2 DB questions and replies
BabyTazz21
Silenceresponses.docx1.
YesterdayApr 11 at 10:57pm
Unfortunately, poor communication is one of the major downfalls within our healthcare system today. All cases assigned for reading thus far, have displayed lack of communication. This case study was no different sadly. In addition, lack of compassionate care was evident throughout Linda’s experience. I would say it was extremely poor practice of the hospital to assume that Linda was reaching out due to potential legal action and not just wanting answers that she deserved.
I am completely against the non disclosure policy. Every patient and their family should be made aware of even the smallest issues or changes (not limited to) while in a hospital’s care; I would say it is a right. It is not fair for a hospital to protect an employee when they are clearly in the wrong. Employees, surgeons and anesthesiologist in particular, go through training and education to properly do their jobs. Yes they are human but they should also be held accountable when they fail short with their job and tasks. The MACMI is a great start but patients deserve more. They are ultimately paying customers and should be handled with care every step of the way. Increasing the level of compassionate care could greatly shift scenarios like Linda’s.
2.
YesterdayApr 11 at 10:41pm
Linda's surgery team caused unintentional harm. The anesthesiologist followed established protocol, however unknown variables caused adverse reaction. The failure here is by the overly cautions healthcare organization who had practices to intentionally lie and cover up to prevent potential financial harm. Hospitals are required to maintain high malpractice coverage for their individual practitioners as well as the organization in large. Medical mistakes happen as the medical operators are human. To best support the patient and practitioner, transparency should be offered to help support the patients physical mental recovery. Additionally, creating cover ups causes the physician's guilt to multiply, unnecessarily and unfairly.
Not disclosing the happenings of surgical interactions and going out of the way to document lies creates mistrust in the health care system within the community and can have adverse consequences to the patient's health care down the road. Though the MACRMI disclosure model is a positive, proactive solution; it is not a total solution. Health care leaders and practitioners need to be humbled and reminded that making mistakes does not disqualify them from practicing. In fact, being honest about mistakes and steps taken to recover makes the physician more credible and practiced when dealing with crisis. Patient confidence does not grow when a provider indicates that they've never had a problem, but when the physician can articulate that as a result of issues in the past they have implemented new prevention measures.
3.
YesterdayApr 11 at 10:19pm
What went wrong in Linda's case?
From the beginning, Linda's request for a particular doctor is not being met. Linda was promised one thing but received care from someone else. Followed by the lack of care from the team for Linda's husband and her. Basically, the medical team did not really tell Lind's husband what he was doing and made him wait in a room without any information. Once Linda woke up, the team pretended as nothing happened and did not really give her straight answers. Also, they did not have a follow-up up call or care to reach out to check on Linda mentally and phsycially.
What is your opinion of the non-disclosure policy?
I understand the intent of the to protect the hositpal and patient, but it is very misleading. To withhold information is like something as not telling the patient what truly happened during their procedure. I believe there is a lot of work to make the non-disclosure policy realistic. It should really protect the patient but allow the hositpal to be held to a certain standard.
Of the MACRMI disclosure model?
MAMCRI disclosure model is a great start. However, as Linda described, they will need strong credibility for people to acknowledge. As more people start to use or notice the disclosure, the more successful the plans will be. I think the policy can be better because the hospitals are still not really held accountable. Who is responsible for making sure the disclosures are being followed correctly.
