Scenario

Scenario: Confidentiality

In this episode, you are the head of Information Technology (IT) Services. Dr. Jones pages you to come to his office regarding a rather sensitive matter.  As he was verifying the intranet lab results for his patients, he noticed that one of the patients had a positive Syphilis test.  The patient is a board member of the community health center and is a highly respected member of the community.  He serves on a number of philanthropic boards, sings in the church choir, has a loving family, and contributes large amounts of money and time to the Community Health Center.  You know very little about Syphilis so he/she talks with the CNO.  You learn that Syphilis is a reportable disease in the state (part of the public health law).  This means that the patient’s name must be submitted to the state health department.  The patient will be contacted by the health department and will be asked to provide names of sexual contacts.  Dr. Jones checks with another physician as to how this issue has been handled in the past (perhaps before electronic records); the physician says the best thing to do would be to get the patient to tell the spouse, as the spouse will be contacted by the health department (and it is certainly better to hear this type of news from the spouse as opposed to a stranger). Even after receiving all of this information, Dr. Jones asks you to purge the electronic record of the test results and not submit the name to the state health department.  Dr. Jones bases this request on the physician/patient privilege, confidentiality issues, and even the Hippocratic Oath (telling you that it includes “do no harm” and the doctor knows that this issue will harm the patient’s reputation and possibly his marriage).  

      Your decision: There are many issues to consider in this decision, namely the extent to which physician/patient privilege extends, the ethics of a physician and a hospital breaking the law to protect a donor, the responsibility a physician has to the spirit of the law and protecting a community, and the good of the individual vs. the good of the community.  You will need to consider these issues because they impact the Community Health Center.  Based on the information you gather and the ethical issues you consider, you will tell the physician what you decide, why you made the decision, and how the physician should proceed with his patient.

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Scenario

Labor and Delivery Services:

You are the new manager of the Social Services Department of a small, 18-bed rural hospital within the Bright Road Health Care System. As a member of the ethics committee for the hospital, you have been asked by the CEO and CFO to contribute to an initial discussion about whether to continue having labor and delivery in the hospital. You will speak with Board members and hospital staff members to uncover the hospital, patient, and community impact of such a decision. You will submit their recommendation, along with their rationale, to the committee.

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Scenario

Read Chapter 27 “Managing Patient Expectations Through Informed Consent”. Chapter 27 is attached.

 

  1. Write a paragraph that explains how informed consent can promote patient safety. 

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Scenario

Scenario: Hospital Nightmare

After an incident where a patient developed a life-threatening staph infection following surgery at the hospital, a negligence lawsuit was filed against Bright Road Health System. As the Hospital Administrator, the student will gather information about the incident from the parties involved, and work with Bright Road’s General Counsel to determine the Hospital’s liability. The student will need to consider:

  • Whether a duty to care was established
  • Whether the duty was breached
  • Whether there was an injury
  • Whether the cause of the patient’s injury was due to negligence
  • Whether the concept of respondent superior applies in the case
  • Whether to file an indemnification against any of the staff members involved

The student will then submit an analysis to Bright Road’s General Counsel, with their thoughts regarding the hospital’s liability.

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  • Work through the simulation
  • Answer all the questions.
  • Submit your recommendation.

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Scenario

Prepare a  2-page reflection report that addresses the following questions about each scenario.  Use APA Style, and use one outside resource in addition to the information in your textbook. Your textbook

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