respect patient rights. The hospital has established a socalled blue
wall to withhold information and protect its employees. The administration and the ethics committee overseeing these ethical issues were accused of coverup and making
decisions that endangered vulnerable people. In most cases, the hospital has failed to meet its responsibilities to patients and to comply with regulations. Some of the violations
are the following:
Employees have exposed patient information to unauthorized people.
Nurses have made unilateral decisions and ignored informed consent mandates.
Administrators have covered up instances of medication errors and failed to meet regulatory compliance regarding the handling, storage, and retention of medical records.
Visitors have found sensitive patient information in files left in hallways and on laptops left in patients' rooms. Mobile devices containing patient information that doctors
have claimed were missing have been found lying around in public areas.
Few employees have done the right thing. Organizational lapses in policies and procedures occur at all levels.
As the newly hired chief executive officer (CEO), you have been asked to address these issues. You will make a presentation to help managers, supervisors, and general staff
members to curb the Health Insurance Portability and Accountability Act (HIPAA) violations in the following areas:
Communication
Secure storage of information
Retention of health information
Prepare a 15slide PowerPoint addressing the following items:
What are 5 effective health information communication methods? What are the advantages and disadvantages of these methods?
What healthcare laws guide the sharing and delivery of health information among stakeholders? What type of health information could be shared and with whom?
What are the benefits of sharing patient health information? What current applications are available to share patient information?
What HIPAA mandates are about the disclosure of patient information, especially the Privacy and Security Rules?
What are the benefits of using social media applications for sharing health information? What limitations exist in sharing health information using social media
applications?
What is the purpose of seeking patient co ...
Working in an emergency room gives rise to ethical dilemmas. Duerosacrosdale
Working in an emergency room gives rise to ethical dilemmas. Due to time restraints and the patient's cognitive impairment and lack of medical history, complications can and do occur. The nurse has very little time to get detailed patient information. He or she must make a quick assessment and take action based on hospital protocol. The organized chaos of the emergency room presents unique ethical challenge, which is why nurses are required to have knowledge of ethical concepts and principles.Create a 15-minute oral presentation (3–4 pages) that examines the moral and ethical issues related to triaging patients in an emergency room.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Show Less
Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.
Explain the health care policies that can affect emergency care.
Recommend evidence-based decision-making strategies nurses can use during triage.
Competency 3: Apply professional nursing ethical standards and principles to the decision-making process.
Describe the moral and ethical challenges nurses can face when following hospital policies and protocols.
Explain how health care disparities impact treatment decisions.
Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.
Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
Correctly format citations and references using APA style.
To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.
How does a triage nurse decide which patient gets seen first?
How does health disparity affect the triage nurse's decision making?
What ethical and moral issues does the triage nurse take into account when making a decision?
What are triage-level designations?
Assessment Instructions
Your supervisor has asked you to do a 15-minute oral presentation at a staff meeting about a recent issue that occurred at another hospital in town. Following an industrial accident, two patients arrived at the emergency room of that hospital at the same time, presenting with very similar inhalation injuries. The hospital received a great deal of negative press due to how the patients were triaged in the ER. Your supervisor would like you to use the specifics of this case to review triage procedures and best practices at your facility. Here are the details:
One is a 32-year-old firefighter, Frank Jeffers, who is presenting with respiratory difficulties that he obtained while evacuating victims of an industrial accident. He is a married homeowner and father of two young boys. He has lived in the community all his life. ...
Point Value Descriptive TitlePurpose and Analytical .docxLeilaniPoolsy
Point Value Descriptive Title
Purpose and
Analytical
Technique(s)
Summary of Results
Summary of
Conclusions
Error Analysis
Professional
Presentation
2
Title is complete and
informative, and written
in a scientific tone
A general purpose and
all relevant analytical
techniques are given
using the correct
scientific terminology
All major numerical
results are given with
correct units and
significant figures - All
important descriptive
results are given with
appropriate context
Conclusions are made
based on the results, any
accepted values are
given for comparison,
and percent error values
are provided
Errors are given,
followed through the
calculations, and the
effect on the result is
explained - Errors are
used to explain
deviations from the
expected results
Abstract is typed, proof
read, and printed on an
appropriate medium
1
Title is informative and
appropriate, yet is
somewhat incomplete,
contains errors, or is
written in an unscientific
tone
Purpose or techniques
are partially incomplete
or use layman's terms
Result section is mostly
complete, but some
relevant results are
omitted, or incorrect
units or significant
figures are used
Conclusion section is
mostly complete, but
some relevant
conclusions are omitted
Errors are given, but not
followed through the
calculations, or not used
to explain results
Abstract contains several
errors, or has
handwritten edits
0
Title is absent, or neither
informative nor
appropriate
Section is absent or not
relevant to the
experiment
Section is absent, less
than half complete, or
not relevant to the
experiment
Section is absent, less
than half complete, or
not relevant to the
experiment
Section is absent or not
relevant to the
experiment
Abstract is handwritten,
contains numerous
errors, or otherwise
unacceptably presented
Rubric for a Scientific Abstract
In general, abstracts will be graded on the six criteria below (column headings), worth two points each.
