Review of the Case:
According to Lorenzo Varetto and Claudio Gargallo in the article “Intra-abdominal needle: Medical malpractice,” a 39-year-old individual went to a hospital reporting severe abdominal pain at the end of 2006. To determine the cause of pain, healthcare professional ordered a radiograph of the patient and observed a radio opaque foreign body around the D12- L2 vertebrae in January 2007. In February 2007, he went through detailed TC scan of his abdomen, and it was confirmed that a metallic foreign substance was present in his liver. The foreign material was linear 5 cm long with three fragmented parts. In March 2007, the material in contact with hepatic gel-capsule of liver was removed through laparoscopic surgery (Varetto L. & Gargallo C., 2009). In April 2007, the patient reported the case to a local public prosecutor as he thought the needle was left by a surgical team that performed appendectomy in 1994, but healthcare professionals failed to notice the presence of material for almost 13 years. In October 2007, a forensic medical examination requested copy of medical records and copy of radiographs taken in 1994. The Chest X-ray revealed that the metallic material was present in the region of L1-L2 vertebrae. Later, various sophisticated testing procedure such as SEM (scanning electron microscope) analysis, the micro-analysis, and the stereomicroscopic analysis of the material extracted from the liver identified the foreign body as an iron sewing
“Medical malpractice occurs when a hospital, doctor or other health care professional, through a negligent act or omission, causes an injury to a patient. The negligence might be the result of errors in diagnosis, treatment, aftercare or health management.” (Admin) One of the most common type of claims that pharmacies face are negligence claims. Negligence is one of the categories that falls under the area of law called Torts. In the Hundley v Rite Aid case, a tort was filed for injuries that were sustained by Gabrielle Hundley after she took medication from an incorrectly filed prescription. The case involved a jury trial verdict involving Gabrielle Hundley, a minor child, against Howard Jones, the pharmacist, and the Rite
As a clinical requirement for my Adult 1: Medical-Surgical course, I had the opportunity to observe a patient in the Operating Room and in the Post Anesthesia Unit of Advocate Good Samaritan Hospital. The procedure that I observed was a left total knee replacement. The patient needed this surgery because she was experiencing osteoarthritis, and this surgery could alleviate her pain and discomfort. I was with the patient from the end of her stay in the pre-operative holding area to the Operating Room, and then to the Post Anesthesia Care Unit. This paper will include background inquiry, preoperative and operative
History of Present Illness: The patient is a 27-year-old male complaining of right lower-quadrant abdominal pain, nausea, and
History of Present Illness: The patient is a 27-year-old male complaining of right lower-quadrant abdominal pain, nausea, and
“In general, people under the age of majority … have fewer rights and responsibilities than adults. For example, you must be 18 to vote, enter into legal contracts, or purchase a lottery ticket in most states. But states, including Tennessee, also recognize that people under the age of majority still have to make certain decisions on their own, and may not benefit from a parent's consent.” (3)
There is several kinds of super protected Medical information, and some are as follows. Domestic violence, Genetics, Mental Health, Reproductive care, Including abortion, and Substance abuse. This is just some of the super protected medical information, which is covered by the HIPPA laws.
Chosen for root cause analysis is case study number 18, titled “Not for IV Use: The Story of an Enteral Tubing Misconnection” from the book Case Studies in Patient Safety: Foundations for Core Competencies. Root cause analysis is a process whereby error producing system factors are identified and reviewed to assist in the formatting and implementation of solutions to prevent similar errors from reoccurrence (Wachter, 2012). This accounting of the patient’s experience located in the Systems-Based Practice (SBP) section also highlights various code of ethics violations such as autonomy, beneficence, nonmalfeasance, and veracity. The SBP approach in healthcare requires that personnel recognize how patient care connects to the entire health care system and how to utilize successfully system resources to improve both quality and patient safety. There are specific core competencies that assist with this process. Some of which include the ability to work effectively in the delivery-care setting, perform responsibilities according to role, ability, and qualification, advocate for quality patient care and resources, and participate in error identification and solution implementation (Johnson, Haskell, & Branch, 2016). This patient’s story demonstrates an apparent failure of these core competencies.
The patient is 66 year-old male who is brought to St. Joe's ER by BLS after being found with altered mental status at home. The patient reports he used heroin 2 days prior to admission. The patient was found by his brother hallucinatin with bladder or bowel incontinence the morning of presentation. The patient has not eating in approximately 4 days. The patient himself denies having any complaints, but he is a very poor historian. His medical history is significant for prior heroin and cocaine abuse, alcohol abuse of unknown duration, hypertension, cirrhotic liver, he has had an anterior cervical discectomy of C5-C7 with anterior compression in May of 2012 and a closed reduction of C6-C7 billateral dislocation , cholecystectomy in the
There are a variety of surgical items that can get left inside of patients. Generally, it seems that sponges, towels and gauze are the most common types of objects left inside of patients;
The body was that of a 31 years old man measuring 164 cm and weighing 70 kg. He had medium built with body mass index of 26. His body felt cold, flaccid and purplish hypostasis fixed on the back apart from contact areas. The body of the deceased was in a stage of early decomposition evidenced by marbling on the upper chest and corneal haziness. A midline infra-umbilical surgical scar noted, measuring 20 x 0.5 cm.
Per medical report dated 09/01/2015, the patient presents low back and right hip pain. She rates the pain as 8/10 and characterized as sharp and stabbing. The pain radiates to the right hip, right thigh, knee, leg, calf, right ankle, and foot and is described to be severe and constant. Her condition is associated with joint stiffness, tingling and weakness. Additionally, the pain is aggravated by any activity or movement, doing excessive work, and prolonged sitting. Relieving factors include application
The purpose of this paper is to identify a quality safety issue. I will summarize the impact that this issue has on health care delivery. In addition, I will identify quality improvement strategies. Finally, I will share a plan to effectively implement this quality improvement strategy.
Mr. Z is a 64-year-old Pacific islander male. Mr. Z was brought to the emergency department via ambulance due to chest pain. The initial treatment that was given was Aspirin 300mg P.O., two puffs of GTN (Glyceryl Trinatrate) and four mg of IV morphine. Mr. Z called the ambulance because of sudden onset of pain when he was walking up the stairs after 4 to 5 steps. The location of the pain was at the central area of the chest, with pain radiating to the neck, jaw, arms, back and abdomen (epigastric area) that lasted about 15 to 20min. He described the pain as burning and heavy, with a pain score
The Article “Medical Technology and Ethical Issues” by William E. Thomson and Joseph V. Hickey, discussed whether or not a computer should determine if a patient should be treated or untreated. Doctors use a computer system called RIP, which was created to “inform doctors whether to administer life-saving treatments or simply allow patients to die” (Medical Tech, n.d, p.g 493). If the prospect of death is 95 percent or greater, nonetheless RIP will notify the doctor to not to administer any treatment. Doctors should not allow a computer to make the decision whether the patient dies or not, doctors should go by what they have learned and not a piece of equipment. Although technology has improved a great deal over the years, technology should
Imagine yourself lying on an operating table, motionless, quiet. Above, you notice people standing over you. You try to speak but the words just cannot come out. Your arms feel as if they are plastered to the table. You begin to stand up but feel as if weights are strapped to your back and you are bound to the table. Suddenly you feel a sharp pain in your midsection. In and out, you see a surgeon slicing your body open with a scalpel. Every motion the masked person makes is as if you are being torn apart from the inside out. One would hope this would simply be a nightmare and they will wake up and everything will be fine. In this instance, this person will