Order ID# 45178248544XXTG457 Plagiarism Level: 0-0.5% Writer Classification: PhD competent Style: APA/MLA/Harvard/Chicago Delivery: Minimum 3 Hours Revision: Permitted Sources: 4-6 Course Level: Masters/University College Guarantee Status: 96-99% Instructions
Part 2: Strategic Compliance with the Law
- It is essential to preserve documents for litigation because the records are easily retrieved, authenticated, and show good faith in the hospital’s behavior. It offers transparency of the hospital’s services provided.
The three actions needed to be taken to preserve the documentation needed for this litigation will be
1)Electronically store the documentation information. 2). Stop all documentation retention or destruction of the documents needed for the litigation. 3). Label the documents as litigation hold to ensure they somehow do
not get destroyed.
The key documents that will need to be reserved because they are directly related to the litigation will be the checklists of all the supplies and instruments brought into the surgery before, used during, and collected after the procedure. The notes taken by Dr. Quick and the nurse sleep back, during, and after the surgery.
- medical records can limit or increase legal liability because of how well the notes were taken or what was neglected in the notes at the time of notation. A well-written letter can be specific with times, while an ignored message can have missing time and specifics. This can cause the courts to dismiss the case or find the healthcare organization liable. A point may be trialed later, so depending on good documentation is crucial. According to the Medical Mutual Insurance Company of Maine (n. d), a complete medical record is the best defense. It serves as a communication tool and supports decision-making.
A solid medical record will include patient identification, medical history, family history, and medication history.
To improve medical records, surgical care documentation, and sponge count, there will be
1). A surgical tech in the operating room to keep counts of sponges used and removed during the procedure and effectively communicate that to the team. Excellent and effective communication is essential to safe and successful surgery and to prevent complications (WHO, 2009).
2). A computer system that will only allow a sponge to be taken at a time. Unless a sponge is returned, another one cannot be taken out.
3). Every sponge and instrument will be computer scanned. After a certain period, the computer will let the surgery team know if any is not observed as been removed, that the surgeon, nurses, and the surgical tech has to fill out about the count of sponge and instruments used.
References
Kaiser Family Foundation (2013, April 25). Summary of the Affordable Care Act. https://www.kff.org/health-reform/fact-sheet/summary-of-the-affordable-care-act/
Medical Manual Insurance Company of Maine. (n. d). Complete medical records: your best defense. https://learn.umgc.edu/content/enforced/718307-004637-01-2228-GO1-9040/Medical%20Mutual%20Insurance%20Company%20of%20Maine%20-%20Complete%20Medical%20Records%20Your%20Best%20Defense%20PDF.pdf?_&d2lSessionVal=GhkTKz4shFi5F3wZ6AOlmyho3
University of Maryland Global Campus (2022). Week 1: Sources of law, litigation, and managerial legal compliance. https://learn.umgc.edu/d2l/le/content/718307/viewContent/26758010/View
University of Maryland Global Campus (2022). Week 1: The law, compliance tools, and managerial actions. https://learn.umgc.edu/d2l/le/content/718307/viewContent/26757986/View
World Health Organization (2009). Patient safety. Implementation manual. WHO surgical safety checklist 2009. https://apps.who.int/iris/bitstream/handle/10665/44186/9789241598590_eng.pdf?sequence=1&isAllowed=y
Peer 2:
Part 1
RUBRIC
Excellent Quality 95-100%
Introduction 45-41 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Literature Support 91-84 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Methodology 58-53 points
Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score 50-85%
40-38 points More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.
83-76 points Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.
52-49 points Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality 0-45%
37-1 points The background and/or significance are missing. No search history information is provided.
75-1 points Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.
48-1 points There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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