Read the case and answer the 8 questions Health Care Law& Ethics Chapter 6-Trial
ID: 124181 • Letter: R
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Read the case and answer the 8 questions Health Care Law& Ethics Chapter 6-Trial case for review Posted Transcript of Quaid Interview March 16, 2008 (CBS) Chances are you probably know someone who has died, or nearly died, because of medical mistakes in a hospital. It's much more common than most people realize, and if it can happen to the children of movie star, at one of the finest hospitals in the country, it can happen to anyone. Dennis Quaid has starred in more than 50 films, but nothing prepared him for the drama and the near tragedy that unfolded last November at Cedars- Sinai hospital in Los Angeles, when his infant twins were given massive overdoses of a blood thinner that nearly killed them....the nurses had discovered that both twins were in sernious danger. They were supposed to have been given a pediatric blood thinner called Hep-lock to flush out their IV lines and prevent blood elots. But instead, they had been given two doses of Heparin, the adult version of the drug, which is 1,000 times stronger. "We all have this inherent thing that we trust doctors and nurses that they know what they're doing. But this mistake occurred right under our noses, that the nurse didn't bother to look at the dosage on the bottle," Dennis Quaid tells Kroft. "It was ten units that our kids are supposed to get. They got 10,000. And what it did is, it basically tumed their blood to the consistency of water, where they had a complete inability to clot. And they were basically bleeding out at that point. "There was blood oozing out of little blood draws on their feet, and things like that, you know, through band-aids," he adds. Quaid says that's what first alerted the nurse that there was a problem. But the hospital never called the Quajds and they didn't find out that anything was wrong until the next day when they showed up at the hospital early the next morning and went to the twins' room. "We were met at the door by our pediatrician, the nurse - head nurse that was on duty." Dennis Quaid recalls. "Risk management," his wife adds. "Risk management, which is basically the liability division of a hospital, which is lawyers." he explains..."They weren't just given one massive overdose; they were given two massive overdoses?" Kroft asks. "Two massive overdoses, a thousand times what they should have over an eight-hour period that we know of," Quaid says. And to make matters worse the same avoidable mistake had occurred a year earlier at Methodist Hospital in Indianapolis. Six infants were given multiple adult doses of Heparin instead of the pediatric version; three of the infants survived, three did not. Asked when he found out about the Indianapolis incident, Quaid says, "In the morning when I had gone in, a pediatrician told me about it." "He said, This has happened before"?" Kroft asks. 1IPageExplanation / Answer
Answer -1:-In That case the failure was communicate to patient gurdian well in advance to protect child from serious threat to his health.
Answer 2:- This is completly non ethical and even this is crime (Medical negligence).Hospitals used to avoid the kind of communication due to fear and government action, harm to reputation.
Answer 3:-In that case no role EHR.
Answer 4:-In the scenario of wrong drug administration cant be controlled by EHR.
Answer 5:-
Hospital risk management department proactively works to prevent situations that can result in losses or liability. In a hospital setting, situations can include patient privacy breaches; diagnostic, surgical or medication errors; and hazardous conditions.
Identify risk and make recommendation to avoid the incident which would not favorable for hospital and client.
Answer 6:-According to a 2011 American Nurses Association Health & Safety Survey, the top apprehensions of 74% of registered nurses were stress and overburden. An alarming 10% of respondents had experienced a vehicle crash that was believed to be a consequence of shift work and exhaustion.
So i beleive that any healthworker should not allow to work more that 12hrs/day in any circumstances .
Answer 7:-We should assimilate RFID with hospital information systems (HIS) and electronic health records (EHRs) and support it by clinical decision support systems (CDSS), it enables processes and decrease medical, medication and diagnosis errors.
Answer 8:-The sue can be done on the hospital and nurse .They are the first party where patient most rely and trust on the hospital and nurse blindly.
Happy reading.
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