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Patient safety and risk management
Patient safety and risk management
Patient safety and risk management
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Liability means that somebody has a legitimate responsibility that is owed to another person and in businesses liability cases are usually addressed and settled with some form of denomination or compensation. At the point when hospital facilities are involved with liabilities it can be expensive when litigation is framed.
Dealing with a hospital and knowing the dangers involved helps to declines suits and conceivable liabilities. Managers by being compliant and understanding the laws and what is required of the health origination can help limit any further liabilities and declines the possibility of using a lawyer to represent the hospital a law suite.
Minimizing liability. People who has ever been to a hospital or worked at a healing
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center realizes that there are many systems set up to protect individuals. Beginning at the ground level in a healing facilities endeavor to limit liabilities is human resource. Recruit crew at a hospital is critical with regards to limiting risk, background checks are done on all employees and making sure that special employees such as nurses and doctors are properly licensed, are important in starting out the process of minimizing the businesses liability. Human resources is not just around to ensure the best possible individuals are hired, it is also charged accused with addressing workers that are problematic and discovering approaches to address problems that emerge inside the workforce (Leigh and Rachel, 2011). Manage liability is the point at which business is the one to blame and could have prevented the problem in the first place. In a hospital center setting a case of an immediate liability would be if a negligent doctor at a hospital was kept on staff. If the doctor was still employed even after several negligent acts occurred then the hospital would be directly liable for any harm that came to patients because of the negligent doctors continued employment. Preparing and training occasionally to implement that appropriate prerequisites are being met and kept up is another capacity human resources addresses to keep any predictable liabilities for the clinic (Mayer,2011). In case when it was not the mistake of the business and outside factors where to point the finger at it is thought to be indirect liability.
However, if a nurse who gave the wrong medication to a patient and it resulted in an injury to the patient, the patient could seek after legitimate charges against the facility in a negligent tort and the hospital would be indirectly liable because of the employee’s negligent actions. Staff development and education is very important in a hospital. Keeping licenses and education, such as cardio pulmonary resuscitation and continuing education requirements for nurses and doctors helps reduce the chance for errors that may occur, and keeps staff compliant with requirements set up by the occupational safety and health administration and the joint commission. By periodically check and maintain business policies, auditing the work force, and improving on the procedures and daily operations, the hospital can run smoothly and liabilities can remain avoidable (United States Department of …show more content…
Labor,2013). While mishaps do happen there are ventures to keep the liabilities at minimum. Vicarious liability is when an employer and employee have a lawful convention that assigns liability for a injury to a person who did not cause the damage. It is whoever has a particular legal relationship to the person who did the negligent act. The employer did not cause the injury but the employer does have a responsibility over the employee to make sure that actions are followed. In some cases, the principal, who is the employer, can be held liable and in other cases the agent, who is the employee, is held responsible. If a house keeper at a hospital was mopping and did not put a wet floor sign up to make people aware the floor was wet and a patient slipped the act was not intentional and specific actions where not followed by the employee that the employer had put in place. The hospital is the entity that is legally responsible even though it was the house keeper who did not follow the rules and caused the harm (Mayer,2011). A person is always liable for his or her own torts “unless the person is insane, involuntarily intoxicated, or acting under extreme duress” (Mayer .p 772, 2011).
Criminal acts are done by people who may have a clear idea of what is morally right or wrong but still commit the act. Principal criminal liability is when an employer will not be held liable for an agent’s unauthorized criminal acts if the crimes are those requiring specific intent. Even if a principal is held vicariously liable and must pay damages to an injured third person it does not excuse the agent who actually committed the tortious acts. Moreover, If a nurse takes medication from a patient and gives the medication to another patient because the hospital was out of the said medication, then this would be considered a principal criminal liability (Mayer,2011).
Hospitals facilities should make every effort to have minimum liabilities. Hospital should have liability insurance for all the unexpected and expected claims that may arise in the business. Hospital obligation is exorbitant and takes time, employee moral. Moreover, those liability it could hurt the reputation of the hospital. All of these can be detrimental to a hospital and like many businesses a hospital is not immune from being shut down. Steps are taken and money is spent on managing risks and quality control to prevent legal matters from going to
court.
The Hospitals medical staff including on call- physician and their designees should be made aware of Hospital bylaws or policies and procedures.
The hospital under vicarious liability is based on Respondeat Superior (let the master answer) for the negligence actions of its contractors/employees. This is the responsibility of physicians for negligent actions of hospital employees ranging from nurses to x-ray techs. Through Corporate Liability the hospital itself is liable for the negligent actions of its workers.
“One of those obligations is that it must exercise a proper degree of care for its patients, and, to the extent that it fails in that care, it should be liable in damages as any other commercial firm would be
Vicarious liability assigns liability for an injury to a person who did not cause the injury but who has a particular relationship to the person who did
Vicarious liability is a common law concept that refers to the liability that arises when one party, such as an employer, is legally liable for the acts or omissions of another party, such as an employee. This is because employers have a duty to take reasonable care for the safety of their employees and those of others who come into contact with them and their business. Does vicarious liability expose businesses to too much liability? In the case study 4.1 (Tardif v. Wiebe), we learned that vicarious liability does not always applied on employers for employee’s wrongdoings.
