...MBA 5101 Unit 1 Case Study Gary Campbell Our text defines a tort as “a civil wrong” and negligence as “a tort, a civil or personal wrong” (Pozgar, 2012). Negligence as it is related to healthcare is an unintentional commission or omission of an act that a reasonably prudent person or organization would or would not do under normal circumstances. Not following a recognized standard of care could be considered negligence. The case I have chosen to study is one from the Circuit Court of Baltimore City Maryland and is that of Enso Martinez a minor by and through his parent (Rebecca Fielding) vs The Johns Hopkins Hospital in Baltimore Maryland July 2013. I would describe this as a landmark, “David vs Goliath” case involving medical negligence in the form of nonfeasance and malpractice. Reckless and willfulness disregard for safety is called criminal negligence and is often considered a form of gross negligence, a more serious tort (Pozgar, 2012). The question in my mind throughout the read was; “did the conduct of the provider and the hospital constitute criminal negligence”? The jury’s verdict and plaintiff’s award seemed to suggest yes. As a health professional, while I might agree with the Jury’s decision, I’m not so sure I agree with the size of the award. Did Johns Hopkins Hospital (the Hospital), negligently fail to perform a timely Caesarean section, causing Martinez to suffer from cerebral palsy, retardation, and other disorders. The following are...
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...When Radiation Therapy Kills CASE STUDY When new expensive medical therapies come along, promising to cure people of illness, one would think that the manufacturers, doctors, and technicians, along with the hospitals and state oversight agencies, would take extreme caution in their application and use. Often this is not the case. Contemporary radiation therapy offers a good example of society failing to anticipate and control the negative impacts of a technology powerful enough to kill people. For individuals and their families suffering through a battle with cancer, technical advancements in radiation treatment represent hope and a chance for a healthy, cancer-free life. But when these highly complex machines used to treat cancers go awry or when medical technicians and doctors fail to follow proper safety procedures, it results in suffering worse than the ailments radiation aims to cure. A litany of horror stories underscores the consequences when hospitals fail to provide safe radiation treatment to cancer patients. In many of these horror stories, poor software design, poor human-machine interfaces, and lack of proper training are root causes of the problems. The deaths of Scott Jerome-Parks and Alexandra Jn-Charles, both patients of New York City hospitals, are prime examples of radiation treatments going awry. Jerome-Parks worked in southern Manhattan near the site of the World Trade Center attacks, and suspected that the tongue cancer he developed later was related...
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...Resolution at General Hospital” Christy D. Harris Dr. Jack Huddleston, Professor BUS520: Leadership and Organizational Behavior August 20, 2011 Discuss the conflict that is occurring at General Hospital. The conflict that is occurring at General Hospital is simply a case of making the right financial decisions and man vs. computer. What I mean by that is, in trying to make cost effective decisions on how to cut back on expenses they chose to replace capable human beings that gave accurate results with a computerized system that is not glitch free and has not been proven to give accurate readings and correct patient information on the right patients nor was it approved by the board. This machine has been set in place to handle serious information that affects the well being of sick people whom are in no position to be misdiagnosed. Also this decision can very well place an even more expensive charge on the hospital if someone should become mistreated and they find grounds to sue. In the case study the main issue is cutting cost for the hospital however the way that they are trying to eliminate expenses or find a cheaper way out was clearly not well thought out and researched in regards to the concern of the patients’ treatments. It seems as though the COO knew about the latest trend among other facilities and immediately made the change with absolutely no hesitation. Reading this study makes me reflect on the...
