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When doctors make mistakes
When doctors make mistakes
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Any patient harmed by the provision of a healthcare service is informed of the fact and an appropriate remedy offered, regardless of whether a complaint has been made or question asked about it. This is how the term “candour” is defined by Robert Francis in his report (1). GMC defines the professional duty of candour as openness and honesty when things go wrong (2). This is applicable not only to patients but also to colleagues, employers and regulators. In a profession as stressful as medicine where doctors and other healthcare professionals are entrusted with the provision of care to people, it is vital for the care givers to be completely honest with their patients, especially when things wrong. It is not an easy task and doctors hesitate to do so due to a number of reasons such as the fact that doctors see themselves as solely benevolent and do not appreciate that they may be sources …show more content…
It is true that as medical students we may never have to make decisions regarding the treatment plan of patients and that we will always be supervised when carrying out procedures. The chances of inflicting harm on patients is quite slim as a result of this but in the rare cases that it happens we should abide the duty of candour and inform our supervisors immediately. Since the role of a medical student is quite trivial in a multi disciplinary it is often the responsibility of the team leader to inform the patient of the error (4). When working in groups in medical school if we make a mistake or fail to do something that was expected of us to do we must not hesitate to own up to it. These are the situations in which we can develop the quality of candour before walking in to clinics and hospitals as
One of the most complex, ever-changing careers is the medical field. Physicians are not only faced with medical challenges, but also with ethical ones. In “Respect for Patients, Physicians, and the Truth”, by Susan Cullen and Margaret Klein, they discuss to great extent the complicated dilemmas physicians encounter during their practice. In their publication, Cullen and Klein discuss the pros and cons of disclosing the medical diagnosis (identifying the nature or cause of the disease), and the prognosis (the end result after treating the condition). But this subject is not easily regulated nor are there guidelines to follow. One example that clearly illustrates the ambiguity of the subject is when a patient is diagnosed with a serious, life-threatening
Nurses are central to patient care and patient safety in hospitals. Their ability to speak up and be heard greatly impacts their own work satisfaction and patient outcomes. Open communication should have been encouraged within the healthcare team caring for Tyrell. Open communication cultures lead to better patient care, improved outcomes, and better staff satisfaction (Okuyama, 2014). Promoting autonomy for all members of the healthcare team, including the patient and his parents, may have caused the outcome to have been completely different. A focus on what is best for the patient rather than on risks clinicians may face when speaking up about potential patient harm is needed to achieve safe care in everyday clinical practice (Okuyama,
The Advisory Board Company claims, “A recent review of clinical trials reveals that a doctor's bedside manner can greatly impact patients' health, aiding their efforts to lose weight, lower their blood pressure, or manage painful symptoms.” When doctors are treating patients poorly, it will cause anxiety and stress, which in turn causes physical health problems. Harm is not only caused by the manner in which a doctor treats their patient, but also by the way a doctor is treating other medical professional. Arrogant doctors can get so caught up with pride that they completely disregard the advice of other people in the medical field. That pride causes mistakes, which can severely harm patients. To put it simply, better bedside manner equals better patient health. In fact, “Some communication techniques have proven to make people feel better and help them heal faster.” ("Study: Physicians' Bedside Manner Affects Patients'
Hospital medical errors can involve medicines (e.g., wrong drug, wrong dose, bad combination), an inaccurate or incomplete diagnosis, equipment malfunction, surgical mistakes, or laboratory errors. High medical error rates with serious consequences occurs in intensive care units, operating rooms, and emergency departments; but, serious errors that harmed patients may have prevented or minimized. Understand the nature of the error
Providers must act in the best interest of the patient and their basic obligation is to do no harm and work for the public’s wellbeing. A physician shall always keep in mind the obligation of preserving human life. Providers must communicate full, accurate and unbiased information so patients can make informed decisions about their health care. As a result of their recommendations, providers are responsible for generating costs in health care but do not generate the need for those expenses. Every hospital has both an ethical as well as a legal responsibility to provide care, even if the care may be uncompensated.
In “Should Doctors Tell the Truth?” Joseph Collins argues for paternalistic deception, declaring that it is permissible for physicians to deceive their patients when it is in their best interests. Collins considers his argument from a “pragmatic” standpoint, rather than a moral one, and uses his experience with the sick to justify paternalistic deception. Collins argues that in his years of practicing, he has encountered four types of patients who want to know the truth: those that want to know so they know how much time they have left, those who do not want to know and may suffer if told the truth, those who are incapable of hearing the truth, and those who do not have a serious diagnosis (605). Collins follows with the assertion that the more serious the condition is, the less likely the patient is to seek information about their health (606).
