As a Health information management student, The Association of Information Technology Professionals (AITP) Code of Ethics, give a tangible information about the code of ethics when it comes to working with patient’s information.
AITP covered the standards conduct that govern the followings that includes
In recognition of my obligation to management I shall:
http://www.aitp.org/?page=EthicsConduct
The three items I find interesting or that are important to will be:
• Protect the privacy and confidentiality of all information entrusted to me.
• Be honest in all my professional relationships
• Accept full responsibility for work that I perform
The field of Health Information Management most important first code of conduct as relates to HIPPA, is
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Identify alternatives: look at the positive outcomes the transistors had contribute the medical community. Come up with new solutions, as to how the pacemaker can improve in ways that will avoid legal outcomes.
Evaluate and choose alternatives - using four approaches to making ethical decisions:
Virtue ethics approach: If the transistor had caused more than the purpose of it used, it obliterated.
Utilitarian approach: The pacemaker company must have the transistors retested and fine the cause of problem before marketing to organizations
Fairness approach: look into the cause of death, recalls transistors, and have an alternative that will not cost revenue lost for the companies that using those transistors.
Common good approach
Implement decision: The Company must have a recall to figure out the cause of death. If the company will continue selling this product it must be 98 percent chances of saving or improving lives.
Evaluate results: Based on implement decision to recalls, the company must work on the safety of all transistor before distribution.
Part
The hospital is not engaged in the practice of a mixed sale by selling the pacemaker and also charging for surgery at the same time. The transaction was not primarily for the pacemaker and the surgeon just happen to include the service of surgery
After going through the case of Margie Whitson, the dilemma is the fact that Margie is looking to have her pacemaker removed which will in turn would end her life. So far, Margie Whitson has had a rough year and has come to the decision that she wants her pacemaker deactivated because she believes it is delaying her death. Her pacemaker is the only thing keeping her heart beating at this point. But even at that, her doctor, Dr. Vijay, refuses to deactivate it due to the fear of legal action/misunderstandings of the ethical and legal acceptability. Margie Whitson is very determined to have her pacemaker removed so she call for Jane Robison, the social
Jumpstater Inc had developed a product, Jumpstarter I, which was a pacemaker intended to regulate the heartbeat of an individual in the body. At the end of the nineties, the company discovered that the device became faulty when the body temperature increased above normal. To reverse the damage, the firm asked the medical facilities that had any unused product to return them to the company for credit. Additionally, Jumpstarter Inc. advised practitioners to remove any device that had already been implanted in the patients.
The morals that are in conflict with this issue is nonmaleficence because the doctors, nurses, social worker, and ethics committee main priority is to make sure that nonmaleficence is not being implemented by any means. Other morals that are in conflict would be justice and autonomy because the committee has to take in consideration the patient’s right to make her own decision about wanting to live or not but they also have to take into consideration the benefits and risks of the patient that could come along with going through the patient’s request of removing her pacemaker.
The second issue to be analyzed counters that possible result. If the transistor company were to continue in business then there lies the opportunity to save countless lives that could benefit greatly due to the technology. Yes, the company is putting itself at risk, but for the result of saving people who really need pacemakers. It is known that pacemakers have failed before, but it can be assumed that the aforementioned pacemakers did not have this company’s transistor in it or else they most likely would’ve already left the contract. That being said, there is the possibility that the other transistors that were being used were just poorly made (Shanks, 1996). As a result of this, the main Utilitarian issue being presented is does the company end the contract and not take the unnecessary risk associated, or do they continue the contract and potentially save countless lives?