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...Robert Baral**COUNSELING**case study – Depression**4/02/2004 AD**page 1 case study: DEPRESSION Robert Baral 4/02/2004 AD Robert Baral**COUNSELING**case study – Depression**4/02/2004 AD**page 2 TABLE OF CONTENTS I. PRESENTATION OF THE PATIENT II. ASSESSMENT OF THE PATIENT III. THERAPY FOR THE PATIENT IV. PLAN OF CARE V. BIBLICAL FOUNDATIONS FOR INTERVENTION VI. FINAL OBSERVATIONS Robert Baral**COUNSELING**case study – Depression**4/02/2004 AD**page 3 I. PRESENTATION OF THE PATIENT We are presented with an elderly woman with a history of long term Multiple Sclerosis, married 40 years, presenting with severe depression and suicidal gestures. The patient agreed to therapy on the advice of 1 of her 3 sons for the complaint of “difficulty relating to her husband.” The patient raised her 3 now adult sons mostly by herself due to her husband’s 20 year career in the Merchant Marines. The patient had periods of severe anger towards her husband apparently because of his alleged lack of emotional support and love. When she engaged in self harm to gain his attention, that having failed, the patient apparently progressed to increasingly severe forms of suicidal gesturing. The husband’s response was, not to offer the emotional attention and love the patient craved, but rather to arrange for commitment of his wife to a psychiatric facility. The patient and her husband had recently moved 60 miles from their long time home where she had a school support job that yielded great satisfaction...
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...professionals do not always make the correct ethical decisions. Theses ethical decisions affect society and the next generation to come. Therefore, the Patient Self-Determination Act is the main issue which affects our society. Generally speaking, the Patient Self Determination Act (PSDA) in most hospitals, nursing homes, home health agencies, and HMO’s routinely provide information on advance directives at the time of admission. They are required to do this by federal law. The PSDA simply requires that most health care institutions do the following: give you at the time of admission a written summary of your health care decisions-making rights, the facility’s policies with respect to recognizing advance directives, and ask you if you have an advance directive, and document that fact in your medication record. On the contrary, many physicians were not in favor of a policy for patient self determination because they felt that this would decrease their authority regarding medicine, interfere with the patient-physician relationship, and be one more legal regulation (General Accounting Office (GAO) Letter Report, 1995). However, the American Medical Association supported the policy. Some hospitals were concerned about the execution of the policy as they believed that it was appropriate to give medical advice but not legal advice. Although most maintstream religions do not feel that withdrawing life support is in opposition to their beliefs, there were concerns about appropriate stopping...
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...Nurses ABSTRACT in Six States A link between a history of criminal conviction and a risk of professional misconduct highlights the importance of criminal background checks. O BJECTIVE : The researchers sought to determine what factors might affect the outcomes of remediation, including the likelihood of recidivism, among nurses who had been the subject of disciplinary action and had been put on probation by a state board of nursing. M ETHODS : Boards of nursing in six states, Arizona, Maryland, Massachusetts, Minnesota, Nebraska, and North Carolina, chose to participate in this exploratory study. A 29-item questionnaire was used to investigate the records of 207 RNs, LPNs, and advanced practice RNs (APRNs) who were disciplined and put on probation by a state nursing board in 2001, as well as to collect data on their employment settings, the boards’ actions, and remediation outcomes (the presence or absence of recidivism); 491 nurses who had not been disciplined served as controls. RESULTS: Among the disciplined nurses studied, 57% were RNs, 36% were LPNs, 3% held both RN and LPN licenses, and 3% were APRNs. Of the disciplined group, 39% recidivated between 2001 and 2005. Three factors were shown to influence the recidivism rate: having a history of criminal conviction, having committed more than one violation before the 2001 probation, and changing employers during the probationary period. Data on history of criminal conviction prior to state board disciplinary action...
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...qwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmrtyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmrtyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmrtyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmqwertyuiopasdfghjklzxcvbnmrtyuiopasdfghjklzxcvbnmqwer...
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...the United States, suffer disproportionately from preventable diseases and deaths—(Department of Health and Human Services, Office of Minority Health, 1994). This statement from the Office of Minority Health not only captures the tragic problem of health related issues of African Americans, it also applies to the social welfare problems of these children and their families. Each year over 2,000 children die at the hands of their parents or caretakers (U.S. Advisory Board on Child Abuse and Neglect, 1995). Abuse and neglect in the home are considered one of the leading causes of death for children four years of age and younger and the largest number of child abuse fatalities is due to severe head trauma. Homicide statistics are only part of the grim reality, with near–fatal abuse and neglect accounting for more than 18,000 permanently disabled children, and approximately 142,000 serious injuries (Baladerian, 1991). Findings from the report, A Nation’s Shame: Fatal Child Abuse and Neglect in the United States, indicate that African Americans are overrepresented in both fatalities and near–fatal injuries (U.S. Advisory Board on Child Abuse and Neglect, 1995). Research shows that child deaths from physical trauma are most frequently caused by angry, out–of–control males. Mothers are more likely to be responsible for deaths caused by severe neglect (U.S. Advisory Board on Child Abuse and Neglect, 1995). However, researchers 31 cannot account for the large numbers of cases of homicide...