...estions if not 100% sure of something or use a double checking system. When a nurse is administrating medication, they should use the ten rights of medication administration (right patient, right drug, right route, right time, right dose, right documentation, right action, right form, right response, and right to refuse). Nurses should always keep good hand hygiene and always wear appropriate clothing to prevent from the spread of disease. Good communication with patients and healthcare team members is also key to success. Keeping on the eye on the patient within an appropriate time is important. If the patient ever seems to be looking different than their usual self vitals should be taken immediately. Encouraging patients to ask questions if they are unaware of something can prevent errors as well. Nurses should make sure the patient is on the same page as they are.
4). Examples of how nurses can integrate this competency include; using current practice guidelines and researching into hospital’s policies (Jurado, 2015). According to Sherwood & Zomorodi (2014) nurses should use current evidence based standards when providing care to patients. Nurse B violated one of the rights of medication administration. South Florida State Hospital does not use ID wristbands; instead they use a picture of the patient in the medication cup. Nurse B did not ask the patient to confirm his name in order to verify this information with the picture in the computer. By omitting this step in the process of medication administration, nurse B put the patient at risk of a medication error, which could have caused a negative patient
Medical malpractice lawsuits are an extremely serious topic and have affected numerous patients, doctors, and hospitals across the country. Medical malpractice is defined as “improper, unskilled or negligent treatment of a patient by a physician, dentist, nurse, pharmacist, or other health care professional” (Medical malpractice, n.d.). If a doctor acts negligent and causes harm to a patient, malpractice lawsuits arise. Negligence is the concept of the liability concerning claims of medical malpractice, making this type of litigation part of tort law. Tort law provides that one person may litigate negligence to recover damages for personal injury. Negligence laws are designed to deter careless behavior and also to compensate victims for any negligence.
Module two deals with external influences in healthcare administration and the conflicts that may cause lack of growth in the organization. External influences can range from society, stakeholders, staff, and patients. Health administrators should be in agreement with staff and physicians to maintain proper ethics and safety for everyone. Society has a big influence of healthcare organizations with spending their money towards health insurance, medication, treatment services and exams. As long the healthcare organization has a well reputation built on trust, then consumers will spend on that healthcare organization. The stakeholders that take part in external influences on ethics are the vendors, technology specialists, maintenance, insurance
...is causes injury or not is an example of unsafe practice. This act could also be categorized as careless or repetitive conducts that puts a patient in danger. Drug diversion is a type of drug dealing, nurses have access to many drugs and it is a part of the nurses’ responsibility to ensure those drugs go where they should, precisely document and closely supervised. Criminal conduct can happen in the work place or on personal time. If a nurse is convicted of a crime, such as Driving While Intoxicated, it could affect their ability to practice nursing. It is out of a RNs legal scope of practice to medically diagnose any patient, order a medical treatment or conduct a medical treatment that has not been ordered by a physician. It is the nurse’s duty to their patient’s to exhibit sound clinical judgment, with in their scope of practice to ensure patient safety.
The nursing profession is a profession where people put their trust in you to provide care that is not only effective, ethical, and moral, but safe. Not all health situations are simple or by the book. Not all hospitals have the same nurse-patient ratios, equipment, supplies, or support available, but all nurses have “the professional obligation to raise concerns regarding any patient assignment that puts patients or themselves at risk for harm” (ANA, 2009). When arriving at work for a shift, nurses must ensure that the assignment is safe for not only the patients, but also for themselves. There are times when this is not the situation. In these cases, the nurse has the right to invoke Safe Harbor, because according the ANA, nurses also “have the professional right to accept, reject or object in writing to any patient assignment that puts patient or themselves at serious risk for harm” (ANA, 2009).
Liability for negligence is a civil matter. In liability negligence, the victim has to be able to prove that the defendant has legal obligations, and the obligations was breached, and that they have received foreseeable harm as a consequence of the negligence alleged. If the victim can prove that there was a breach of a legal obligation then he/she will be awarded damages based on the basis of the harm caused or loss sustained.
Negligence, as defined in Pearson’s Business Law in Canada, is an unintentional careless act or omission that causes injury to another. Negligence consists of four parts, of which the plaintiff has to prove to be able to have a successful lawsuit and potentially obtain compensation. First there is a duty of care: Who is one responsible for? Secondly there is breach of standard of care: What did the defendant do that was careless? Thirdly there is causation: Did the alleged careless act actually cause the harm? Fourthly there is damage: Did the plaintiff suffer a compensable type of harm as a result of the alleged negligent act? Therefore, the cause of action for Helen Happy’s lawsuit will be negligence, and she will be suing the warden of the Peace River Correctional Centre, attributable to vicarious liability. As well as, there will be a partial defense (shared blame) between the warden and the two employees, Ike Inkster and Melvin Melrose; whom where driving the standard Correction’s van.
Safety is focused on reducing the chance of harm to staff and patients. The 2016 National Patient Safety Goals for Hospitals includes criteria such as using two forms of identification when caring for a patient to ensure the right patient is being treated, proper hand washing techniques to prevent nosocomial infections and reporting critical information promptly (Joint Commission, 2015). It is important that nurses follow standards and protocols intending to patients to decrease adverse
Chapter 19. p413. John G.Fleming [4] P419. Textbook on Torts 8th edition. Michael A.Jones [5] Vicarious Liability for Employers. Andrew Scott-Howman.