The resulting points out of 12 will be converted to a gradebook score out of five.
Score = (
5
/12 ) × Points
Some rules for it:
1. Font size 12, times new roman style.
2. 600 words
About Abstracts:
An abstract is a brief, written summary of the specific idea or concepts to be presented, and a statement of their relevance to practice or research.
This is one type to write abstracts:
Research abstracts: include a brief description of the author’s original objective or hypothesis research methodology, including design, participant characteristics and procedures, major findings, and conclusions or implications for dietetics.
All words should write by yourself, no quote from any website or paper.
Please check abstract grading rubric for get higher grade. Thanks.
PRACTICE APPLICATIONS
Business of Dietetics
Hospital-Acquired Conditions: Knowing, Preventing,
and Treating .
10:42 PM (CST)
Assignment Details
Assignment Description
Assignment Details
The HITECH Act was incorporated into ARRA to promote the adoption and meaningful use of health information technology. Subtitle D of the HITECH Act, sections 13400–
13424, addresses the privacy and security concerns associated with the electronic transmission of health information. It does so, in part, through several provisions that
strengthen the civil and criminal enforcement of the HIPAA rules. (HHS.gov, 2017)
Consider the following case from the course scenario on St. Michael's Medical Center.
Case I: The Blue Wall
Many patients and regulators have accused the hospital of neglecting its organizational responsibilities to respect patient rights. The hospital has established a socalled blue
wall to withhold information and protect its employees. The administration and the ethics committee overseeing these ethical issues were accused of coverup and making
decisions that endangered vulnerable people. In most cases, the hospital has failed to meet its responsibilities to patients and to comply with regulations. Some of the violations
are the following:
Employees have exposed patient information to unauthorized people.
Nurses have made unilateral decisions and ignored informed consent mandates.
Administrators have covered up instances of medication errors and failed to meet regulatory compliance regarding the handling, storage, and retention of medical records.
Visitors have found sensitive patient information in files left in hallways and on laptops left in patients' rooms. Mobile devices containing patient information that doctors
have claimed were missing have been found lying around in public areas.
Few employees have done the right thing. Organizational lapses in policies and procedures occur at all levels.
As the newly hired chief executive officer (CEO), you have been asked to address these issues. You will make a presentation to help managers, supervisors, and general staff
members to curb the Health Insurance Portability and Accountability Act (HIPAA) violations in the following areas:
Communication
Secure storage of information
Retention of health information
Prepare a 15slide PowerPoint addressing the following items:
What are 5 effective health information communication methods? What are the advantages and disadvantages of these methods?
What healthcare laws guide the sharing and delivery of health information among stakeholders? What type of health information could be shared and with whom?
What are the benefits of sharing patient health information? What current applications are available to share patient information?
What HIPAA mandates are about the disclosure of patient information, especially the Privacy and Security Rules?
What are the benefits of using social media applications for sharing health information? What limitations exist in sharing health information using social media
applications?
What is the purpose of seeking patient co ...
10:42 PM (CST)
Assignment Details
Assignment Description
Assignment Details
The HITECH Act was incorporated into ARRA to promote the adoption and meaningful use of health information technology. Subtitle D of the HITECH Act, sections 13400–
13424, addresses the privacy and security concerns associated with the electronic transmission of health information. It does so, in part, through several provisions that
strengthen the civil and criminal enforcement of the HIPAA rules. (HHS.gov, 2017)
Consider the following case from the course scenario on St. Michael's Medical Center.
Case I: The Blue Wall
Many patients and regulators have accused the hospital of neglecting its organizational responsibilities to respect patient rights. The hospital has established a socalled blue
wall to withhold information and protect its employees. The administration and the ethics committee overseeing these ethical issues were accused of coverup and making
decisions that endangered vulnerable people. In most cases, the hospital has failed to meet its responsibilities to patients and to comply with regulations. Some of the violations
are the following:
Employees have exposed patient information to unauthorized people.
Nurses have made unilateral decisions and ignored informed consent mandates.
Administrators have covered up instances of medication errors and failed to meet regulatory compliance regarding the handling, storage, and retention of medical records.
Visitors have found sensitive patient information in files left in hallways and on laptops left in patients' rooms. Mobile devices containing patient information that doctors
have claimed were missing have been found lying around in public areas.
