Introduction
An estimated 1.5 million “preventable adverse drug events” occur each year in the United States alone; the number of medication errors that did not lead to adverse effects but remained undisclosed is unknown (Jenkins & Vaida, 2007, p. 41). The scenario is this: You are working as an advanced practice nurse at a community health clinic. You make an error when prescribing a drug to a patient. You do not think the patient would know that you made the error, and it certainly was not intentional.
Disclosure is an ethical and legal prerogative, showing respect for the patient and a willingness to accept professional responsibility. Consequentialist ethics do not apply to situations like these, because the broader issue is about changing advanced nursing practice and ensuring a culture of safety for all patients. Likewise, disclosure empowers the patient to make informed choices about reactions to the medical error while encouraging the healthcare team to do whatever necessary to reduce errors from occurring in the future. The best strategies for reducing medical errors include ongoing professional training of all staff, correcting organizational culture barriers, and the implementation of a set of specific protocols for medication administration.
Summary
Ethical Issues
Whether or not the patient experienced adverse effects has nothing to do with the ethic of disclosure. Even consequentialist frameworks like utilitarianism can be used to show why disclosure should be normative among advanced practice...
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