I thought your discussion post this week was great. After looking at exercise 4-4 I completely agree with you that using PRN nurses and working with float nurses is such a smart idea. Decreasing discharge teaching time like the manager wants to do on the unit is unsafe and unethical to patients. The nurses on the unit are doing their part by providing excellent patient care, but reducing education can lead to dangerous outcomes for patients in the long run. Provision 3 of the ANA Code of Ethics (ANA, 2015) states that nurses should promote, advocate, and protect the rights, health, and safety of every patient. By implementing your proposed thoughts I really do believe wait times and patient satisfaction could certainly improve. There are always
Working in the field as health care professionals, we are faced with ethical dilemmas almost always. Although each individual posses different values, there are specific codes of conduct to abide by, despite personal beliefs. Without the use of a structural code, individuals in the health care field would make decisions based on their own personal beliefs in accordance to their culture and religion. In the case of Marion and the pacemaker, we witness the desires of the patient at hand, Marion, and her family, be interrogated by the floor nurses. Although the intent behind the actions of the floor nurses can be described as morally just, thinking they are helping preserve the life of Marion, based on medical ethics, their behavior is of some degree to be questioned. This paper will focus on the boundaries we witness crossed by floor nurses and how they go against the medical ethics approved, and what effects they have on patients and their care givers.
The ethics committee has spoken with other healthcare professionals in the community with regards to case. Several professionals feel that there is an ethical dilemma at this time to turn the pacemaker off. The professionals that feel there is a dilemma are Dr. Vijay, Cardiologist; Jane Robinson, Social Worker; and Cindy Mackin, Rehabilitation Center Administrator. The healthcare professionals on the ethics committee understand the issues presented to them and have personally communicated with the patient in regards to her wishes of the patient. Upon investigating other cases involve similar ethical dilemmas, the ethics committee has considered several cases and consultations before reaching a conclusion. (cbhd.org, 2008).
Hello all, my name is David Jamison, MHA. I am representing Marion General Hospital as the committee chairman of the ethics committee. I am currently reviewing the case involving female patient Margie Whitson. The patient is a 95 year old patient whom wishes to have her pace maker “turned off”, due to her unwillingness to live. The death of her only remaining son was the last event that, that had forced her to contemplate the reason why she still lives. Mrs. Margie Whitson is no stranger to loss. When she was younger, she lost her youngest son to a severe motor vehicle accident that took his life at the early age of 30. She injured herself over 10 years ago, and received a hip fracture. Her most recently bout was
Since the beginning of the science and technology era, the impact of technology on humanity and society has been growing. New technologies are also emerging, which means that we should be responsible for what we are developing. Therefore, when we develop a new technology, we should respect ethics and take care of all the damage caused.
American Health Information Management Association has eleven different codes of ethics that they like to have their members and credentialed nonmembers to follow. Some of those ethics are:
The issue is whether to respect the family’s autonomy and remove the pacemaker that is prolonging Jeffery’s life and create more suffering, or if this is beneficent. Today, pacemakers are a common treatment for cardiac rhythm problems and can be life sustaining. According to Zellner et al. (2009), “As patients age and
Patient death or serious disability associated with the use or function of a device in patient care in which the device is used or functions other than as intended
The fourth approach, the Common Good Approach, contributes the the ideals of community. Its focal point is that “interlocking relationships of society are the basis of ethical reasoning...respect for all others - especially the vulnerable - are requirements of such reasoning” (Velasquez 5). Here, the option that best serves the community and its welfare as a whole is the best. So the transistors would continue to be sold to make pacemakers since they could promote the wellbeing of the community as a whole in the long run, especially since heart patients are vulnerable.
One example of the cost of a device failure is a hospital bed. In this scenario, the mattress was not properly maintained during a routine inspection, and the device was deemed normal operation. Nevertheless, it had a leak in the air mattress, that leak created an ulcer on the patient’s bottom; the cost of an ulcer to be treated ranges from as low as $500 to $50,000 dollars. Besides finically losing money, they might have a longer/harder recovery because of a failure of the device. The healing process can take anywhere from 3 hrs. to years depending on the severity. Of course this example is a dramatization, and clinical staff are trained in methods to help prevent ulcers form forming. The patient’s family would have increased stress, as there love one recovery would be slower than expected. The University of Kansas Hospital treats people from all over the world on a daily basis. It is common for the family to travel to the hospital so their family can receive gold standard patient care; high travel cost adds up, the cost of extended stay due to faulty equipment, is another stressor that the family should not have to worry about such cost. I would be deliberately acting against