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...well known caring theory was developed in the 1970’s by an American nursing scholar and nursing theorist named Dr. Jean Watson. Her theory is called “The Theory of Human Caring”. Dr. Jean Watson was born in West Virginia, but currently resides in Boulder, Colorado since 1962. She attended the University of Colorado where she completed her undergraduate degree in nursing and psychology. Shortly after that, Dr. Watson continues her studies and earned a master’s degree in psychiatric –mental health nursing. Dr. Watson ultimately received her PHD degree in educational psychology and counseling. She is currently a Professor of Nursing and the Murchinson-Scoville Chair in Caring Sciences at the University of Colorado, School of Nursing and is the founder of the Center for Human Caring in Colorado (Cara, 1999). Dr. Watson has received many recognitions including national, international, and doctoral degrees. There are many books that she has published explaining her philosophy and theory of human caring. Jean Watson’s theory states that nurses should view the patient as both a physical and spiritual being. She continues to say that nurses should also focus on the physical and non-physical needs of the patient in order for them to render the best possible care. Dr. Watson also views caring as a science which encompasses a humanitarian, human science orientation, human caring processes, phenomena, and experiences (Vance, 2003). A caring science perspective is grounded...
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...RHIN-115 Health Data and Electronic Health Records Case Study Analysis Exercise Starts Week 6 Due End of Week 8 (11:55pm) This assignment is to perform an analysis of a full length case study dealing with a CPOE implementation at Mount Auburn Hospital in Cambridge. This will be similar in form to the work you have been doing each week on the mini case studies but different in scope. You will use the material in the case to develop an analysis of the state of the CPOE project and defend you position with facts contained in the case and theory and principals based on our course work and your own experience. Format 1. Your paper should be titled LastName_FirstInitial_CaseStudy 2. The file format can be MS Word (from 2003 or newer please) or OpenOffice, if you would like to use something else ask me first. Please do not use PDF as it is hard for me to annotate the paper when I am grading it. 3. There is no minimum length on this paper; there is a hard maximum of 2500 words of body text. As a guide if I was writing it I would probably take around 1800 or so. 4. Double space the body of your paper. 5. Include a title page with your name, the name of the class, and the date. 6. Include a footer with your name and the page number on each page. 7. Clarity counts, to that end spelling, grammar, and formatting matter. This document should be intended to convince a senior manager that you have done a thoughtful analysis of the problem...
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...are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. This study was supported by Contract No. 65815 between the National Academy of Sciences and the Robert Wood Johnson Foundation. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project. International Standard Book Number 0-309-XXXXX-X (Book) International Standard Book Number 0-309- XXXXX -X (PDF) Library of Congress Control Number: 00 XXXXXX Additional copies of this report are available from the National Academies Press, 500 Fifth Street, N.W., Lockbox 285, Washington, DC 20055; (800) 624-6242 or (202) 334-3313 (in the Washington metropolitan area); Internet, http://www.nap.edu. For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu. Copyright 2011 by the National Academy of Sciences. All rights reserved. Printed in the United States of America Cover credit: Photos...
