1

Assignment 3

W2024 HCA113-200 Health Care Law

(Samar Rabbani)

Name : Kishankumar Patel

 2

Table of Contents

o Introduction .............................................................................................................3

o [Requirements ].......................................................................................................4

o [History ]..............................................................................................................4-5

o [ Reporting and dissemination techniques]..............................................................5

 [ The successful implementation]................................................................6

o The Health and Safety Committee

………………………………………………….6

 Public Health Public Health Ontario…………………………………………………7

o Conclusion …………………………………………………………………………

o References …………………………………………………………………………

9
 3

Introduction: Healthcare practitioners often experience profound distress and shame as a result

of their errors, leading them to either hide them or justify their actions by attributing

responsibility to another party or factor.

The inability to accurately acknowledge healthcare errors can be attributed to providers'

reluctance to disclose mistakes and implicate other healthcare professionals.

Ethical frameworks are implemented in response to healthcare errors. The utmost attention is

placed on respect for patient independence, as well as the significance of truthfulness. Reporting

and disclosure rules are guided by the tenets of loyalty, charity, and innocence. Healthcare

workers may derive advantages by assuming accountability for errors, engaging in the process of

reporting and deliberating on errors with their peers, and openly communicating faults to patients

while offering apologies.

Requirement: Healthcare professionals, including doctors, nurses, and other medical

professionals, are legally and ethically obliged to adhere to reasonable permission standards to

report hazards, advantages, and alternative therapies. The principle of loyalty must be employed

to strike a balance between legal interests and vulnerability in the aftermath of mistakes. This

ethical principle has been reinforced by actual knowledge acquired from errors; especially when

an adverse event leads to substantial harm or even death, there is a moral and ethical obligation

to divulge information. The practice of transparent and truthful reporting, as well as the

acknowledgment of errors committed by medical practitioners and other healthcare practitioners,

 4

has the potential to foster enhanced patient trust and mitigate legal conflicts. Furthermore, it is

crucial to promptly respond to errors by taking measures aimed at protecting the welfare of

patients through the identification and resolution of iatrogenic concerns, as well as the thorough

documentation of the treatment administered.

History: Given the historical backdrop surrounding the practice of mistake monitoring and the

substantial contribution of nurses in patient care, it is imperative to emphasize the indispensable

role that nurses assume in augmenting patient safety using error reporting. The improvement of

the safety of patients can be attained through the implementation of effective mechanisms that

guarantee and augment safety protocols.

This should be based on a culture that values sharing of mistakes, and where good acts are

viewed as beneficial for studying and implementing improvements, rather than assigning blame.

To mitigate the issue of underreporting errors and facilitate meaningful learning from mistakes,

establish rules that facilitate the regular reporting of errors.

Facilitating the shift of an organization towards a safety-oriented culture, by minimizing the

assignment of blame and the burden of a punitive atmosphere, it is highly probable that there will

be an increase in error reporting. Furthermore, it is apparent that patients and caregivers derive

benefits from comprehensive documentation and enhanced reporting, particularly in healthcare

facilities that take action based on the identification of hazardous practices through the analysis

of mistake reports. It is imperative to effectively convey system enhancements to all relevant

stakeholders to ensure their active participation and derive benefits from the feedback

loop(Pallas ,et.al,2008)
 5

Reporting and dissemination techniques have been focused on various categories of errors in

pharmaceuticals, healthcare-associated infections, and medical equipment. When it comes to

medication mistakes, healthcare workers are more likely to record errors occurring during the

giving of pharmaceuticals to patients in incident reports compared to errors made by physicians

(such as physicians) or wholesalers. It is imperative to acknowledge that physicians may not

invariably employ incident-reporting systems(Morton,et.al,2011)

The utilization of error-reporting methods presents several obstacles, including the absence of

universally accepted standards, the difficulty in obtaining convenient use of records, and the

financial implications connected with electronic applications. An evaluation is required to assess

the ability of medical companies' networking and hardware, current regulations and

documentation procedures, which encompass the reporting of both actual errors, as well as the

potential of the new system to offer error information that can aid in actions to improve quality.

