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2 pages/β‰ˆ550 words
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APA
Subject:
Health, Medicine, Nursing
Type:
Case Study
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English (U.S.)
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Topic:

Case Study Disclosure Of Errors Among Medical Practitioners

Case Study Instructions:

Mistake Disclosure Case Study
Answer the following questions in your response to this case and discuss mistake disclosure in discussion. If you were Sam in this case how would you handle this situation? Are PA’s more or less willing to disclose the mistake of another midlevel provider versus a MD and why? Who is more at fault in this case, the MD, PA, NP...does it matter ethically if the NP is not under direct MD supervision while a PA legally has to under a MD supervision?If you chose to write your paper onthis case watch for a follow up on this case in the discussion of the next module. Sam, a new PA graduate was recently hired with a good starting salary by Dr. C who owns a large pain management clinic. Dr. C also has on staff a NP that was been with him almost 3 years as well as his wife who is the office manager. Upon hiring Sam, Dr. C stressed Sam’s independence as a PA and if he had any questions the NP would always be available as they had been in pain management for thepast10 ten years. At first Sam did rely a lot on the NP for suggestions as he noted Dr. C was rarely in the clinic more than a couple of times in amonth. After some time Sam began to take note that he followed up with patients the previous notes in the chart weresigned by Dr. C, which he knew was impossible because he wasn’t in the clinicon that date. Sam also noticed a prescription was given that day as well. Patients were given specific instructionsto only fill their prescription atthe private pharmacy right next to the clinic. Sam brought to the NP’s attention that the notewas signed by Dr. C and a prescription was given to the patient on a day Dr. C was not even in clinic. The NP told Sam that often times if it is just a medication refill only that the office manager would see the patient and just give the patient the prescription signingthe narcotic prescription with Dr. C’s signature. She would also sign hissignature in the chart so she could code higher and bill more for the patient being seen by Dr. C. The NP assured Sam that this was only done with patients that needed refills on meds only and didn’t have any new issues.The NP said that new patients or patients with new issues or that are medically complicated there were always seen by a provider. The NP also told Sam that this has been going on for a long time even before he was hired and not to worry about it. The NP said as long as you worry about your own charts and prescriptions there isn’t an issue.

Case Study Sample Content Preview:
Mistake Disclosure Case
Name
Institution
Instructor
Introduction
Mistake disclosure in the medical field is generally an accepted procedure both ethically and legally. It has been argued that disclosure of errors among medical practitioners will in most cases help save a life or improve the condition of a patient. Among other reasons, one of the main purpose of disclosure is to show transparency among patients, thereby winning their confidence (Selbst, 2015). While it is important for disclosure of mistakes, there is a proper procedure that ought to be followed. In addition, what happens when the mistake or error in question involves another practitioner, how then should this be handled? This paper has sought to answer and clarify some of the questions surrounding disclosure of errors in the medical field.
Procedure of Disclosure
Ordinarily, institutions have a well laid down procedure on how disclosures are to be made. In this particular case study, Sam who is newly hired as a PA discovered some aspects that he thought were not adding up. For instance, he noted that there were some prescriptions that were signed by Dr C. on days that the doctor was not in. He also noticed that patients had specific instructions to use a private pharmacy that was next door for their prescriptions. His gut feeling told him that something was not right and he raised it with the NP. The NP was quick to allay his fears that the practice has been ongoing for long and that it is only regular patients who were attended in this manner with new cases being referred to a provider.

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