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At least 415 records · Page 23Linked to original sources
PubMed2003

What should a suspended doctor do when his actions could save a patient's life?

Suspension from duty is becoming an increasing threat for medical practitioners. While under suspension a doctor may, in extreme circumstances, find themselves in a difficult legal dilemma as to their duty of care towards others. A suspended doctor may risk litigation if they are unaware of the legal ramifications of their unusual circumstances. The following article outlines the legal situation as it applies to England and Wales.

Employee Discipline↗
PubMed2004

Mishaps in the management of stroke: a review of 214 complaints to a medical responsibility board.

BACKGROUND: This is the first survey of formal complaints to a Medical Responsibility Board (MRB) in the literature concerning stroke management and the disciplinary actions to which the complaints lead. METHODS: All available complaints submitted to the Swedish MRB during a 5-year period that concerned stroke management (n = 214) were reviewed. We compiled information on the plaintiffs, the health care staff the complaints were directed against, the area of stroke management involved and the disciplinary actions taken by the MRB. RESULTS: Only 1% of all complaints to the MRB concerned stroke. Three quarters of these complaints were directed against physicians and one fifth against nurses. 23 complaints (11%) resulted in a warning or an admonition. Nearly all disciplinary actions against physicians (12 of 13) concerned misdiagnoses, of subarachnoid hemorrhage in particular. The most common reason for a nurse receiving a warning or an admonition was negligent handling of drugs. CONCLUSIONS: The survey has identified two areas in which educational programs to improve patient safety seem essential. The small number of formal complaints and disciplinary actions suggest that other, blameless procedures have a greater potential than MRB actions to reduce mishaps in routine stroke care.

Diagnostic Errors↗
PubMed1984

Obstacles to reducing patient abuse in public institutions.

Although the abuse of patients in state mental health facilities compromises the patients' therapeutic environment and strongly affects public conceptions of such facilities, there is a lack of reliable research and data on patient abuse. Drawing on his five-year experience as chair of the New York State Commission on Quality of Care for the Mentally Disabled, the author discusses the problems that binder the reporting, investigation, and prevention of patient abuse in public facilities. He believes that the reporting of minor abusive conduct is precluded by the very working conditions that contribute to its occurrence, but that the reporting of major abusive conduct is precluded by powerful factors in the administrative and disciplinary structures of state institutions. After discussing the problems behind the reporting of patient abuse, the author suggests some preventive measures to decrease the incidence of abuse and to ensure its reporting when it occurs.

Attitude of Health Personnel↗
PubMed2002

Occupational effects of stalking.

OBJECTIVE: This case report and discussion describe the psychiatric and social consequences of being a stalking victim, with particular focus on its impact on the victim's occupation. METHOD: Data were gathered from the assessment and arbitration hearing of a female employee who lost her job while being stalked. Computerized literature searches were used to identify relevant papers from psychiatric and legal journals. RESULTS: This case illustrates many of the common features of stalking. The female victim was harassed by a male after a failed intimate relationship. The victim suffered from depression, anxiety, guilt, shame, helplessness, humiliation, and posttraumatic stress disorder (PTSD). The stalking affected her psychological, interpersonal, and occupational functioning. Consequently, she was fired for poor work performance and poor attendance. CONCLUSION: Stalking may affect a victim's ability to work in several ways. The criminal behaviours often interfere directly with work attendance or productivity and result in the workplace becoming an unsafe location. Further, stalking may indirectly affect a person's ability to work through the many adverse emotional consequences suffered.

Absenteeism↗
PubMed1996

Perceived quality of management information and the influence of overspending penalties in the NHS.

The information needs of managers have changed considerably since the introduction of the internal market and many NHS units have invested in new management information systems to enhance the organization's performance. The characteristics of good quality information include accuracy, timeliness and comprehension. Information for management control also benefits from participation between the provider and the user. There are behavioural implications of using information as a control device and managers must internalize the financial objectives of the organization, usually expressed in budget reports. Failure to meet targets must attract penalties that will influence the managers' behaviour. They must respond to the information provided if control is to be exercised. This paper gives the results of a study into managers' perceptions of the adequacy and usefulness of financial information and the impact of penalties for overspending. It concludes that the financial information currently provided fails to meet many of the criteria of good quality information. Any perceived penalty for failing to attain budget-related goals is better than none, and there is little distinction between an overt reprimand and the ultimate sanction of dismissal.

Accounting↗
PubMed1996

Ethical dilemmas faced by the Nursing Disciplinary Committee.

This article presents the complicated ethical dilemmas that arise in the procedures and proceedings of the Nursing Disciplinary Committee, which deals with matters of life and death (e.g. patients' rights to quality and safe care, professional integrity and accountability, and the nurse's future). The article also describes the composition and function of the Committee, the type of case it deliberates, its limitations, and the dilemmas its members may encounter.

Advisory Committees↗
PubMed1988

MMPI profiles of problem peace officers.

The Minnesota Multiphasic Personality Inventory (MMPI) profiles of officers who had been involved in serious disciplinary actions were compared with those of a matched group of officers who had not been involved in such actions. A multivariate analysis of variance (MANOVA) found the profiles of the two groups to be significantly different, with Scales F, 5, 6, and 9 significantly higher and Scale L significantly lower for the problem group. In addition, subjects in the problem group were twice as likely to have a high-point elevation T-score greater than or equal to 70 as their nonproblem counterparts. Overall, these results indicate that any degree of psychopathology, as reflected by MMPI profile elevations, increases the likelihood of serious job performance problems. In addition, a presentation of self as conventional and moderately defended is associated with a lesser likelihood of job difficulty, whereas characteristics such as hypersensitivity, impulsivity, and poor frustration tolerance contribute to significant job problems.

Adult↗
PubMed2005

Whistleblowing: it's time to overcome the negative image.

The media perpetuates the stereotype of the whistleblower forced to go outside his or her organization and risk his or her career to bring wrongdoing to public awareness. In fact, NHS trusts should all have a whistleblowing policy in place which encourages people to raise genuine concerns about wrongdoing, and offer protection to those who do this. This article aims to help health workers understand the whistleblowing process and so assist them in raising concerns within their organization.

Confidentiality↗