350 word each response Please provide feedback to two of your colleagues by 11/2/202. It is critical that we as heal

350 word each response

Please provide feedback to two of your colleagues by 11/2/202. It is critical that we as health care providers work in a culture of safety. We need to encourage each other to create a health care environment that promotes safe, quality care.

**Be sure to review the grading rubric for this assignment. Please use APA 7th Edition format to write and cite your resources. Please be sure to include a title page, page number, in-text citations and reference list. The paper should be written in Times New Roman double-spaced 12 point font with 1 inch margins.

Ethical Analysis Assignment
What are the possible benefits of admitting an error?

Farmer Joe was seeking help after a fall in a chicken coop. He verbally addressed his swollen right ankle and complained of cuts and bruises on both legs. Dr. Jones and nurse Smith addressed his right ankle but never assessed the condition of his legs. They also failed to give farmer Joe any proper discharge instructions. Farmer Joe’s fate was unfortunately preventable.
The first reason this incident was preventable would be, had Dr. Jones and nurse Smith assessed his left leg, they would have seen the cuts and bruises. “Nurses have an ethical obligation to help prevent and manage medical errors” (Sorrell, 2017). Nurses have a duty to perform thorough assessments. If farmer Joe complained of cuts and bruises on his legs, then nurse Smith should have asked performed a focused assessment to address his complaint. Had the leg been assessed, then farmer Joe would have hopefully one home with a treatment plan or even in home nursing for continued monitoring.
The second reason would be the lack of discharge instructions. Despite not assessing farmer Joe’s left leg, upon discharge he should have been informed of what signs of infection to watch out for with information on who to contact should an infection occur. “A lack of understanding regarding discharge instructions can lead to an increased risk of complications, medication errors, and readmissions” (Scott et al., 2019). If farmer Joe was sent home with proper discharge instructions, he may have been able to recognize the infection progression early on and sought help. Farmer Joe working in a chicken coop exposes him to feces and bacteria that can cause infection. He also should have been given basic instructions upon discharge on how to protect and clean his cuts as well.
Dr. Jones and nurse Smith have an ethical obligation to admit that an error occurred. An ethical consideration of “disclosure” and “right to knowledge” would look beyond legal ramifications of admitting an error and do so simply because it is the right thing to do. “The patient’s bill of rights calls for full disclosure of a medical error” (Sorrell, 2017). The family is distraught and seeking answers, Dr. Jones and nurse Smith from an ethical perspective should disclose the errors made.
The second reason there is an ethical obligation to admit fault is that providers have a responsibility to improve the system they work in. Providers must report errors as a way of preventing future harm. Health care systems are not perfect, errors occur and many of the prevention strategies used today are the result of previous mistakes. “Both health care providers and patients seem to agree that errors disclosure should take place when patients are harmed, and that corrective action should involve systems improvement” (Wolf & Hughes, 2008). We must always strive to learn from our mistakes not only to improve our health care system, but to continue perfecting the way we treat and care for people.
The first benefit of admitting an error was made is related to the individuals affected. Farmer Joe’s family wants answers, and they are confused and upset. To offer this family closure, Dr. Jones and nurse Smith should explain the progression of farmer Joe’s illness and the reasons behind it. Admitting an error in the form of an apology can be healing to those left behind after their loved ones have passed. It also gives the family an opportunity to forgive as well. Providers are reluctant to apologize due to fear of legal action after admitting fault. McLennan et al. (2015) bring attention to Canadian legislation that prevents an apology from being taken into consideration when determining fault. The article explains that an apology is an important part of “responding to a harmed person’s need for recognition” (p.E156).
The second benefit of admitting an error was made is that transparency builds trust. “Apologies – statements that acknowledge an error and its consequences, take responsibility, and communicate regret for having caused harm – can decrease blame, decrease anger, increase trust, and improve relationships” (Robbennolt, 2009). “The relationship between the physician and
patient is one that involves considerable intimacy, vulnerability, and trust” (Robbennolt, 2009). There can be a lack of trust between patients and their providers if the patient feels like they do not understand what is happening, or they feel as though providers are not being forthcoming. This lack of trust is what prevents patients from returning to hospitals and doctors offices to receive treatment for their conditions. Trust is essential when placing your life in someone else’s hands. Providers must report their errors, and apologies must be made where needed to strengthen a culture of transparency and trust within healthcare.

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