Organizational Responsibilityand Current Healthcare Issues
Organizational Responsibility and Current Health Care Issues
Case Representation
Michel Boileau, chief clinical officer for St. Charles Health System said that a hospital in Bend Oregon administered incorrect medication to a patient, Loretta Macpherson, 65, and she passed away shortly following the administration of a paralyzing agent usually made use of during a surgery instead of anti-seizure medication. The doctor said that the patient's breathing stopped and brain damage and cardiac arrest followed. Investigation done looked at the entire process of medication: from the process of making orders of the drugs from the manufacturers, the mixing at the pharmacy, packaging and labeling and how the nurses get it and the administration to the patient. Weaknesses or gaps in the process were looked into to note the possibility of human error. Doctors had determined that the patient required phosphenyton, an intravenous anti-seizure medication, but rocuromin was accidentally administered and this resulted in Macpherson stopping breathing and a cardiac arrest occurring, causing an irreversible brain damage. Macpherson was taken off life support later on (CBS, 2014).
Ethical Issues Involved
The case above was against ethics of non-maleficence. This involves the avoidance of the causation of harm (Beauchamp & Childress, 2001). It is rested on the principle of primum non-nocere, that is, the provider has an obligation not to cause harm or injury to patients and not to take actions that can cause harm. This captures medical practice complexities. The practice's fallibility is highlighted by the phrase "actions that would harm" since harm is not predictable but can result from the complications and side effects. Moreover, tensions on the subjects of allowing to die vs. killing, withdrawal or withholding of life-sustaining treatments, intending and foreseeing harmful outcomes and the making of a choice between ordinary and extraordinary treatments is exposed (Hannawa, 2012). Adverse events...
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