Ethical and legal aspects of patient’s safety: a clinical case report
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Abstract
Since patient safety is multidimensional and grounded in ethical and legal imperatives, both ethical and legal challenges should be taken into account. In this regard, a falling incident case of a 12-day-old newborn was raised in the monthly ethics round in the Children's Medical Center of Tehran University of Medical Sciences, Iran, and the ethical and legal dimensions of patient safety were discussed by experts in various fields.
This report presents different aspects of patient safety in terms of root cause analysis (RCA) and risk management, the role of human resources, the role of professionalism, the necessity of informing the parents (disclosure of medical errors), and forensic medicine with focus on ethical aspects.
1. Durgun H, Kaya H. The attitudes of emergency department nurses towards patient safety. Int Emerg Nurs. 2017; pii: S1755-599X (16)30113-6
2. Ulrich B, Kear T. Patient safety and patient safety culture: Foundations of excellent health care delivery. Nephrol Nurs J. 2014; 41(5):447-56.
3. Dehnavieh R, Ebrahimipour H, Jafari Zadeh M, Dianat M, Noori Hekmat S, Mehrolhassani M. H. Clinical governance: The challenges of implementation in Iran. IJHR. 2013; 2(1):1–10.
4. Mousavi SMH, Agharahimi Z, Daryabeigi, Rezaei N. Implementation of clinical governance in hospitals: challenges and the keys for success. Acta Medica Iran. 2014; 52(7): 493-5.
5. Mohaghegh B, Ravaghi H, Mannion R, Heidarpoor P, Sadat Sajadi H. Implementing clinical governance in Iranian hospitals: purpose, process and pitfalls. Electron Physician. 2016; 8(1):1796-803.
6. Bahrami MA, Sabahi AA, Montazeralfaraj R, Shamsi F, Entezarian Ardekani S. Hospitals’ readiness for clinical governance implementation in educational hospitals of Yazd, Iran. Electron Physician. 2014; 6(2):794-800.
7. Anonymous. 10 facts on patient safety. http://www.who.int/features/factfiles/patient_safety/patient_safety_facts/en/ (Accessed on 2017).
8. Masror D, Heydarikhayat D, Joolaee S. Assessing patient safety events and it’s correlation with nurse-physician interaction from nurses’ view. Quarterly Journal of Nursing Management. 2012; 1(2):37-45.
9. Helsley L, McDonald JV, Stewart VT. Addressing in-hospital "falls" of newborn infants. Jt Comm J Qual Patient Saf. 2010; 36(7): 327-33.
10. Kangasniemi M, Vaismoradi M, Jasper M, Turunen H. Ethical issues in patient safety: implications for nursing management. Nurs Ethics. 2013; 20(8):904-16.
11. Manookian A, Cheraghi MA, Nasrabadi AN. Factors influencing patients' dignity: A qualitative study. Nurs Ethics. 2014; 21(3):323-34.
12. Ehsani SR, Cheraghi MA, Nejati A, Salari A, Haji Esmaeilpoor A, Esmaeil Mohammad Nejad E. Medication errors of nurses in the emergency department. J Med Ethics Hist Med. 2013; 6:11.
13. Kim MR. Concept analysis of patient safety. J Korean Acad Nurs. 2011; 41(1):1-8.
14. Siewert B, Hochman MG. Improving safety through human factors engineering. Radiographics. 2015; 35(6):1694-705.
15. King CA. Clinical ethics: Patient and provider safety. AORNJ. 2017; 106(6): 548-51.
16. Zahedi F, Sanjari M, Aala M, et al. The code of ethics for nurses. Iran J Public Health. 2013; 42(Suppl.1):1-8.
17. Straumanis JP. Disclosure of medical error: is it worth the risk? Pediatr Crit Care Med. 2007; 8 (Suppl.2): S38-43.
18. Valizadeh L, Zamanzadeh V, Sayadi L, Taleghani F, Howard AF, Jeddian A. Truth-telling and hematopoietic stem cell transplantation: Iranian nurses' experiences. Nurs Ethics. 2014; 21(5): 518-29.
19. Etchegaray JM, Ottosen MJ, Burress L, et al. Structuring patient and family involvement in medical error event disclosure and analysis. Health Aff (Millwood). 2014; 33(1): 46-52.
20. Popkess A, Poirier TI, Wilhelm M, et al. Inter-professional error disclosure simulation for health professional students. Clinical Simulation in Nursing. 2017; 13(11): 573-82.
21. Guillod O. Medical error disclosure and patient safety: legal aspects. J Public Health Res. 2013; 2(3): e31.
22. Abike F, Tiras S, Dünder I, Bahtiyar A, Akturk Uzun O, Demircan O. A new scale for evaluating the risks for in-hospital falls of newborn infants: a failure modes and effects analysis study. Int J Pediatr. 2010; pii: 547528.
