Addressing Discrepancies in Patient Assessment: An Ethical and Organizational Perspective

You are a member of an interdisciplinary team participating in patient rounds at the start of your shift. You notice the physician charting that the patient is alert and oriented x3, but the patient was clearly confused, which the physician acknowledged during rounds.Discussion QuestionHow would you approach this scenario? Apply one of the ethical principles discussed in Dynamics of Nursing: Art and Science of Professional Practice to this scenario. Discuss how organizational culture can help manage errors.Include an introduction and conclusion, and use a heading to discuss every topic.

Addressing Discrepancies in Patient Assessment: An Ethical and Organizational Perspective Introduction Interdisciplinary collaboration in healthcare settings is essential for providing comprehensive care to patients. However, discrepancies in patient assessments can pose challenges and require a coordinated approach to ensure accurate diagnosis and treatment. In this scenario, where the physician's charting does not align with the patient's actual state of confusion, prompt intervention and ethical considerations are crucial. Applying the Ethical Principle of Veracity The ethical principle of veracity, which emphasizes honesty and truthfulness in professional interactions, is particularly relevant in this scenario. As a member of the interdisciplinary team, it is essential to address the discrepancy between the physician's charting and the patient's actual condition. By upholding the principle of veracity, healthcare professionals can prioritize transparency and accuracy in patient assessments, leading to improved outcomes and patient safety. Approach to the Scenario 1. Immediate Communication: Approach the physician privately to discuss the discrepancy observed during rounds. Express concerns about the accuracy of the patient's assessment and the potential implications for care delivery. 2. Collaborative Discussion: Engage in a collaborative discussion with the physician and other team members to reconcile the conflicting information and reach a consensus on the patient's condition. Highlight the importance of accurate documentation for continuity of care. 3. Patient Reassessment: Conduct a thorough reassessment of the patient to determine the underlying cause of confusion and ensure appropriate interventions are implemented promptly. Role of Organizational Culture in Error Management Organizational culture plays a significant role in how errors and discrepancies are managed within healthcare settings. A culture that prioritizes open communication, teamwork, and a commitment to patient safety can help mitigate errors and promote a culture of learning and improvement. In this scenario, an organizational culture that encourages transparency and accountability can facilitate effective resolution of discrepancies in patient assessments, ultimately enhancing the quality of care provided. Conclusion In conclusion, addressing discrepancies in patient assessments requires a collaborative and ethical approach that upholds principles such as veracity and prioritizes patient well-being. By fostering a culture of transparency and open communication within healthcare organizations, errors can be effectively managed, and patient safety can be safeguarded. Embracing ethical principles and a supportive organizational culture is essential for promoting quality care delivery and ensuring positive outcomes for patients.

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