IHP 315 4-2 Final Project Milestone Two Disclosure
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School
Southern New Hampshire University *
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Course
315
Subject
Medicine
Date
Apr 3, 2024
Type
Pages
4
Uploaded by siobhanmorris7
Siobhan Morris Southern New Hampshire University IHP 315
Disclosure: Details The family of Paul, a twenty-year-old man, needs to be informed of what happened during his visit at the ER. Paul developed a right-sided pneumothorax during his time playing soccer, and he was transported due to shortness of breath. During the visit, the physician determined through an examination and chest x-ray that Paul had pneumothorax. The physician ordered a chest-tube to be inserted into his lungs to relieve pressure. However, no consent form was signed from the patient, and it was later found that the chest tube had been inserted into the wrong side of the lungs. To fix this mistake, Paul needed to be transported to an operating room but, unfortunately, there were no available rooms. A transfer to a different hospital was written and due to miscommunication, the order went unnoticed, and Paul did not get transferred. The unit secretary saw the transfer order and it was brought to the nurse's attention. When she went to evaluate Paul, she found that he had sadly deceased. Disclosure: Method and Preparation Each medical staff member should have written an incident report of the events that occurred in which they were involved in. The de
ath of the family’s son can be very traumatic and emotional, so it is important for the staff to tread lightly when disclosing the events that occurred. A representative should be present in case the family wants to take legal action, along with the physician and supervisor on duty of the incident. The physician should disclose the information, and explain each step taken during the visit. Disclosure: Reporting
Not only is it a legal duty for health care providers to disclose any harmful care to patients but, it is also ethical and professional. The purpose of showing information is to explain the events that took place along with an outcome for the provider and patient. The Joint Commission adopted a policy called the Sentinel Event Policy, which is set to aid healthcare experiences to improve safety precautions and learn from past mistakes. Serious events which result in death require an immediate investigation. Some of the benefits in self-reporting are, “Reporting raises the level of transparency in the organization and promotes a culture of safety, and reporting conveys the health care organization’s message to the public that it is doing everything possible, proactively, to prevent similar patient safety events in the future”
(The Joint Commission, n.d). By reporting errors to the agencies, such as the placement of the chest tube, communication, and not having consent, this will help with not having these errors happen again.
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Sentinel event policy and procedures
. The Joint Commission. (n.d.). https://www.jointcommission.org/resources/sentinel-event/sentinel-event-policy-and-procedures/