Preview

Aspirin Case

Good Essays
Open Document
Open Document
658 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Aspirin Case
1. A physician forgets to tell a patient about the risk of combining a prescribed drug with aspirin and the patient takes two aspirin for a headache:

In this scenario the extend of liability depends on the drug being prescribed, if the drug is dispensing in generic form with no warnings, then the physician could be considered liable, however it is still possible to make the argument that the patient would have been proactive about potential contraindications, and consult the dispensing pharmacy. If the drug comes in a package with an insert clearly stating contraindications, the fault should come to the patient for not following due diligence and reading the package insert.

a. The patient has a nasty spell of vomiting for an hour or so
…show more content…
b. The patient experiences intestinal bleeding and visits an ED for care (the cost is $2200) which is covered by the patient's insurance.
Since insurance has covered the procedure, there is no cost liability, depending on the severity of the bleeding, and the specific circumstance where the information was omitted by the physician, then the patient might have a claim for pain and suffering.

c. The patient experiences intestinal bleeding and visits an ED for care (the cost is $2200) and the patient is uninsured.
Since insurance has not covered the procedure, there is cost liability, depending on the severity of the bleeding, and the specific circumstance where the information was omitted by the physician, then the patient might have a claim for medical payments in addition to pain and suffering.

d. The patient experiences intestinal bleeding and has a significant chronic disease. The combined effects of the bleeding and the disease permanently disable the patient, so he can no longer work.
Due to the disabling nature of the injure there is a potential case for malpractice based on tor
…show more content…
It last on the intricacies of tor law to allow the injured party to proof that the defendant was negligent. These scenarios fail to indicate additional information required to determine whether the provider was at fault (Emanuel, 1997). For examples is standard to ask patients each visit about which prescriptions and over the counter medications they use on a regular basis. If the patient failed to list aspirin in this screening, then it will be very difficult to determine that the provider was negligent, if the opposite is true then, scenarios C to E might have grounds for a malpractice lawsuit. For Scenarios D and E the IATROGENIC nature of the complications is not clear, was the disease caused directly from the drug interactions, or was this due to a nosocomial infection, in the latter case liability falling to the hospital and not the initial provider (Krishnan and Kasthuri,

You May Also Find These Documents Helpful

  • Powerful Essays

    After the initial consultation, about 40 percent of the patients decided to avoid surgery and try other methods for weight loss. The patients who opted for surgery spent another 10 minutes with the surgeon as he requested a set of tests (e.g., blood, psychological, endocrine, cardiology, and radiology). Next, the patient returned to the receptionist and arranged for an appointment for the tests. Setting up the second appointment took about five minutes. When the patient returned for the second appointment, he went to one of the two outpatient rooms where the care nurse performed the tests. The entire battery of tests required about 60 minutes per patient. Test results were typically available within two days. During this time, the patient also decided whether he would pay in cash and immediately schedule an operation date, or apply to his insurance company for reimbursement and schedule an appointment after the company gave its approval. Those patients who opted to pay by cash called the receptionist and scheduled a pre-surgery visit with a surgeon. Arranging these appointments took five minutes. If the patient wanted insurance reimbursement, the process took much longer. A surgeon had to spend about 20 minutes preparing a letter explaining why the gastric surgery was a medical necessity and then send it to the insurance company to get approval. About half the cases were approved within three weeks. For the remaining 50 percent, the insurance company asked for additional tests and records. This response also took about three weeks. Those patients then had to schedule another visit with a surgeon and undertake the additional tests. The call for the appointment (to the receptionist) took about five minutes; the visit with the surgeon took about 15 minutes; and the additional tests, handled by a care nurse, took about 30 minutes. The results of the additional tests were available within two days and were sent to the…

    • 4586 Words
    • 19 Pages
    Powerful Essays
  • Good Essays

    Bsbwor504 Final Project

    • 887 Words
    • 4 Pages

    | | |If Patient doesn’t have Insurance Policy, then he must pay either in cash or credit/debit cards |…

    • 887 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    INDICATIONS: The patient is an 87 year-old male admitted with hematochezia associated with over anticoagulation. The patient has history of fecal incontinence after surgery for anorectal fistula. His hematocrit has remained around 34%-35%. No further bleeding since admission has been identified.…