Few employees have done the right thing. Organizational lapses in policies and procedures occur at all levels.
As the newly hired chief executive officer (CEO), you have been asked to address these issues. You will make a presentation to help managers, supervisors, and general staff
members to curb the Health Insurance Portability and Accountability Act (HIPAA) violations in the following areas:
Communication
Secure storage of information
Retention of health information
Prepare a 15slide PowerPoint addressing the following items:
What are 5 effective health information communication methods? What are the advantages and disadvantages of these methods?
What healthcare laws guide the sharing and delivery of health information among stakeholders? What type of health information could be shared and with whom?
What are the benefits of sharing patient health information? What current applications are available to share patient information?
What HIPAA mandates are about the disclosure of patient information, especially the Privacy and Security Rules?
What are the benefits of using social media applications for sharing health information? What limitations exist in sharing health information using social media
applications?
What is the purpose of seeking patient co ...
Working in an emergency room gives rise to ethical dilemmas. Duerosacrosdale
Working in an emergency room gives rise to ethical dilemmas. Due to time restraints and the patient's cognitive impairment and lack of medical history, complications can and do occur. The nurse has very little time to get detailed patient information. He or she must make a quick assessment and take action based on hospital protocol. The organized chaos of the emergency room presents unique ethical challenge, which is why nurses are required to have knowledge of ethical concepts and principles.Create a 15-minute oral presentation (3–4 pages) that examines the moral and ethical issues related to triaging patients in an emergency room.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Show Less
Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.
Explain the health care policies that can affect emergency care.
Recommend evidence-based decision-making strategies nurses can use during triage.
Competency 3: Apply professional nursing ethical standards and principles to the decision-making process.
Describe the moral and ethical challenges nurses can face when following hospital policies and protocols.
Explain how health care disparities impact treatment decisions.
Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.
Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
Correctly format citations and references using APA style.
To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.
How does a triage nurse decide which patient gets seen first?
How does health disparity affect the triage nurse's decision making?
What ethical and moral issues does the triage nurse take into account when making a decision?
What are triage-level designations?
Assessment Instructions
Your supervisor has asked you to do a 15-minute oral presentation at a staff meeting about a recent issue that occurred at another hospital in town. Following an industrial accident, two patients arrived at the emergency room of that hospital at the same time, presenting with very similar inhalation injuries. The hospital received a great deal of negative press due to how the patients were triaged in the ER. Your supervisor would like you to use the specifics of this case to review triage procedures and best practices at your facility. Here are the details:
One is a 32-year-old firefighter, Frank Jeffers, who is presenting with respiratory difficulties that he obtained while evacuating victims of an industrial accident. He is a married homeowner and father of two young boys. He has lived in the community all his life. ...
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IHP 420 Final project Conclusion.docx
1. IHP 420 Final project Conclusion
Final Project I Guidelines and Rubric Overview Healthcare professionals must have a strong
working knowledge of ethics and law to be competent and successful. A qualified
professional knows how to provide safe, quality healthcare to a population of culturally
diverse consumers. To address the needs of all patients, you can apply models such as
shared decision making, where patients are encouraged to share their preferences and
needs. The application of this model requires that healthcare professionals know how to
apply ethical theories such as patient autonomy, beneficence, nonmaleficence, justice, and
fidelity when caring for patients. On a daily basis, healthcare professionals face ethical
dilemmas involving patients and colleagues. Understanding how to effectively apply the
code of ethics in your field, and various other codes of professional conduct, is an important
skill required of all healthcare professionals. By applying ethical decision making, you
positively impact the delivery of safe, quality healthcare. Under certain circumstances,
healthcare professionals can be sued by patients for malpractice; it is more common for
physicians to be sued when patients are injured or die as a result of their medical care.
