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Patient safety versus risk management at hospital
Patient safety versus risk management at hospital
Introduction to risk management plan in healthcare
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Darling v. Charleston Community Memorial Hospital Background. Dorrence Darling II, at eighteen years old student who broke his right leg playing college football. Darling II was taken to the emergency room at Charleston Community Memorial Hospital for medical attention and treatment. Charleston Community Memeorial Hospital was a “rural, fifty-bed hospital in downstate Illinois” (Weit, p.399). Dr. John R. Alexander, the emergency room physician, treated Dorrence by applying traction and placing his leg in a cast. Shortly after the cast dried, “Dorrence began experiencing pain in his toes, which became swollen and discolored and later cold and insensitive. On several occasions thereafter, Alexander made slight modifications to the cast including notching it around Dorrence’s toes and then splitting the sides with a saw, cutting his leg in the process” (Darling v. Charleston Community Memorial Hosp. Case Brief, n.d.). The assisting nurses failed to perform their job and follow hospital procedures by monitoring Dorrence for changes in the color, temperature, and movement of his toes, as well as circulation rotation, and reporting any changes to …show more content…
The overall issue of this case was to determine if a hospital could be liable for the negligence of its staff. Charleston Community Memorial Hospital indeed breached the standard of care. After the ruling, the court of appeals confirmed this judgment, and the Supreme Court of Illinois granted review on the issue to determine whether or not a hospital could be held liable for the negligence of its staff, which was affirmed. A person goes to a hospital or medical entity for treatment and expects to be treated. In this case, the negligence of the doctor’s procedures and the lack of follow-up care of the nurses resulted in negligence of care by hospital staff. The evidence and basis of this case proved to be an “open and shut case” due to the loss of a man’s leg for the lack of sufficient and adequate
Adae Cynthia’s husband telephoned Dr. Avera about Cynthia’s hospitalization and relayed that she was suffering from continuing pain. Upon Dr. Avera's recommendation that he should transport his wife to the Middletown Regional Hospital emergency room, where Cynthia was seen by Tao Nguyen, M.D. They started by giving Cynthia a CT scan of her chest and head, which ended up being negative result for pulmonary embolism but it did reveal a sinus infection. Dr. Nguyen requested copies of her medical records from Clinton memorial hospital but Clinton’s record department was closed for the weekend. Dr. Nguyen discussed Cynthia’s case with Dr. Avera and instructed her to follow up with Dr. Avera on Monday, July 3. She was discharged with a prescription for pain medication. On the same day laboratory reported to a resident on duty that Cynthia’s blood cultures were showing gram positive cocci in clusters. The next day the laboratory reported to Dr.Pesante the Cynthia’s blood cultures were positive for staphylococcus aureus. Neither the resident on duty nor Dr. Pesante contacted Dr. Bain or the attending physician on-call about Cynthia’s blood culture results. The trial court found it unclear whether any Clinton memorial hospital employee attempted to contact appellees or Dr. Avera. Dr. Avera said if he would have learned of the positive blood culture she would have admitted her immediately to hospital and would have empirically started her on antibiotics and then
Facts: A minor and his mother filed suit for damages against Tri-County Orthopedic physicians for false diagnose and filling a child abuse reports. The Michigan Court of Appeals rule that child abuse reporting statue provides immunity to persons who file the child abuse was report in good faith even if the reports were a negligent diagnosis which was cause of the child bone fractures. The court also appealed that damage of shame and humiliation was not recoverable to Michigan statute. Immunity from liability did not extend for damages of malpractice which has been the result from the failure to diagnose the child disease.
On the 11th of June, 1982 following the conviction of a criminal offense, Robert Johnson was sentenced to two years probation. The terms of his probation included his person, posessions, and residence being searched upon reasonable request. When a search warrant was executed for Johnson’s roommate, officers testified that with enough reasonable suspicion, they were able to search Johnson’s living area as well.
Carlton, a 6-year-old boy, was playing on a sandy beach with his mother. He began to run along the shoreline when he stepped on the sharp edge of a shell, giving himself a deep cut on his foot. His mother washed his foot in the lake and put on his running shoe to take him home. One day later, Carlton’s foot looked worse. The gash was red and painful. The foot was warm to touch and appeared swollen. Carlton’s mom put some gauze over the wound and prepared to take him to the local community health clinic.
In a Georgia Court, Timothy Foster was convicted of capital murder and penalized to death. During his trial, the State Court use peremptory challenges to strike all four black prospective jurors qualified to serve on the Jury. However, Foster argued that the use of these strikes was racially motivated, in violation of Batson v. Kentucky, 476 U. S.79. That led his claim to be rejected by the trial court, and the Georgia Supreme Court affirmed. The state courts rejected relief, and the Foster’s Batson claim had been adjudicated on direct appeal. Finally, his Batson claim had been failed by the court because it failed to show “any change in the facts sufficient to overcome”.
A summary of the case details (provide the circumstances surrounding the case, who, what, when, how)
The applicant Mr. Arthur Hutchinson was born in 1941. In October 1983, he broke into a house, murdered a man, his wife and their adult son. Then he repeatedly raped their 18-year old daughter, having first dragged her past her father’s body. After several weeks, he was arrested by the police and chargedwith the offences. During the trial he refused to accept the offence and pleaded for innocence. He denied accepting the killings and sex with the younger daughter.
