Quality Assurance and Legal Issues

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Course Objectives
Define quality and its role in patient care
Identify practices that help ensure quality
Differentiate among common types of consent
Explain the importance of accurate patient identification
Course Content
Course Creator: Kristen Moylen
Total CE Hours: 1 Credit Hour 
Pace Course #:  586-2708-26 

Key Terms:
Accuracy 
Autonomy 
Battery 
Beneficence 
CLSI 
Competencies 
Dereliction 
Efficiency 
Ethics 
Expressed consent 
Explicit consent 
Implied consent 
Informed consent 
Libel 
NAHQ 
Negligence 
Quality 
Quality control 
Refusal 
Slander 
TJC 

Outline:
  • Introduction
  • Key Terms
  • Quality Assurance
    • Quality
    •  Quality Management
      • Healthcare Quality Management Principles
    •  Scenario
      •  Scenario Breakdown
  • Quality Assurance
    • Quality Assurance Competencies
    •  Quality Control
    •  Maintaining Quality Control
      • Quality Control: Equipment Checks
      •  Quality Control: A Clean & Safe Environment
      •  Quality Control: Supplies & Equipment
      •  Quality Assurance: Training & Competency
      •  Quality Assurance: Standardized Processes
  • Setting Standards
    • The Joint Commission
      • The Joint Commission: Mission and Vision
    • Clinical & Laboratory Standards Institute (CLSI)
  • Documentation
    • Equipment Check Forms
    •  Equipment Check Form: Key Elements
    •  Incident Reports
    •  Sentinel Events
    •  Near-Miss Reports
    •  No-Harm Reports
    •  Non-Patient-Related Reports
    • Scenario
      • Scenario Breakdown
  • Risk Management
    • Enterprise Risk Management
  • Legal Issues
    • Legal Issues in Healthcare
    •  Legal and Ethical Concerns in Healthcare 
      • Negligence
      •  Duty of Care
      •  Breach of Duty
      •  Direct Causation
      •  Damages
      •  Malpractice
      •  Battery
      •  Slander
      •  Libel
      •  Assault
      •  Criminal and Civil Actions
  • Ethical Awareness
    • What Is Ethics?
    •  Why Are Ethics Important?
    •  Ethical Awareness
    •  Types of Consent
      • Expressed Consent
        • Expressed Consent Form Example
      •  Implied Consent
      •  Informed Consent
      •  Explicit Consent
      •  Parental Consent for Minors
      •  STI Testing and Consent
    • Scenario
      • Scenario Breakdown
  • Refusal of Care
    • Refusal of Care for Minors
  •  Patient Identification 
    • What Is Patient Identification?
    •  Why Is Patient Identification So Important?
    •  Identification Bands
    •  Barcoded Identification
  • Handling Mistakes
    • Mistakes
    •  Responding to Mistakes
  • Conclusion
  • References

References

  1. Klein, T. A., Seelbach, C. L., & Brannan, G. D. (2023, March 6). Quality assurance. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK557503/
  2. National Healthcare Certification Organization. (2022). A fundamental guide to phlebotomy.
  3. The Joint Commission. (n.d.). Mission statement fact sheet. https://www.jointcommission.org/resources/news-and-multimedia/fact-sheets/facts-about-mission-statement/
  4. Clinical and Laboratory Standards Institute. (n.d.). CLSI standards: Guidelines for health care excellence. https://clsi.org/standards/
  5. MedTrainer. (n.d.). What are the four types of healthcare incident reports? https://medtrainer.com/blog/four-types-of-healthcare-incident-reports/
  6. eCompliance. (2021, July 21). 4 types of incident reports. https://www.ecoonline.com/en-us/blog/4-types-of-incident-reports/
  7. The Joint Commission. (n.d.). Sentinel event. https://www.jointcommission.org/resources/sentinel-event/
  8. Buja, A., Damiani, G., Manfredi, M., Zampieri, C., Dentuti, E., Grotto, G., & Sabatelli, G. (2022). Governance for patient safety: A framework of strategy domains for risk management. Journal of Patient Safety, 18(4), e769–e800. https://doi.org/10.1097/PTS.0000000000000947
  9. Merriam-Webster. (n.d.). Negligence. In Merriam-Webster.com dictionary. Retrieved June 12, 2024, from https://www.merriam-webster.com/dictionary/negligence
  10. The Levin Firm. (2022, September 16). What are the 4 Ds of medical negligence? https://www.levininjuryfirm.com/what-are-the-4-ds-of-medical-negligence/
  11. Wilson Law. (n.d.). What is considered medical negligence? https://wilsonlaw.com/blog/what-is-considered-medical-negligence/
  12. Merriam-Webster. (n.d.). Dereliction. In Merriam-Webster.com dictionary. Retrieved June 12, 2024, from https://www.merriam-webster.com/dictionary/dereliction
  13. Legal Information Institute. (n.d.). Malpractice. Cornell Law School. https://www.law.cornell.edu/wex/malpractice
  14. Bronx Law Firm. (n.d.). The difference between medical malpractice and medical battery. https://bronxlawfirm.net/medical-malpractice-medical-battery-ny/
  15. The University of Texas at Arlington. (2020, September 21). Legal issues every nurse needs to know about. https://academicpartnerships.uta.edu/healthcare-nursing-online-programs/rn-to-bsn/legal-issues-in-nursing/
  16. National Library of Medicine. (2021, May 27). Cyberspace and libel: A dangerous balance for physicians. National Center for Biotechnology Information. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8193490/
  17. Nursing Home Abuse Guide. (n.d.). Assault and battery. https://www.nursinghomeabuseguide.org/elder-abuse/assault-and-battery/
  18. Merriam-Webster. (n.d.). Ethic. In Merriam-Webster.com dictionary. Retrieved June 12, 2024, from https://www.merriam-webster.com/dictionary/ethic
  19. Varkey, B. (2021). Principles of clinical ethics and their application to practice. Medical Principles and Practice, 30(1), 17–28. https://doi.org/10.1159/000509119
  20. Centers for Disease Control and Prevention. (2022, April 28). Ethics and healthcare worker exposure considerations. https://www.cdc.gov/niosh/learning/safetyculturehc/module-5/10.html
  21. Merriam-Webster. (n.d.). Consent. In Merriam-Webster.com dictionary. https://www.merriam-webster.com/dictionary/consent
  22. Wilson Law. (n.d.). What is the difference between express and implied consent? https://wilsonlaw.com/blog/difference-between-express-and-implied-consent/
  23. Health Research Board. (n.d.). Explicit consent. https://www.hrb.ie/funding/gdpr-guidance-for-researchers/gdpr-and-health-research/consent/explicit-consent/
  24. Ambula. (2024, March 12). Why is patient identification important? https://www.ambula.io/why-is-patient-identification-important/

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