Healthcare professionals need a clear understanding of the elements of medical malpractice
(standard of care, breach, causation, and damages) and how they are applied by a judge in a
court of law. Healthcare professionals play a critical role due to the nature of their
relationship with both patients and physicians. To remain competent and grow in the field,
healthcare professionals are expected to understand how their professional responsibility
includes a wide-ranging accountability to self, their profession, their patients, and the
public. Your final case study for this course will require you to analyze a court decision in
which a physician was found liable for medical malpractice. You will focus on facts
pertaining to the medical standard of care, breach of care, and causation, and explain how
they were applied to law. You will then use the facts of the case to identify an ethics issue
and determine an ethical theory that would help provide a safe, quality healthcare
experience for the patient. Next, you will apply a clinician–patient shared decision-making
model to describe how the ethics issue could be resolved. You will also include a discussion
about possible violations of the code of ethics in your given field. Lastly, you will augment or
vary the facts of the case to create a hypothetical scenario that changes the outcome so that
the physician is no longer liable for medical malpractice. Final Project I is divided into two
milestones, which will be submitted at various points throughout the course to scaffold
learning and ensure quality final submissions. These milestones will be submitted in
Modules Three and Five. The final product will be submitted in Module Seven. In this
2. Analyze the impact of healthcare-related policy and legislature with regard to culturally
-
making models appropriate for healthcare providers to use for providing a safe, quality
healthcare experience for the patient Analyze the role of professional regulation, the
standard of care, and codes of ethics in determining healthcare providers’ wide-ranging
accountability to self, their profession, their patients, and the public Prompt In this project,
you will analyze a court case involving medical malpractice. Using your analysis of the case,
you will address the facts pertaining to the medical standard of care, breach of care, and
causation. Further, you will use the facts from the original case to identify an ethics issue,
determine an ethical theory that would help provide a safe and quality healthcare
experience for the patient, apply a clinician–patient shared decision-making model, and
augment or vary the facts of the case to change the outcome. You will use the following case
jury finds doctor liable for inserting screwdriver in patient’s spine (Supplemental article)
Specifically, your case study must address the following critical elements: I. Introduction: A.
Summarize the selected case, including information on the stakeholders involved, the
problem, and the time period the incidentoccurred. II. Medical Malpractice Component: In
this section, you will evaluate the case to address the legal components, the malpractice
policies similar to this case, and the standard of care given to the patient and how it was
breached. Then, you will draw connections to how this malpractice case impacted
stakeholders and healthcare consumers outside of the case. A. Explain the key legal
components of the case, including the nature of the issue and the rules that applied. B.
Determine relevant malpractice policies in place for addressing the issues within the case. C.
Analyze the malpractice case for the standard of care provided to the victim. Be sure to
apply what the law states about standard of care to support whether or not it was breached
in the case. D. Analyze how the malpractice case would impact healthcare consumers from
different cultural backgrounds. For example, would this case have a similar impact on a
person from a culture different from the one in the case? How could this incident change the
views of these healthcare consumers toward the healthcare system? E. Assess the
malpractice case for accountability based on its severity. To what extent was the healthcare
provider held accountable? 2 III. Ethical Component: In this section, you will evaluate the
case to identify the specific ethical issues and determine ethical theories and shared
decisionmaking models that would help resolve the issue and provide a safe, quality
healthcare experience. Then, you will propose and defend ethical guidelines for healthcare
providers to follow in order to avoid future incidents. A. Describe the ethical issues that led
to the malpractice case and explain why the issues are credited with causing the incident.
Support your response with research and relevant examples from the case. B. Describe an
ethical theory that would help resolve the issue and provide a safe, quality healthcare
experience for the patient. Support your response with research and relevant examples
from the case. C. Select a physician–patient shared decision-making model and explain how
it would provide a safe, quality healthcare experience for the patient D. Propose ethical
guidelines that would have helped prevent the incident and would help the organization
3. prevent futureincidents. E. Defend how your proposed ethical guidelines will hold
healthcare providers accountable to themselves, their profession, their patients, and the
public. II. Recommendations: In this section, you will utilize the knowledge you gained from
your malpractice and ethical analyses to recommend and defend strategies that would help
improve medical practices and avoid future liability. A. Recommend preventative strategies
the healthcare provider could implement to avoid liability in the future. B. Defend how your
recommended preventative strategies would assist the healthcare provider in avoiding
liability and provide a safe, quality healthcare experience for the patient. Milestones
Milestone One: Malpractice Case In Module Three, you will submit a 2- to 3-page paper. You
will complete part of your analysis of the malpractice case. Using this analysis of the case,
you will address the facts pertaining to the medical standard of care, breach of care, and
causation. This milestone will be graded with the Milestone One Rubric. Milestone Two:
Ethical Components of the Malpractice Case In Module Five, you will submit 2- to 3-page
paper. You will use the facts from the original case to identify an ethics issue, determine an
ethical theory that would help provide a safe and quality healthcare experience for the
patient, apply a clinician–patient shared decision-making model, and augment or vary the
facts of the case to change the outcome This milestone will be graded with the Milestone
Two Rubric Final Submission: Malpractice Case Analysis In Module Seven, you will submit
your final project. It should be a complete, polished artifact containing all of the critical
elements of the final product. It should reflect the incorporation of feedback gained
throughout the course. This submission will be graded with the Final Project I Rubric. 3
Final Project I Rubric Guidelines for Submission: Your case study should be a 4- to 6-page
Microsoft Word document with 12-point Times New Roman font and one-inch margins. All
citations and references should be formatted according to the most recent APA guidelines.
