1. Do you recommend criminalizing healthcare errors as an effective approach to
holding healthcare providers accountable for their mistakes? Why or why not?
2. How can healthcare providers balance the goal of high-quality care with the
potential risks and consequences of errors?
3. Are current legal and regulatory frameworks adequate to address healthcare
errors? If not, what changes are necessary to ensure the regulations best serve
clients and providers?
Hello class and Professor,
I do not recommend criminalizing healthcare errors as an effective approach to
holding healthcare providers accountable for their mistakes. Nurses are oftentimes the
scapegoat for every issue that arises in healthcare. We wear many hats while working
including, but not limited to, being a patient educator, medication administrator,
phlebotomist, and even being a plumber. Patients, doctors, and other hospital staff
expect the most of nurses while we hold the responsibility of being the last safety net for
the patient. If the doctor prescribes the wrong medication and the pharmacist approves
it, the nurse is still held responsible for not questioning the order. Nurses hold an
extremely large responsibility while also being expected to ensure all the small details
are taken care of.
Balancing the goal of high-quality care with the potential risks and consequences
of error is no easy feat in healthcare. One strategy would be implementing evidence-
based practices to emphasize and implement patient safety. This will improve
consistency with the care that patients receive coupled with open communication of
areas of improvement or errors. Management and administrators should encourage
continued education and training as it ensures their staff are updated on the current
medical information and patient safety practices. Supporting staff to get further
certifications will also benefit patient outcome goals for the unit.
The legal and regulatory frameworks are not adequate to address healthcare
errors in the state of New York. A start to help ensure better patient outcomes and
satisfaction would be better nurse-to-patient ratios. New York passed the Senate Bill
S1168A which requires hospitals to adhere to average ratios established by specialty
units. They do not put into consideration extra support staff into these ratios and often
times hospitals continue to be short-staffed making this legislation pointless. The state
of California is the only state with mandated nurse-patient ratios based on the nursing
specialty. Crating legislation that actually ensures safe nurse-to-patient ratios would be
a small start to addressing healthcare errors but make a significant difference in
addressing healthcare errors.
In conjunction with better legislation protecting nurse-to-patient ratios, there
needs to be better education and training initiatives. Hospitals are so quick to throw their
young into working independently even if their orientees don’t feel quite comfortable due
to staffing and budgeting constraints. Oftentimes, nurse preceptors are unexpectedly
instructed to train new staff without being properly trained themselves. I have often seen
the blind lead the blind in the hospital which is terrifying considering another person’s
life is at the other end of their care.
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