Medical Errors

Dear Intern,

Welcome to my staff.  I am currently trying to get a handle on the problem of medical errors.  There is a lot of talk of passing a new law requiring hospitals to report all serious errors and list the name of the hospital and the physician on the internet.  I know medical errors are a real problem, but I am not sure if this is the best way to deal with them.  I am hoping you can tell me about the significance of medical errors and address the issue of a mandatory policy/law of public reporting of serious medical errors from both a pro and a con position.  I am not a legal scholar, but dont we already have laws in place to deal with medical errors?

Please write me a detailed memo with headings – that addresses the issues as indicated above including pro/con. I would appreciate if you could conclude by giving me your best guess as to whether the medical community would be inclined to support my re-election bid if I were to sponsor a bill.

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Validate an idea with your own experience and additional research.

Assignment:

Write a Respond to two of these #1&2 case studies using one or more of the following approaches:

  • Share      additional interview and communication techniques that could be effective      with your colleague’s selected patient.
  • Suggest      additional health-related risks that might be considered.
  • Validate      an idea with your own experience and additional research.
  • Each      must have at least 2 references no more than 5 years old using APA Format

Response # 1

“The case of physician do not heal thyself”

Three questions I will ask the patient on a visit to my office and rationale thereof.

Major depressive disorder (MDD) is defined as “feelings of sadness and/or a loss of interest in activities once enjoyed. It can lead to a variety of emotional and physical problems and can decrease a person’s ability to function at work and at home” and it is one of the most common reasons patients present for medical care worldwide (McConnell, Carter & Patterson, 2019). Childhood traumatic experiences, including physical, sexual, and emotional abuse, neglect, and separation from caregivers, they posit significantly increase the risk of developing mental and physical illnesses later in life.

NO .1

Have you had any thoughts of death or suicide before? Are you having them now? And do you have a current plan to harm or kill yourself? What are the details of that plan?

McConnell,et .al, (2019) posit that clients with MDD often presents with feeling sad or depressed; lack of interest or pleasure in previously enjoyed activities; appetite changes (unintentional weight loss or gain); sleep difficulty (too much or little); lack of energy (fatigue); feeling of guiltiness or worthlessness; moving more slowly or pacing (others observe); difficulty with decision-making, concentration, and thinking; and/or suicidal thoughts.

Patient safety remains a central concern in every healthcare setting (Smith,2018).  This patient did report several feelings of Suicide Ideation and Homicidal ideation so patients’ safety should be priority. Although the welfare of patients encompasses a broad range of concerns, the increasing prevalence of suicide in our society compels health care workers to ensure a safe healthcare environment for patients with suicidal ideation. These efforts include the elimination or, at least, the mitigation of physical setting characteristics that enable suicide attempts.

No 2.

Are you depressed? How does this problem make you feel? What makes the problem better?

According to DSM-5 (2013) diagnostic criteria, MDD requires five or more of the following symptoms during the same two-week period and represent a change from previous functioning; at least one symptom is either 1) depressed mood or 2) loss of interest or pleasure (American Psychiatric Association [APA], 2013).

According to the patient’s file, he has experienced five or more of the symptoms of MDD during the same two-week period, on more than one occasion, including depressed mood, recurrent suicidal ideation, and suicide attempts, and was diagnosed with major depression for the first time when he was 23.

NO 3.

How often do you take your medication and how long did you take them before stopping? The patient has a history of stopping his medication, self-medication and non-adherent to treatment. This question is necessary because most antidepressants take a while to build up in the system.

Sources of information

From the social history, patient was married and divorced 3 times, currently single, has no children, nonsmoker no drug abuse, rarely drinks, he’s a   Physician and successful businessman. We can elicit information from siblings, extended relatives and even colleagues at work. childhood traumatic experiences, including physical, sexual, and emotional abuse, neglect, and separation from caregivers, significantly increase the risk of developing mental and physical illnesses later in life (

 

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