Critical Elements Introduction: Summarize Exemplary Proficient Needs Improvement Not
Evident Summarizes the case, including Summarizes the case, but Does not summarize the
case (0%) information on the stakeholders summary is cursory or illogical, involved, the
problem, and the time contains inaccuracies, or does not period of the incident that
occurred include information on (100%) stakeholders, the problem, or the time period of
the incident (55%) Medical Meets “Proficient” criteria, Explains the key legal components
Explains the key legal Does not explain the key legal Malpractice and explanation
demonstrates of the case, including the nature of components of the case, but components
of the case (0%) Component: Legal sophisticated understanding the issue and the rules that
applied analysis is illogical, contains Components of the key legal components of (85%)
inaccuracies, or does not include the case (100%) the nature of the issue or the rules that
applied (55%) Value 2.24 10.61 Medical Malpractice Component: Malpractice Policies
Meets “Proficient” criteria and Determines relevant malpractice demonstrates a
sophisticated policies in place for a ddressing the awareness of which policies issues within
the case (85%) address the issues within the case (100%) Determines malpractice policies,
but response lacks detail, or the chosen policies are irrelevant or do not address the issues
of the case (55%) Does not determine relevant malpractice policies in place for addressing
the issues within the case (0%) 10.61 Medical Malpractice Component: Standard of Care
Meets “Proficient” criteria and Analyzes the malpractice case for demonstrates astute ability
4. in the standard of care provided to applying what the law states the victim, and applies
what the about standard of care to law states about standard of care determine whether or
not it to support whether or not it was was breached in the case breached in the case (85%)
(100%) Analyzes the malpractice case for Does not analyze the malpractice the standard of
care provided to case for the standard of care the victim, but does not apply provided to the
victim (0%) what the law states about standard of care (55%) 6.37 4 Medical Malpractice
Component: Cultural Backgrounds Meets “Proficient” criteria, Analyzes how the malpractice
case and analysis makes cogent would impact healthcare connections between the
consumers from different cultural incident and its impact on backgrounds (85%) healthcare
consumers from different cultural backgrounds (100%) Analyzes how the malpractice Does
not analyze how the case would impact healthcare malpractice case would impact
consumers from different cultural healthcare consumers from backgrounds, but analysis is
different cultural backgrounds cursory or c ontains inaccuracies (0%) (55%) 10.61 Medical
Malpractice Component: Accountability Meets “Proficient” criteria, Assesses the malpractice
case for Assesses the malpractice case for Does not assess the malpractice and assessment
makes a accountability based on its severity accountability based on its case for
accountability based on cogent connection to the level and explains the level of severity and
explains the level of its severity (0%) of accountability held against accountability the
healthcare accountability the healthcare the healthcare provider based provider was held to
(85%) provider was held to, but on the severity of the case explanation lacks detail or is
(100%) illogical (55%) 6.37 Ethical Component: Meets “Proficient” criteria, Ethical Issues
and research and examples provided demonstrate a complex grasp of how the ethical issues
led to the malpractice case (100%) Describes the ethical issues that led Describe the ethical
issues that to the malpractice case and led to the malpractice case and explains why the
issues arecredited explains why the issues are with causing the incident, and credited with
causing the supports with research and incident, but description lacks relevant examples
(85%) details or does not support with research and relevant examples (55%) Ethical
Component: Meets “Proficient” criteria, Ethical Theory and research and examples provided
demonstrate a complex grasp of how the ethical theory would help resolve the issue and
provide a safe, quality healthcare experience for the patient (100%) Describes an ethical
theory that would help resolve the issue and provide a safe, quality healthcare experience
for the patient, and supports with research and relevant examples from the case (85%) 5
Does not describe the ethical issues that led to the malpractice case and does not explain
why the issues are credited with causing the incident (0%) 7.96 Describes an ethical theory
that Does not describe an ethical would help resolve the issue and theory that would help
resolve the provide a safe, quality healthcare issue and provide a safe, quality experience for
the patient, but healthcare experience for the description lacks detail, is patient (0%)
