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Patient autonomy and criminal law
Published in Paweł Daniluk, Patient Autonomy and Criminal Law, 2023
There are two reasons why these culpable offences are relevant in the field of healthcare. First, if the healthcare professional does not behave in accordance with the rules of good practice and medical science, he or she may easily be blamed for negligence or inattentiveness. Medical errors with serious consequences, which are often committed unintentionally, can lead to criminal liability on the basis of these offences.
Simulations-Based Care Delivery
Published in Connie White Delaney, Charlotte A. Weaver, Joyce Sensmeier, Lisiane Pruinelli, Patrick Weber, Nursing and Informatics for the 21st Century – Embracing a Digital World, 3rd Edition, Book 3, 2022
Cynthia Sherraden Bradley, Joanne Donnelly, Nellie Munn Swanson
The return on investment for simulation is difficult to quantify with traditional financial tools. The direct benefits of simulation on patient experience may be difficult to measure, and not all benefits of improved care quality may be monetized (Asche, 2018). However, the cost of a medical error occurring among individuals, healthcare organizations, systems and society is substantial. Medication error-related adverse events alone may result in significantly increased healthcare costs, ranging from US$ 11,000 to US$ 17,000 per patient (Hebbar et al., 2018).
Medicolegal considerations
Published in Hung N. Winn, Frank A. Chervenak, Roberto Romero, Clinical Maternal-Fetal Medicine Online, 2021
Practicing the principles of patient safety minimizes medical errors. Open and extensive communication among caregivers is paramount to this process. It builds trust and respect through such endeavors as team training, structured sign outs, team huddles that anticipate problems, mock drills, and clinical simulations. Significant improvements in the management and outcomes of obstetric emergencies such as shoulder dystocia and hemorrhage have been reported. The concept of full disclosure to patients following adverse outcomes has also been shown to reduce the risk of malpractice claims. Physicians who demonstrate compassion by being available to discuss, answer questions, and importantly apologize as appropriate are less apt to be the target of claims. Still some physicians appear to be prone to lawsuits.
Behavioral Assessment in Virtual Reality: An Evaluation of Multi-User Simulations in Healthcare Education
Published in Journal of Organizational Behavior Management, 2023
Steven J. Anbro, Ramona A. Houmanfar, Julie Thomas, Kim Baxter, Frederick C. Harris, Laura H. Crosswell
A major challenge facing the United States’ healthcare industry is medical error. Medical error is defined as any “preventable adverse effect of medical care, whether or not it is evident or harmful to the patient” (Carver et al., 2021). The prevalence of medical error is an ongoing challenge requiring innovative solutions. Initial estimates generated by the Institute of Medicine (1999) ranged from 44,000–98,000 annual American fatalities attributed to medical error. Recent estimates have suggested this problem’s escalation. James (2013) reviewed studies published between 2008–2011, concluding the number of preventable American deaths attributable to medical error had risen to 210,000–400,000+ annually. This increasing trend has led to medical error’s ranking as the third highest, annually recurring cause of death in the United States (Makary & Daniel, 2016; Tabibzadeh & Patel, 2020), following heart disease (n = 611,000) and cancer (n = 585,000).
The effect of personal protective equipment use on nurses’ tendencies to make medical errors and types of their medical errors: a cross-sectional study
Published in International Journal of Occupational Safety and Ergonomics, 2023
Cennet Çiriş Yildiz, Dilek Yildirim, Kardelen Günay
Information on the types and prevalence of medical errors made while providing nursing care in the last year is presented in Table 2. The most commonly encountered medical errors in the hospital where the nurses were working were, respectively, needle/scissor injuries, hospital infections, bedsores, fatal or damaging falls, infusion pump errors, confusing acronyms/abbreviations for drug and procedure names, and wrong-dose drug administration (Table 2). As a result of the χ2 analysis carried out to detect whether the types of medical errors examined in the study differed based on the types of PPE used by the participants, it was determined that the relationship between the type of PPE used and making the mistake of applying the wrong dose of medication was significant (p < 0.05), and there was no statistically significant difference in terms of the other error types (p > 0.05) (Table 3).
Exploration of students’ reaction in medical error events and the impact of personalized training on the speaking-up behavior in medical error events
Published in Medical Teacher, 2023
Yi-Chun Chen, S. Barry Issenberg, Yu-Jui Chiu, Hui-Wen Chen, Zachary Issenberg, Yi-No Kang, Che-Wei Lin, Jen-Chieh Wu
Patients harmed by medical error is a critical issue in healthcare (Makary and Daniel 2016). Speaking up about a possible medical error in a timely and adequate manner is an effective intervention that can prevent patients from harm (Belyansky et al. 2011; Kolbe et al. 2012). In instances when a healthcare provider is hesitant to speak up or is inadequately assertive in their communication, a patient’s safety could be compromised by medical error (Rabøl et al. 2011). According to a national survey conducted in United States, about 75% healthcare providers were concerned about possible errors made by their peers, but only 16% of them had spoken with peers to share their concerns (Maxfield et al. 2005). This situation also appears in Asia; an annual survey conducted by Joint Commission of Taiwan indicated that healthcare providers have concerns about speaking up to prevent or report medical error events (Joint commission of Taiwan 2019, 2020). These results indicated that it is crucial to develop and change healthcare providers’ behavior to speak up in the event of medical error to improve patient safety (O’Donovan and McAuliffe 2020).