Legal Case Brief: Bland v. Roberts (4th Cir. 2013). Olivia Johnson JOUR/SPCH 3060 April 1, 2014. Bland v. Roberts, No. 12-1671, Order & Opinion (4th Cir., Sept. 18, 2013), available at:http://www.ca4.uscourts.gov/Opinions/Published/121671.pdf (last visited Apr. 4, 2014). Nature of the Case: First Amendment lawsuit on appeal from the U.S. District Court for the Eastern District of Virginia, at Newport News, seeking compensation for lost front/back pay or reinstatement of former positions. Facts: Sheriff B.J. Roberts ran for reelection against opponent, Jim Adams, in 2009.
Tommy Clement “Tommy” Douglas was born in Falkirk, Scotland on the 20 ͭ ͪ of October, 1904. In 1910, Tommy Douglas immigrated to Canada with his family. Shortly before he left Scotland, he fell and subsequently contracted osteomyelitis, a type of bone infection. His family was too poor to afford the expensive operations that he had to undergo to cure his leg. Miraculously, the doctor that the Douglas family hired offered to operate on him for free as long as they would allow the doctor’s students to observe the operation. The Douglas family accepted the offer. The doctor performed a series of operations that would save his leg, but an unfortunate side effect might make it so that he would never bend his leg again. To great surprise, Tommy was able to bend the leg right after the operation with the cry of, “I can bend my leg!” That leg served him well for 30 years to come. Nine years later, Tommy started an amateur career in boxing. Three years later, at the age of 18, Tommy fought his way to the title of “Lightweight Champion of Manitoba.” He managed to defend his title for one more year, 1923. This also helped him finance his future college or university education.
The Tennessee v. Garner case impacted law enforcement agencies today by utilizing the Fourth Amendment right of not using deadly force to prevent a suspect from fleeing unless the officer is in imminent danger of their life. Consequently, before this was set into place, an officer had the right to use deadly force on a fleeing suspect by all means.” The first time the Court dealt with the use of force was in Tennessee v. Garner, in Garner, a police officer used deadly force despite being "reasonably sure" that the suspect was an unarmed teenager "of slight build" who was running away from him” (Gross,2016). Whereas, with Graham v. Conner case was surrounded around excessive force which also has an impact on law enforcement agencies in today’s society as well. “All claims that law enforcement officers have used excessive force deadly or not in the course of an arrest, investigatory stop, or other “seizure” of s free citizen should be analyzed under the Fourth Amendment and its “reasonableness” standard” (Doerner,2016).
Learning from what Dr. Anna Pou had to face with the lawsuits she was dealing with makes me cringe. As Healthcare professionals, having to worry of possibly being sued for believing what is right for the patient or as a whole for the hospitals health is ridiculous. Healthcare professionals like Dr. Pou, have taken the Hippocratic oath, and one of the promises made within that oath is “first, do no harm”. Often time’s society look at courts cases as a battle versus two oppositions, but Dr. Pou’s case it is not. In her statements from national television she states saying her role was to ‘‘help’’ patients ‘‘through their pain,’’.
The Lewis Blackman Case: Ethics, Law, and Implications for the Future Medical errors in decision making that result in harm or death are tragic and costly to the families affected. There are also negative impacts to the medical providers and the associated institutions (Wu, 2000). Patient safety is a cornerstone of higher-quality health care and nurses serve as a communication link in all settings which is critical in surveillance and coordination to reduce adverse outcomes (Mitchell, 2008). The Lewis Blackman Case 1 of 1 point accrued
Who would you trust with your life? In the case of the Cruzan vs Missouri Department of Health the question comes into play, do parents have the ability to choose between life and death circumstances for their child? In Missouri on Jan. 11, 1983, as Nancy Beth drove home from her job at a cheese factory in Carthage, Mo. On that day she was in a really bad automobile accident. She had been in what doctors described as an beyond repair vegetative state. Her car tipped over and she had got ejected from the car, she was found in the ditch by paramedics and they tried to save her heart for fifteen minutes. Luckily people got there in time, but was it really in time to save her life. She was found face down in a ditch, and paramedics restarted her heart. But because she had stopped breathing for about 15 minutes, she suffered severe brain damage. The car accident was so bad it left her in a vegetative state and Missouri state hospital claimed she was brain dead. She was kept alive by machines, a feeding tube, and a respirator. The
Ohio Dep’t of Rehabilitation & Correction are the poor-quality patient care that Tomcik received and Tomcik’s health being at risk. Once engaged in a doctor-patient relationship, physicians are obligated to provide the best possible care for the patient by utilizing their skills and knowledge as expected from a competent physician under the same or similar conditions (“What Is a Doctor’s Duty of Care?” n.d.). However, in Tomcik’s situation, Dr. Evans did not deliver high-quality care, for he administered a perfunctory breast examination and thus did not follow standard protocols. There is evidence of indifference conveyed by Dr. Evans, and the lack of proper care towards Tomcik is an issue that can be scrutinized and judged appropriately. Additionally, Tomcik’s health was at risk due to the failure of a proper physical evaluation and the incredibly long delay in diagnosis and treatment. The negligence from Dr. Evans, along with the lack of medical attention sought out by Tomcik after she had first discovered the lump in her breast, may contribute to Tomcik’s life being in danger as well as the emotional anguish she may have felt during that time period. Overall, the incident of Tomcik’s expectations from the original physician and other employees at the institution not being met is an ethical issue that should be dealt with
The purpose of this case study is to investigate and bring new insight to situations and behaviors within an organization. Case studies are learning tools which utilize social science research to identify and resolve individual and organizational challenges (K. Mariama-Arthur Esq., 2015).