Preview

Root Cause Analysis: Mr. B Emergency Room Ethical Dilemma

Good Essays
Open Document
Open Document
179 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Root Cause Analysis: Mr. B Emergency Room Ethical Dilemma
Institutions implemented risk management, to focus on patient-centered outcomes, towards the development of policies and improve the proper setting for health care professionals. Mr. B Emergency room ethical dilemma which will be discussed with an overview of the system, furthermore, to understand the outcome and prevent future occurrences.
A. Root Cause Analysis
The contributing factors began with Mr. B’s admission to the Emergency Room. The Root Cause Analysis, in this case, Mr. B was heavily sedated with IV medication, Hydromorphone, and consequently multiple doses of the muscle relaxant Diazepam. The Root Cause Analysis issue, the nurse should have developed a suitable plan beforehand, administering multiple doses of conscious sedating

You May Also Find These Documents Helpful

  • Powerful Essays

    Lewis Blackman Paper Graded

    • 4960 Words
    • 13 Pages

    Medical errors in decision making that result in harm or death are tragic and costly to the families affected. There are also negative impacts to the medical providers and the associated institutions (Wu, 2000). Patient safety is a cornerstone of higher-quality health care and nurses serve as a communication link in all settings which is critical in surveillance and coordination to reduce adverse outcomes (Mitchell, 2008).…

    • 4960 Words
    • 13 Pages
    Powerful Essays
  • Good Essays

    Ethics is defined by moral philosophy and study of what is right, fair, just and good: about what should be done, not just what is most acceptable or expedient (ref). The four principles of ethics are autonomy, non-maleficence, beneficence and justice. In this report the ethical principle of non-maleficence, where the health care practices and obligations are to do no willful harm, execute no negligence or malpractice under the legislation duty of care (REF). These ethics will be used in conjunction with each other to relate to the professional ethical behavior in the pathology laboratory. In this case scenario a patient has arrived in the emergency department requiring an urgent blood transfusion;…

    • 646 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Jamilah Case Summary

    • 443 Words
    • 2 Pages

    Jamilah arrived in the ER due to collapsing at the side of her bed. Heart Attack was diagnosed after the EKG and blood test. Treatment decision was required to make quickly to ensure the best benefit to Jamilah. There was a disagreement between Jamilah and her family on how to approach her care. Jamilah’s family requested for comfort care, whereas Jamilah expressed her wish to live. In addition, the healthcare members also have different opinions on the treatment decision which caused further delay on the treatment or intervention decision. The potential ethical dilemmas include the right to autonomy, non-maleficence and beneficence.…

    • 443 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Root Cause Analysis Paper

    • 1418 Words
    • 6 Pages

    ER Physician assesses patient and orders Diazepam to be given. Diazepam was given at 16:05.…

    • 1418 Words
    • 6 Pages
    Powerful Essays
  • Better Essays

    HAI generally occur when a patient’s stay for extended amount of time, the physicians don’t use proper hand washing techniques or medical procedures and so on. This type of risk affects the quality of care to a patient directly. It generally means that the physician or staff may not have followed proper protocol in ensuring the patients safety (Betterhealth.gov.au, 2011). Another risk that hospitals take is patients who do not pay. In 1986 The Emergency Medical Treatment and Labor Act (EMTALA) was passed, which in short states that emergency rooms have to stabilize and treat anyone who goes into an emergency room regardless if they have insurance or can’t pay (American College of Emergency Physicians, 2013). This also affects the quality of care given to those patients because the emergency rooms are required to only do the minimum to stabilize the patients. A third risk in a hospital is medication errors. These occur when either the pharmacist can’t read a physician’s hand writing on a prescription, or the physician does not know the patients medication history and so on. The quality outcome of the patient’s wellbeing is affected in this…

    • 1515 Words
    • 7 Pages
    Better Essays
  • Better Essays

    The purpose of risk management in health care organizations is to reduce risk by reducing errors, reducing accidents and injuries, and reduce financial loss if any accident or injury does occur. Risk management covers a very broad range of issues, interacts with and is effected by every activity of a health care organization. Traditionally, risk management has been focus primarily on minimizing the financial loss of a health care organization. A broadened approach is being realized in current health care organizations of prevention and quality service and increased involvement from the hospital staff.…

    • 2186 Words
    • 9 Pages
    Better Essays
  • Powerful Essays

    Quality Improvemeny Nursing

    • 2510 Words
    • 11 Pages

    A patient presented to the Emergency Department with the complaints of hip and leg pain. The patient rated the pain 10/10 on the standard pain scale. His (L) leg appeared shortened with swelling, ecchymosis, and limited range of motion. The leg was stabilized and then he was further evaluated and discharged to a room in the nursing department. The patient was also noted to have a history of impaired glucose tolerance and prostate cancer. The patient’s current medications were atorvastatin and oxycodone for chronic back pain. The patient was placed in a room and prepared for a procedure. The physician evaluated the patient and proceeded to order Valium, when unsuccessful hydromorphone was ordered. The patient had not achieved appropriate sedation for the procedure and additional medication was ordered. The patient was not placed on a cardiac monitor and a baseline oxygen level was not obtained prior to the administration of sedatives. The patient was receiving “Conscious sedation” in order for the physician to perform a manipulative procedure. The patient eventually had a decrease in oxygen saturation and became hypotensive- an arrest occurred. The patient was resuscitated and then transferred to a tertiary center. The patient was found to have brain damage and after…

