Medical Practice Case Study Summary Assessment

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In this case, that power dynamic was only exacerbated by the fact that the entire MSICU nursing team had never received training in management of the type of clinical issues presented and by the fact that they were excluded from any consultation in connection with a post-operative management plan.

Therefore, it is recommended that the institution immediately implement a policy of "see something, say something" according to which all members of healthcare teams are encouraged to speak up irrespective of power differentials. Furthermore, that protocol must include a statement of policy insulating any member of a healthcare team who does voice a legitimate concern in good faith from any retaliation or other negative response that could conceivably deter such diligence.
Finally, the record of this case also indicates the immediate need for protocols requiring all members of the healthcare team to identify themselves to other members of the team, especially in connection with communications taking place over the telephone or other media besides face-to-face interactions where relative seniority and authority are obviously apparent to all involved.

References

Bosk, Charles L. (2003). Forgive and Remember: Managing Medical Failure.

Gawande, Atul. (2008). Better: A Surgeon's Notes on Performance.

Groopman, Jerome. (2008). How Doctors….....

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