illogical, or does not support with research or r elevant examples (55%) 7.96 Ethical
Component: Meets “Proficient” criteria and Selects a physician–patient shared Shared
Decision- demonstrates a nuanced decision-making model and Making Model
understanding of appropriate explains how it would provide a physician–patient shared
safe, quality healthcare experience decision-making models that for the patient (85%)
would provide a safe, quality healthcare experience for the patient (100%) Selects a
5. physician–patient Does not select a physician– shared decision-making model patient
shared decision-making and explains how it would model and does not explain how it
provide a safe, quality healthcare would provide a safe, quality experience for the patient,
but healthcare experience for the explanation lacks detail (55%) patient (0%) 7.96 Ethical
Component: Meets “Proficient” criteria and Proposes ethical guidelines that Ethical
Guidelines makes a cogent connection would have helped prevent the between the
proposed ethical incident and would help the guidelines and how they organization prevent
future would prevent the current and incidents (85%) future incidents (100%) Proposes
ethical guidelines that Does not propose ethical would have helped prevent the guidelines
that would have helped incident and would help the prevent the current and future
organization prevent future incidents (0%) incidents, but proposal is cursory (55%) 7.96
Ethical Component: Meets “Proficient” criteria and Defends how the proposed ethical
Defend makes cogent connections guidelines will hold healthcare among the proposed
ethical providers accountable to guidelines and how to hold themselves, their profession,
their healthcare providers patients, and the public (85%) accountable to themselves, their
profession, their patients, and the public (100%) Defends how the proposed Does not
defend how the ethical guidelines will hold proposed ethical guidelines will healthcare
providers accountable hold healthcare providers to themselves, their profession,
accountable to themselves, their their patients, and the public, but profession, their patients,
and the defense lacks detail or is illogical public (0%) (55%) 6.37 Recommends
preventative Recommends preventative Does not recommend strategies the healthcare
provider strategies the healthcare provider preventative strategies the could implement to
avoid liability in could implement to avoid liability healthcare provider could the future
(85%) in the future, but implement to avoid liability in the recommendations are cursory or
future (0%) illogical (55%) 6.37 Recommendations: Meets “Proficient” criteria,
Preventative and recommendations Strategies masterfully demonstrate how the healthcare
provider can avoid liability in the future (100%) 6 Recommendations: Meets “Proficient”
criteria and Defends how the recommended Defends how the recommended Defend makes
cogent connections preventative strategies would assist preventative strategies would
among the recommended the healthcare provider in avoiding assist the healthcare provider
in preventative strategies and liability and provide a safe, quality avoiding liability and
provide a how they would assist in healthcare experience for the safe, quality healthcare
avoiding liability and provide a patient (85%) experience for the patient, but safe, quality
healthcare defense is cursory or illogical experience for the patient (55%) (100%)
Articulation of Response Submission is free of errors Submission has no major errors
related to citations, grammar, related to citations, grammar, spelling, syntax, and spelling,
syntax, or organization organization and is presented (85%) in a professional and easy-
toread format (100%) Does not defend how the recommended preventative strategies
would assist the healthcare provider in avoiding liability and provide a safe, quality
healthcare experience for the patient (0%) Submission has major errors Submission has
critical errors related to citations, grammar, related to citations, grammar, spelling, syntax,
or organization spelling, syntax, or organization that negatively impact readability that
prevent understanding of and articulation of main ideas ideas (0%) (55%) Total 7 6.37 2.24
6. 100% Running head: FINAL PROJECT MILESTONE ONE Final Project Milestone One:
Malpractice Case Meryl Peasah IHP-420 Ethical and Legal Considerations Southern New
Hampshire University September 18, 2022 FINAL PROJECT 2 Milestone One: Malpractice
Case Summarize Iturralde vs Hilo Medical Center (HMC) No. 03-1-0017 was brought to the
Intermediate Court of Appeals of Hawaii, presided over by Chief Judge Nakamura. Rosalinda
Iturralde was the appellant, acting individually or on behalf of Arturo’s Estate. The
defendants or cross-appellants were Robert Ricketson, Hawaii Orthopaedics, Inc., Hilo
Medical Center, Medtronics Sofamor Danek, Inc., and Hawaii Health Systems Corporation.