    • 2510 Words
    • 11 Pages
    Powerful Essays
  • Good Essays

    Root Cause Analysis Essay

    • 458 Words
    • 2 Pages

    B, which included poor staffing, the Emergency room was packed with patients and not enough employees to properly monitor and treat them. The blood pressure alarm being silenced by the staff prior to investigating the cause for the buzzing is another mistake by the nurse. Another error by the nurse is that she failed to provide supplemental oxygen to patient prior to imitated diazepam and hydromorphone. The nurse should have known that those medications can cause major respiratory depression and should have taken the precaution necessary to prevent any complication that may have resulted from those two medications. Another error is both the physician and the nurse fell to notice that Mr. B arrived to the hospital with his left leg being shorter than the right leg, red, and swollen. The nurse should have document the condition on of the leg and do a more focus assessment on the extremities to check to…

    • 458 Words
    • 2 Pages
    Good Essays
  • Good Essays

    References: American College of Healthcare Executives, “Ethical Decision Making for Healthcare Executives.” August, 1993, Revised on Nov. 2007. Retrieved from www.ache.org/policy/decision on April 18, 2011.…

    • 978 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Risk Scenario

    • 4258 Words
    • 18 Pages

    The issue of risk scenario carries immense importance for most of the hospitals that are part of the healthcare setting. However, there is not only one scenario that can affect the hospitals but there are several scenarios that can create an impact on the functions of the hospital. There are three scenarios that would be highlighted in the current topic. These three scenarios have a tendency to put a hospital at risk for financial stability. The first scenario that can produce a negative impact on the hospital risk is related to patient care and safety. The second scenario is related to the physical plant. The third and last scenario is related to staffing. The role of HIM practitioner in this regard would be very important. They would serve as a clinical quality assessment resource and as a team member to perform their tasks related to healthcare work. Therefore, all the issues related to three scenarios will be discussed in detail.…

    • 4258 Words
    • 18 Pages
    Powerful Essays
  • Better Essays

    Jcaho Case

    • 722 Words
    • 3 Pages

    Risk management works with quality management which adapted from management experiences. A risk management reductions activity may affect quality and quantity of patient care. (Kavaler, 2003)When this happens we must consider the best approach for risk management and quality management. Risk management has changed through public awareness of the importance of preventing medical error.…

    • 722 Words
    • 3 Pages
    Better Essays
  • Satisfactory Essays

    It should be noted that the core values pertaining to healthcare ethics require the healthcare staff to adhere to the four principles of autonomy, beneficence, justice and nonmaleficence. Autonomy or independence revolves around honoring the right of patients to make their decisions, whole nonmaleficence revolves around doing no harm. Beneficence underlines the requirement that the patient is assisted to advance his own good, while the principle of justice requires all patients to be treated in a similar and fair manner. In essence, it goes without saying that the healthcare institution was acting in violation of the same principles that it is supposed to adhere to in the provision of healthcare services to patients. Of course, it could be argued that the healthcare institution was operating within the established laws of the state and possibly the country at large. However, it should be noted that the key right of the patient and, in fact, every other citizen in the country is to ensure that no harm is caused to the patient and that the autonomy and independence of the citizen and patient to make decisions pertaining to his or her life is nonnegotiable. Indeed, scholars have…

    • 852 Words
    • 4 Pages
    Satisfactory Essays
  • Good Essays

    The nurse should respect the inalienable rights of every human being to enjoy the highest standard of physical and mental health as well as to receive the adequate medical care. The nurse is required to provide quality patient care that meets the principles of humanity and professional standards. APNs are morally responsible for their actions to the patient, colleagues and society. Thus, the professional and ethical duty of the nurse implies, in accordance to their competence, the provision of the best possible the emergency medical care to anyone who needs…

    • 969 Words
    • 4 Pages
    Good Essays
  • Good Essays

    The main goal is to respect the rights of the patients’ care and to make sure they are aware of all necessary information. These codes of ethics were put in place to protect the patients as well as the professional conducting the…

    • 1454 Words
    • 6 Pages
    Good Essays
  • Powerful Essays

    The main focus of patient care was to control the patient’s pain. Also the patient experienced nausea, vomiting, and constipation .These symptoms were unwanted side effects of the opioids he was taking. During my placement the condition of the patient worsened. Pain increased, along with the side-effects of the medication taken by the patient. Some of the activities that the patient was able to perform independently became difficult, such as getting to the toilet and maintaining personal hygiene. The patient became restless at night time due to the increase of pain. At this point the amount of opioids taken by the patient was increased by the doctor, so that as well as the medication in the syringe driver the patient could take a set amount of strong opioids when required by mouth to relieve the pain. I will relate this care issue to the research article I have chosen to critique and discuss. These oral opioids where always administrated by his wife. The patient was unable to do it himself due to his physical deteriorated condition. However was always the patient that asked to take the medication when he felt he needed it. I have chosen…

    • 3442 Words
    • 14 Pages
    Powerful Essays