23. Sheykh-Talimi M, Shariati-Nasab S, Zare MK, Omani-Samani R. The right to information and their exceptions in medical practices in the Iranian legal system. J Med Ethics Hist Med. 2016; 9: 15.
2. Ulrich B, Kear T. Patient safety and patient safety culture: Foundations of excellent health care delivery. Nephrol Nurs J. 2014; 41(5):447-56.
3. Dehnavieh R, Ebrahimipour H, Jafari Zadeh M, Dianat M, Noori Hekmat S, Mehrolhassani M. H. Clinical governance: The challenges of implementation in Iran. IJHR. 2013; 2(1):1–10.
4. Mousavi SMH, Agharahimi Z, Daryabeigi, Rezaei N. Implementation of clinical governance in hospitals: challenges and the keys for success. Acta Medica Iran. 2014; 52(7): 493-5.
5. Mohaghegh B, Ravaghi H, Mannion R, Heidarpoor P, Sadat Sajadi H. Implementing clinical governance in Iranian hospitals: purpose, process and pitfalls. Electron Physician. 2016; 8(1):1796-803.
6. Bahrami MA, Sabahi AA, Montazeralfaraj R, Shamsi F, Entezarian Ardekani S. Hospitals’ readiness for clinical governance implementation in educational hospitals of Yazd, Iran. Electron Physician. 2014; 6(2):794-800.
7. Anonymous. 10 facts on patient safety. http://www.who.int/features/factfiles/patient_safety/patient_safety_facts/en/ (Accessed on 2017).
8. Masror D, Heydarikhayat D, Joolaee S. Assessing patient safety events and it’s correlation with nurse-physician interaction from nurses’ view. Quarterly Journal of Nursing Management. 2012; 1(2):37-45.
9. Helsley L, McDonald JV, Stewart VT. Addressing in-hospital "falls" of newborn infants. Jt Comm J Qual Patient Saf. 2010; 36(7): 327-33.
10. Kangasniemi M, Vaismoradi M, Jasper M, Turunen H. Ethical issues in patient safety: implications for nursing management. Nurs Ethics. 2013; 20(8):904-16.
11. Manookian A, Cheraghi MA, Nasrabadi AN. Factors influencing patients' dignity: A qualitative study. Nurs Ethics. 2014; 21(3):323-34.
12. Ehsani SR, Cheraghi MA, Nejati A, Salari A, Haji Esmaeilpoor A, Esmaeil Mohammad Nejad E. Medication errors of nurses in the emergency department. J Med Ethics Hist Med. 2013; 6:11.
13. Kim MR. Concept analysis of patient safety. J Korean Acad Nurs. 2011; 41(1):1-8.
14. Siewert B, Hochman MG. Improving safety through human factors engineering. Radiographics. 2015; 35(6):1694-705.
15. King CA. Clinical ethics: Patient and provider safety. AORNJ. 2017; 106(6): 548-51.
16. Zahedi F, Sanjari M, Aala M, et al. The code of ethics for nurses. Iran J Public Health. 2013; 42(Suppl.1):1-8.
17. Straumanis JP. Disclosure of medical error: is it worth the risk? Pediatr Crit Care Med. 2007; 8 (Suppl.2): S38-43.
18. Valizadeh L, Zamanzadeh V, Sayadi L, Taleghani F, Howard AF, Jeddian A. Truth-telling and hematopoietic stem cell transplantation: Iranian nurses' experiences. Nurs Ethics. 2014; 21(5): 518-29.
19. Etchegaray JM, Ottosen MJ, Burress L, et al. Structuring patient and family involvement in medical error event disclosure and analysis. Health Aff (Millwood). 2014; 33(1): 46-52.
20. Popkess A, Poirier TI, Wilhelm M, et al. Inter-professional error disclosure simulation for health professional students. Clinical Simulation in Nursing. 2017; 13(11): 573-82.
21. Guillod O. Medical error disclosure and patient safety: legal aspects. J Public Health Res. 2013; 2(3): e31.
22. Abike F, Tiras S, Dünder I, Bahtiyar A, Akturk Uzun O, Demircan O. A new scale for evaluating the risks for in-hospital falls of newborn infants: a failure modes and effects analysis study. Int J Pediatr. 2010; pii: 547528.
23. Sheykh-Talimi M, Shariati-Nasab S, Zare MK, Omani-Samani R. The right to information and their exceptions in medical practices in the Iranian legal system. J Med Ethics Hist Med. 2016; 9: 15.
| Files | ||
| Issue | Vol 10 (2017) | |
| Section | Case Report(s) | |
| Keywords | ||
| Patient safety Risk management Ethics Legislation Case study | ||
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How to Cite
1.
Kadivar M, Manookian A, Asghari F, Niknafs N, Okazi A, Zarvani A. Ethical and legal aspects of patient’s safety: a clinical case report. J Med Ethics Hist Med. 2017;10.