Arturo Iturralde (Arturo) was admitted to HMC on January 1, 2001, to examine his legs’
increasing weakness resulting in severe falls. Dr. Ricketson diagnosed Arturo with
degenerative spondylolisthesis L4-5 with stenosis. He scheduled Arturo for spinal surgery
to relieve the condition by placing two rods into the spin on January 29, 2001. Dr. Ricketson
ordered the recommended kit from Medtronics through HMC, and the shipments were
received on January 27, 2001. DR. Ricketson bypassed HMC’s inventory policy and
commenced surgery only to find the two rods missing. He improvised by using screwdrivers
without informing Arturo or his family. Arturo underwent many surgeries and succumbed
to multiple conditions on June 18, 2003. Rosalinda sued HMC and Dr. Ricketson in the
Circuit Court, which found the two liable for multiple and varied damages but acquitted
Medtronic. Rosalinda appealed the decision arguing that the Circuit Court erred in the
amount of damages against HMC and Dr. Ricketson, Medtronic’s liability, instructions to the
jury on the cause for Medtronic, and joint liability against HMC for emotional distress to
Rosalinda. Medical Malpractice Component Key Legal Components The primary legal aspect
of the case is that Dr. Ricketson had a duty of care to Arturo owing to the Hippocratic oath
doctors take. But he failed to uphold professional competence, FINAL PROJECT 3 which is
the physician’s primary responsibility. He also failed to observe ethical responsibilities and
conduct, including consent and nonmaleficence. Dr. Ricketson had a professional duty not to
harm but proceeded with the surgery that harmed Arturo. He also had a duty to seek the
patient’s consent before installing a screwdriver on his spine. Instead, he engaged in
activities harmful to the patient. Still, he continued practising despite past legal actions
against him due to professional misconduct. The nonmaleficence rule requires physicians
not to harm, but Dr. Ricketson used an unrecommended tool. Malpractice Policies The
primary policy for addressing malpractice is HMC’s inventory policy. Dr. Ricketson ignored
his duty as a physician and acted negligently by ignoring HMC’s policy on inventory
management. Besides, communication policy is also vital to addressing malpractice. Nurse
Feldmeyer reported the issue to the management, but their communication policy required
the doctor to report it. The doctor’s sweeping powers undermined teamwork and
interdisciplinary collaboration (Kass & Rose, 2016). He should have informed the patient
that he had installed a screwdriver on his spine and explained the decision. Standards of
Care The standard of care used in the case was inappropriate. HMC demonstrated
negligence when they rubbished the nurse’s report, undermining patient safety. Dr.
Ricketson overlooked a state-approved device and improvised it after failing to perform due
diligence on the shipment before beginning operation (Schweikart, 2018). Standards of care
apply to approved devices for surgical procedures like titanium rods. Different Cultural
7. Backgrounds One impact is that a person from a different culture may not have the money
to pursue the lawsuit. Besides, one feels persuaded that the malpractice would not have
occurred had the patient been from a rich cultural background. Also, HMC would lose
patients to FINAL PROJECT 4 competitors due to fear of malpractice. Other lawsuits against
the hospital would follow, especially for hiring a physician banned in other states.
Consumers would view the hospital as a death trap and avoid using its services.
Accountability The case features diminished accountability since the parties engage in
blame games. The issues in the appeal reveal an attempt to paint who is more responsible
for the damages arising from the negligence. No one accepts that a wrongful act was
committed. Based on the court’s judgement, Dr. Ricketson and HMC are liable for the
malpractice. But HMC would not have hired the physician due to a history of unethical
conduct. Accordingly, HMC is primarily accountable since they hired a physician with
questionable professional conduct (Kass & Rose, 2016). Still, the hospital gave him powers
to report directly to the management, ignoring the nurse. Mr. Arturo would have lived
longer had the hospital not hired Dr. Ricketson. FINAL PROJECT 5 References Iturralde v.
HILO MEDICAL CENTER, No. 28792 (Haw. Ct. App. Mar. 30, 2012).
https://www.casemine.com/judgement/us/5914f68cadd7b049349909af Kass, J. S., & Rose,
R. V. (2016). Medical malpractice reform: historical approaches, alternative models, and
communication and resolution programs. AMA Journal of Ethics, 18(3), 299-310.
Schweikart, S. (2018). Plastic Surgery Overseas: How Much Should a Physician Risk in the
Pursuit of Higher-Quality Continuity of Care? AMA Journal of Ethics, 20(4), 357365. Running
head: MILESTONE TWO Final Project Milestone Two: Ethical Components of the
Malpractice Case Meryl Peasah IHP-420 Ethical and Legal Considerations Southern New
Hampshire University October 2, 2022 MILESTONE TWO 2 Milestone Two: Ethical
Components Ethical Issues Healthcare professionals are bound by ethical values, principles,
and beliefs in their service delivery. The primary principles are autonomy, beneficence,
justice, and nonmaleficence. The Iturralde vs. Hilo Medical Center Case reveals ethical issues
associated with these principles. The main ethical issue is that Dr. Ricketson failed to
respect patient autonomy by seeking the patient’s informed consent before using
screwdrivers. Another issue is HMC’s decision to hire a physician with questionable
professional history. Besides, Dr. Ricketson violated the principle of nonmaleficence by
implanting screwdrivers that harmed the patient, leading to death. Still, Nurse Feldmeyer’s
supervisors undermined justice by ignoring her whistleblowing. The American Medical
Association (AMA, 2016) Code of Ethics requires physicians to uphold professional
standards and respect the law and patient rights. A surgical procedure is ethically
acceptable if it has institutional stability, laboratory background, and field strength
(Mazeikiene et al., 2020). The doctor violated this requirement by undermining patient
autonomy and using an unrecommended medical procedure. Ethical Theory Immanuel
Kant’s Deontological Ethics Theory would help address the issue and provide a safe, quality
healthcare experience for the patient. Arturo died because Dr. Ricketson failed to adhere to
rules, duties, and obligations vital to the delicate surgery. The patient died following a
wrong procedure, implying that the means justified the end. Accordingly, deontological
ethics is the best ethical theory to resolve similar issues in future. Kant envisioned a patient
8. care setting where a practitioner would maintain a duty of care by stringently following
pre-set rules (Humphrey et al., 2022). Hence, Dr. Ricketson was unethical in using
screwdrivers instead of the recommended titanium rods regardless of the patient’s
recovery or death. Deontology bases morality on the action and not the outcome. A
MILESTONE TWO 3 harmful step like an unrecommended procedure is ethically wrong,
notwithstanding the result. Deviating from standards and ethical guidelines (including the
AMA Code of Ethics) contributes to medical negligence. Thus, Dr. Ricketson would have
avoided harming the patient by following deontological theory. Shared Decision-Making
Model The selected shared decision-making model (SDM) is deliberation, a patient-centered
interdisciplinary approach to care. It involves collaboration between the patient or their
family and a multidisciplinary team in planning and implementing care (Morris et al., 2022).
