Question

In 2001, 18-month-old Josie King climbed into a hot bath and suffered burns that landed her in Johns Hopkins PICU. Two days before being released from the hospital, Josie died from dehydration and medical error.

She died despite the fact that her mother raised her concerns with hospital staff about Josie being denied liquids and being administered narcotics as she watched her daughter deteriorate.You are a nurse working on the unit in which Josie King was a patient.  As you are aware, she died on the unit and the medical team was responsible for her death.  You have been asked to serve on an action committee to review the situation and develop recommendations so that nothing like this ever happens again.  What would you recommend?  What policies and procedures need to be changed?  What actions should nurses take?  

Answer 1

The quantity of medical malpractice entitlements has deteriorated meaningfully in the previous period. It is supposed the weakening is owing at smallest in share to doctor’s contribution the clarifications that patients want when confronted with surprising consequences of their upkeep. A wicked consequence is not continuously identical with malpractice. Though, a corrupt consequence and deprived message are typically the driving force when a patient or family reflects lawsuit. The position of interactive efficiently with patients and their relations cannot be highlighted sufficient it is one of the finest conducts to alleviate risk.

Attending prudently, contribution strong responses and commands, speaking grievances, setting accurate prospects, counting family associates, and detailing methodically are all decent methods to recover statement and evade risk experience. It’s indispensable to orally interconnect the dangers beforehand a process, not afterwards and to comprise this info in a transcribed agreement form that the patient signs. The patient necessity obtain a correct clarification of the procedure’s determination that obviously incantations out the dangers characteristic in the process. Clinicians should brand sure they are existing in exercise on their government’s schemes and acquainted with the subjects concerning usage of patterns and scientific support schemes in computer founded pharmacological organization.

Strategies and events should be precise and willingly obtainable to all staff memberships. They can be reserved in a notepad or handbook or in an electronic format that is stress-free for the office supervise to admission. The doctor or a group should evaluation strategies and actions on a yearly foundation to safeguard that they reproduce partialities and necessities. In adding to follow-ups on analytical examinations and professional recommendations, these strategies would feature the procedures for vocation in new or top-up medicines and commerce with annulments and no-show actions. They would also deliver clear leadership in speaking patient or family grievances, safety, preservation, storing, obliteration, upkeep, and announcement of medical info under Health Insurance Portability and Accountability Act instructions.