    • 604 Words
    • 3 Pages
    Powerful Essays
  • Better Essays

    B) was brought into the emergency room for pain to left leg and left hip. The injury occurred when the patient had a fall due to him losing his balance after tripping over his dog. The hospital is a 60 bed rural hospital located in Mr. B’s hometown. Mr. B was brought in by his son and neighbor. Upon triage Mr. B was complaining of pain 10/10 on the numerical pain scale and his vitals were found to be stable. Mr. B has a history of impaired glucose tolerance, prostate cancer, and chronic pain which he is on oxycodone. The Patient states he had no known allergies or previous falls. Upon the nursing assessment Nurse J. has noticed that the patient has limited range in motion, his left leg has swelling and appears shortened in comparison to the right. Nurse J. has informed the ED physician which he came to his bedside for…

    • 2877 Words
    • 12 Pages
    Better Essays
  • Good Essays

    Edersheim , J. G., & Stern, T. A. (n.d.). Liability Associated With Prescribing Medications. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2708008/…

    • 795 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Medcalfe

    • 984 Words
    • 4 Pages

    Emergency Room Care ($302 per visit and 4 visits per year (each quarter) for 20 years) = $24,160…

    • 984 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    Module1

    • 207 Words
    • 2 Pages

    HOSPITAL COURSE: On March 27 the patient underwent explotory laparotomy. Left partial Salpingectomy, evacuation of hemoperitoneum and lysis of adhesion. Blood lost was approximately 1,000 ml and was replaced with transfusion of 2 units of red blood cells. Her blood type was noted to be O Rh-negative and RhoGam was provided. The patient was discharged on post-operative day number 3 after having had a normal bowel movement. She was discharge without complaints on no medication. She understood her instruction regarding follow up incision care and limitation of activities.…

    • 207 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Step2. Establish financial responsibility for visits; this step is very important to determine financial responsibility for the visit. Insured patients will be asked questions about what services are covered under their plan, medical conditions that establish medical necessity for the services, what services are not covered, and how much of the bill is the patient responsible for. You must verify patients’ eligibility for their health plan in case it has expired or there has been changes made.…

    • 613 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    There are appropriate steps to take when insurance does not cover a planned service. Insured patients’ policies require a facility to discuss with them when a service is not covered and of their responsibility for any accrued charges. Some payers require a physician to use a specific form when notifying a patient. For example, many physicians use what is called a financial agreement form before the services are given. In this case, the patient is informed of the financial obligation and must sign the form to prove that they have been informed before the services can be provided. The forms may contain information such as what type of service is to be performed, an estimated charge, the date that the service is planned, and the reasoning why it is not covered. The bottom of the form would have a statement that requires the patient to sign stating that they acknowledge and understand all of the above information.…

    • 365 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Emergency proctoscopy was done in the GI suite immediately after leaving the ER, which revealed only clotted blood without a source for the bleeding. Colonoscopy was scheduled but then later canceled due to poor bowel preparation and extreme weakness on the part of the patient.…

    • 264 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    aft task 1

    • 769 Words
    • 4 Pages

    According to the Agency for Healthcare Research and Quality, adverse drug events account for over 770,000 patient injuries or deaths each year. ADEs account for an increase of 8-12 hospital days per patient at a cost increase of $16,000 to $24,000 over other admissions/ diagnoses. This leads to an average national cost to hospitals of between 1.56- 5.96 billion per year. Furthermore, as much as 30% of adverse drug reactions are due to preventable medication errors such as missed dose, wrong technique, duplicate dosing, and preparation errors. Going further, the AHRQ states that between 42-60 % of medication errors are due to excessive dosing for patient weight, age, renal function, and underlying medical condition (AHRQ 2001).…

    • 769 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Essay On Labiaplasty

    • 451 Words
    • 2 Pages

    Insurance coverage - sometimes covered by medical insurance if the condition is causing challenging symptoms to the patient. The one-time procedure costs between $3,000 and…

    • 451 Words
    • 2 Pages
    Good Essays
  • Good Essays

    • misusing medication, such as not giving medication according to doctor’s instructions, withholding medication, overdosing, infrequent medication review or giving medication intended for another person…

    • 801 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    for a checkup but the insurance company felt that $80 was a fair price then the patient…

    • 476 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    As the role of the hospital administrator I would apologize to the patient for him/her for feeling abandoned. I would inform him/her that they were not at all abandoned, that the nurses were watching over him/her. That when he/she started to show signs of waking up that his/her doctor was informed. I would let him/her know that this is the procedure after every surgery. I want to be able to answer any questions he/she may have to comfort him/her. I would want the patient know that he/she can call me if he/she has any more questions about intestinal cancer.…

    • 532 Words
    • 3 Pages
    Good Essays