Still, Dr. Ricketson would have informed Arturo of the wrong shipment and discussed
alternative medical procedures, including effects, risks and safety. Arturo would have
settled for safer and more practical treatment tools and procedures, ensuring a safe surgery
to avoid revisional surgeries. Besides, Rr. Ricketson would have collaborated with Nurse
Feldmeyer and considered her opinion. The AMA Code of Ethics requires physicians to
promote interdisciplinary team collaboration by listening respectfully and taking seriously
the concerns a nurse raises regarding the physician’s decision (AMA, 2016). Dr. Ricketson
was also expected to recognize Feldmeyer’s professional duty not to follow orders that
contravene good medical practice. These requirements support deliberation as the most
effective SDM for Arturo’s safe, quality healthcare experience. Ethical Guidelines Based on
the identified ethical issues, HMC would have prevented the incident and would prevent
future ones by: ➢Not hiring a physician facing disciplinary actions in other states for
professional misconduct. ➢Ensuring that its medical inventory policy is followed and taking
disciplinary action against violators like Dr. Ricketson; and MILESTONE TWO ➢4 Acting on
whistleblowing and not vesting reporting powers to the surgeon. Surgeons/physicians like
Dr. Ricketson would avoid/have avoided it by: ➢Abiding by rules, regulations, and policies,
including HMC’s inventorying policy. ➢Practicing under stringent supervision or avoid
practicing when facing disciplinary action. ➢Respecting patient autonomy by seeking
informed consent; and ➢Listening to and respecting nurses’ concerns regarding their
orders. Defined The Joint Commission requires healthcare organizations to proactively
improve patient care while minimizing costs. Based on the Commission’s quality goals, HMC
would have acted on Nurse Feldmeyer’s report to ensure that Dr. Ricketson used the
recommended tool since miscommunication is a leading cause of malpractice (Humphrey et
al., 2022). Subjecting Mr. Arturo to multiple surgeries led to hospital readmission,
undermining the Commission’s quality standards. Also, HMC would have hired competent
and ethical doctors and required them to follow its inventory policy. Still, doctors are bound
by the AMA Code of ethics regarding professionalism, patient autonomy, and relationship
with nurses (AMA, 2016). Observing these standards and principles would ensure the
correct procedure is performed. MILESTONE TWO 5 References American Medical
Association. (2016). Code of Medical Ethics: Principles of Medical Ethics. Retrieved
September 30, 2022, from https://www.ama-
assn.org/sites/amaassn.org/files/corp/media-browser/principles-of-medical-ethics.pdf
9. Humphrey, K. E., Sundberg, M., Milliren, C. E., Graham, D. A., & Landrigan, C. P. (2022).
Frequency and Nature of Communication and Handoff Failures in Medical Malpractice
Claims. Journal of Patient Safety, 18(2), 130-137. Iturralde v. HILO MEDICAL CENTER, No.
28792 (Haw. Ct. App. Mar. 30, 2012).
https://www.casemine.com/judgement/us/5914f68cadd7b049349909af Mazeikiene, S.,
Stasiuniene, J., Vasiljevaite, D., Laima, S., Chmieliauskas, S., Fomin, D., … & Jasulaitis, A.
(2020). Deontological examination as a criterion for the assessment of personal healthcare
professional quality: A Strobe compliant retrospective study. Medicine, 99(3). Morris, M.,
Mulhall, C., Murphy, P. J., & Eppich, W. J. (2022). Interdisciplinary collaborative working on
surgical ward rounds: reality or rhetoric? A systematic review. Journal of Interprofessional
Care, 1-15.