Patients can serve as a valuable resource for gathering information regarding the incidence of

undesirable effects linked to medical procedures. Within institutional contexts, patients can offer

insights into novel symptoms that may not be immediately identifiable through the process of

doctor observation or testing. The absence of personal interaction between individuals and

outpatient doctors in hospitals has led to the utilization of unplanned emergency department
 6

(ED) trips and hospital stays as a means to identify those who have experienced significant,

reported, and enforceable reactions to drugs (ADRs).

The effective execution of a safety program requires the active involvement and cooperation of

all personnel The establishment of a committee on safety and health serves as a platform for the

collective engagement of staff members who represent both the labour and business sectors. In

situations where a group is deemed unnecessary, it is possible to designate a worker delegate.

(Sorra, et. al,2003)

The health and safety committee enables the incorporation of workers' thorough and pragmatic

comprehension of specific job responsibilities, with the company's wider viewpoint on job

interconnections, overall company rules, and rules of procedure.

The employer is required to form a committee that is well-structured and adheres to legal

requirements. The committee should be efficient, inclusive of a diverse group of staff and upper

management, and equipped with necessary resources such as time, finances, and meeting

facilities to carry out its duties. The team accomplishes this by defining the scope of the project

and the employer offers assistance by assigning sufficient resources(Rackal, et. al,2021)

Public Health Public Health Ontario: The agency in question operates under the authority of

the Government of Ontario and plays a vital role as a collaborator within the general health care

system of Ontario. They possess profound expertise and proficiency in diverse domains,

encompassing the prevention of chronic illnesses, recovery from disasters, ecological and
 7

workplace wellness, promotion of well-being, injury avoidance, transmissible diseases, and

innovation.

 Supervise the well-being of Ontario's populace and assist local Public Health Units

(PHUs) in conducting such monitoring for their respective populations.

 Enhance the educational and professional growth opportunities for health providers as

well as organizations in the province of Ontario.

 Perform public health research

 Offer guidance and practical assistance during emergency or outbreak scenarios that have

health consequences

Conclusion: Continuous and cooperative endeavours to diminish the frequency and intensity of

healthcare mistakes are necessary to achieve safer and superior quality care outcomes. To

enhance safety, it is imperative to implement error-reporting procedures that encompass the

identification of errors, acknowledgment of mistakes, rectification of harmful conditions, and

communication of system enhancements to relevant stakeholders. A medical facility or system

can be considered more trustworthy from the standpoint of safety when there is a higher

frequency of recorded actual mistakes and near-missed opportunities, provided that the system's

enhancements align with errors.

 8

Clinicians express their gratitude for witnessing the conversion of the observations they have

submitted into enhancements within the systems. Voluntary systems for reporting can potentially

lead to an increase in reported mistakes and near misses. This is because cooperative systems

offer supplementary proof that the tendencies of shame and reproach are being eradicated inside

healthcare institutions and systems.

 9

References

Morton, S., Berg, A., Levit, L., & Eden, J. (Eds.). (2011). Finding what works in health care:
standards for systematic reviews.

Hassen, N., Lofters, A., Michael, S., Mall, A., Pinto, A. D., & Rackal, J. (2021). Implementing
anti-racism interventions in healthcare settings: a scoping review. International journal of
environmental research and public health, 18(6), 2993.

Nieva, V. F., & Sorra, J. (2003). Safety culture assessment: a tool for improving patient safety in
healthcare organizations. BMJ quality & safety, 12(suppl 2), ii17-ii23.

Wang, S., Hayes, L., & O'Brien-Pallas, L. L. (2008). A review and evaluation of workplace
violence prevention programs in the health sector. Toronto: Nursing Health Services Research
Unit.

https://www.ncbi.nlm.nih.gov/books/NBK2652/