Truth in medicine is a big discussion among many medical professionals about how doctors handle the truth. Truth to a patient can be presented in many ways and different doctors have different ways of handling it. Many often believe that patient’s being fully aware of their health; such as a bad diagnosis, could lead to depression compared to not knowing the diagnosis. In today’s society doctor’s are expected to deliver patient’s the whole truth in order for patients to actively make their own health decisions. Shelly K. Schwartz discusses the truth in her essay, Is It Ever Ok to Lie to Patients?. Schwartz argument is that patients should be told the truth about their health and presented and addressed in a way most comfortable to the patient.
Bouville (2008) describes whistleblowing as an act for an employee of revealing what he believes to be unethical or described as an illegal behaviour to a higher management (internal whistleblowing) or to an external authority or the public (external whistleblowing). Whistle-blowers are often seen as traitors to an organisation as they are considered to have violated the loyalty terms of that organisation while some are described as heroes that defend the values and ethics of humanity rather than loyalty to their company. In the medical community, it is the duty of a practitioner aware of patient care being threatened to make it known to those in charge and for those in charge to address the issues and act on it. The General Medical Council (GMC) stipulated this act of raising concern as a doctor’s duty in its Good medical practice guide. This paper will be based on the analysis of the experience of whistle blowers, reasons why they chose or chose not to take such actions and personal opinions on whistleblowing in the medical community.
During the “Who’s who”, we were briefed about a Mrs X, who had sustained serious burns and scaring to her face, arms and hands as a result of an accident with cooking oil. The “Who” checklist, is carried out before every patient list, as per Local Policy (2012). All theatre staff are introduced and the surgeon briefly discusses each case and make known his requirements. (Mrs X, would require a skin graft to her shoulder). Everybody is given the opportunity to voice any concerns. Mitchell (2005) draws attention to how essential, effective communication is, to the quality and efficiency of patient care within the NHS. Also, various authors, including Berry (2007) and Bury (2005) explain how communication skills are used by practitioners to: gather information, reassure,...
It is quite obvious that morals, ethics and common courtesy are not enough to encourage the respect of patients in the educational atmosphere, as is seen in the story. I believe it is the responsibility of the medical school to encourage their teachers to demonstrate ways to connect with patients rather than just teaching the anatomy of health care. Teachers are supposed to be role models for students and if they are not taught to treat patients with respect, the only way they can learn that kind of skill is the hard way; through the loss of patients because of their feelings of irrelevancy at the doctor’s office, or through the complaints of people who are unsatisfied with their quality of health care.
In the provision of a high quality care, many factors influence the way it is provided; however, IC is crucial. A healthy work environment would result from open communication among the staff, it would increase the employees and patients’ level of satisfaction and sense of well-being. Good communication is the cornerstone for the IC, it is a complex process which requires to develop some skills to learn how to transmit some information. One of the most common factors leading to medical errors, are due to miscommunication, sometimes because the message is not clearly sent, and others because it is not clearly received or it is misunderstood (Danna, 2015). In terms of communication non-verbal communication must be taken into consideration as well; body language, facial expressions, use of space, and touch, entail conscious or unconscious movements and gestures, also impacts the communication among the staff and
However, we are looking at a case study where patients safety has been compromised, professionalism has been voided, lack of communication, nurses aren’t liable for their work, the duty of care has been breached and lot more issues can be discovered. Which will be incorporated in this paper. Looking at the patient Christopher Hammett
Most medical errors come from human errors. Before defining medical error, we should have a good understanding of human error. As a human in our everyday life we are prone to make mistakes such as using ointment...
When professionals in the health sector are compliant to the standards and ethics of practice, then accidents in the sector and any activities that undermine patient safety are bound to be addressed. In particular, whistleblowers in the sector should also be protected to improve service delivery in the health sector.
Patient confidentiality is one of the foundations to the medical practice. Patients arrive at hospitals seeking treatment believing that all personal information will remain between themselves and the medical staff. In order to assure patients privacy, confidentiality policies were established. However, a confidentiality policy may be broken only in the case the medical staff believes that the patient is a danger to themselves or to others in society. Thesis Statement: The ethics underlying patient confidentiality is periodically questioned in our society due to circumstances that abruptly occur leaving health professionals to decide between right and wrong.