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...Management Skills, Customer Relationship Management and expertise in Software project development and management in Agile methodology • Over 5 years of experience in gathering requirements for software application development projects • Eliciting requirements using interviews, document analysis, requirements workshops, site visits, product related descriptions, use cases, scenarios, business analysis, and task & workflow analysis. • Delivering IT Solutions involving requirement analysis and management, project scope definition, implementation and testing of applications built for Windows, Mobile devices and Web in internet/intranet infrastructure • Critically evaluate information gathered from multiple sources, reconcile conflicts, decompose high-level information into details, abstract up from low-level information to a general understanding, and distinguish user needs from the required system • Proficient in documenting business requirements in Agile methodology, creating Functional specifications, User Interface design, Use Case Modeling, Process flows and reviewing Test Case document • Expertise in Software Development Lifecycle (SDLC) management and Business to Business (B2B) integration concepts • Proficient at Scrum model & processes and Agile methodologies, Certified Scrum Product Owner (CSPO) • Posses good domain understanding and expertise in Healthcare and Retail & Personal Finance • Skilled at building and maintaining...
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...SWIKRITI SRIVASTAVA 29 Heath Street, Lower Apartment ( Buffalo, NY, 14214 ( +1 716 868 1396 ( swikriti05@gmail.com EDUCATION The State University of New York at Buffalo, NY, M.S. in Management Information Systems GPA: 3.85/4.0 Manipal University, India, B.E. in Electrical and Electronics Engineering GPA: 7.02/10.0 PROFESSIONAL SUMMARY ▪ Certified in Healthcare Management by the School of Management Science and Systems at the University at Buffalo. ▪ Thorough understanding of HIPAA and HITECH Act for health information privacy and security ▪ Six Sigma Green Belt certified PROJECTS - MS Management Information Systems Effectiveness of Nurse Communication, Spring 2012 ▪ Assessing the risks for business continuity and patient safety ▪ Study of the culture, processes, and models of communication used in hospitals Methodologies Used: Delphi, Focus Group interviews for Needs Analysis and Requirement Gathering Factors Affecting Employees’ Compliance to IT Security Policies, Fall 2011 ▪ Reviewed the various threats to information systems in an organization and the theoretical models explaining the factors that influence an employee’s adherence to IT policies. ▪ Completed a literature review of factors that affect employees’ compliance to security policies in IT industries and the measures to be taken by the senior management to improve compliance. Quality Assurance in Managed Care Organizations, Fall 2011 ...
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...Late one night, a woman by the name of Linda LaBelle was admitted into the emergency room with complaints of stomach pains. After receiving a Computerized Tomography (CT) Scan, it was determined that Ms. LaBelle was suffering from an abdominal aortic aneurysm. The aneurysm is weakening the wall of the aorta, which can result in it bursting. If the aorta were to burst, Linda could lose her life. In order to fix the abdominal aortic aneurysm, Ms. LaBelle must under go corrective surgery. Although surgery is the only option to save Linda's life, there is a 50% survival rate from the surgery and still a chance of the aneurysm busting, causing a loss of life. An IP team was assembled for Ms. LaBelles case. The team consisted of the following health professionals: An emergency room doctor, surgeon, anesthesiologist, senior ER nurse, social worker, and a night shift hospital...
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...Case Study Ms. J. O. is an 82 year old female with a variety of comorbidities including Alzheimer’s type dementia. She is a resident of a dementia unit of a local assisted living facility. She was brought in to the hospital for a fall from which she stated she had hit her head but never lost consciousness. On arrival to hospital she was noticed to be very confused with complaint of back pain, chest pain but alert. After a short period of time her GCS abruptly dropped to 3 requiring intubation. CT scan of her head showed no bleeds, strokes or abnormality. All lab values were within normal limits and her blood pressure was mildly hypotensive 93/55. Past medical history 1. Ms. J.O. has had numerous falls recently requiring multiple emergency room visits. Each visit also showed evaluation of altered mental status over her normal state of being. On one fall she suffered a pelvic fracture, sacral fracture and L2-3 fracture. Another fall she suffered a nasal bone fracture. She was treated for pain control for each visit and then returned to assisted living facility. Per family she has been at her facility for about a week before this fall. 2. 3. Type 2 diabetes 4. Ulcerative colitis 5. Anxiety/Depression 6. Hypothyroidism 7. Osteoarthritis 8. GERD 9. Alzheimer’s type dementia 10. Stroke 11. Peripheral neuropathy 12. Chronic back pain from falls 13. Hypertension 14. Knee surgery 15. Cataract surgery 16....
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