Suchergebnisse

The research objective was to determine the form of legal protection for medical personnel and patients or their families for criminal acts of medical negligence and the form of the mediation concept of penalties for medical negligence. This research uses normative juridical legal research, is descriptive analysis, data sources are primary and secondary legal materials. Medical negligence lies between deliberate and coincidence, the crime of medical negligence is not mens rea, culpa offense is a false offense. The concept of penal mediation for the criminal act of medical negligence is to bring together medical personnel with patients or their families directly, changing the perspective of criminal law towards a humanistic criminal law, because the main focus isn't on retaliation but on efforts to restore and make peace. The concept of penal mediation isn't intended to maintain discretionary measures by law enforcers but to provide a place for penal mediation for criminal acts of medical negligence in the criminal justice system in realizing legal protection for medical personnel and patients or their families. The concept of penal mediation in realizing legal protection for medical personnel and patients or their families is a reform of criminal law as a reflection of restorative justice that needs to be regulated and by offering conditional norms. Criminal law reform must be carried out by reviewing and reconstructing criminal law in accordance with the social central values and socio-cultural values of the Indonesian people so that Indonesia's criminal law in the future is filled with Pancasila values.

PharmD ; Numerous data and reports indicate a staggering scale of medical device-related incidents. The Implant Files (2018) uncovered 80,000 deaths and 1.7 million injuries associated with medical devices from the US alone. In the EU, Poly Implant Prosthèse (PIP) was found to be utilizing industrial grade material for its silicone breast implants. The scenario led the European Union to introduce new legislation on medical devices. The objectives of this study were to appreciate challenges with respect to the use of medical devices and patient safety within a hospital setting, to classify medical devices involved in incidents, and to develop a structured approach to focus on patient safety in a central procurement unit. The setting of the study was the Central Procurement Unit (CPSU) at the Health Ministry, which is involved in procuring and distributing medicines and medical devices used for the National Health Service (NHS) in Malta. Literature analysis was carried on medical device barriers to safety using Medline, International Pharmaceutical Abstracts and CINAHL databases covering 2005 to 2019. The study employed an exploratory, qualitative design using an iterative approach. A total of 150 hours of fieldwork was undertaken in the Quality Assurance Unit of CPSU. Devices involved in incidents were classified using the Global Medical Device Nomenclature. Root cause investigation and classification were carried out using an innovative tool developed in this study. Literature review (n=52) revealed nine major themes of medical device challenges to safety. These are healthcare setting, regulatory, device, procurement and evaluation, incident reporting, clinical evidence, patient factors, software, and supplier gaps. A total of 333 medical device incidents that were investigated and closed from 2016 to July 2019 at the CPSU were analysed. The leading devices with incidents were sutures (10.5%), dressings (9.61%), and gloves (6%). The causes of incidents as classified by the Quality Assurance Department of CPSU were defective devices (70%), wrong product (17%), European Council directive non-compliance (4%), unclassified reason (4%), recalls (3%) and complaints (3%). An innovative tool for medical device incidents root cause analysis and classification was developed based on the Amoore tool1. Two new major classification groups (supplier and regulatory compliance) were generated in this innovative tool. Using the developed tool, root cause analysis for the incidents reviewed was described as device (35%), infrastructure (14%), supplier (9%), regulatory compliance (8%), no problem found (6%), operator (2%), clinical and patient factors (1%). For 24%, the cause was unknown due to a lack of data during the incident reporting, indicating a weakness in the reporting system adopted at CPSU. The study led to a structured analysis of medical device-related incidents. An innovative tool for investigating causes of incidents was developed, which could be implemented. The study also sheds light on documentation required in the incident reporting that is now being used in CPSU. ; N/A

A slippery slope describes how events progress from an initially innocent step to a cascade of subsequent misfortunes that are increasingly inevitable, difficult to stop, and more harmful than the last. In the attempt to improve what is already just fine, patients can unknowingly find themselves on this slope. This book shows them how to avoid it.

This volume focuses on understanding the impact of age-related decline in cognitive abilities on medical decisions and compliance with medical instructions. It examines how medical information and the medical environment can be restructured to accommodate

Intro -- Preface -- Contents -- Editor and Contributors -- About the Editor -- Contributors -- 1 Bridging the Health Gap: Human-Centered Approaches to Connect Clinical and Community Care -- 1 Introduction-Understanding the Need for Human-Centered Design in Health -- 2 Role of Organizational Culture in Health Gap Creation and Gap Reduction -- 3 Gaps and Gap Creation from the Economic Perspective -- 4 Social Determinants of Health as Enablers of Human-Centered Health Service Design -- 5 Human-Centered Data Collection -- 6 Development of Learning Systems as a Human-Centered Design Approach -- 7 Discussion and Conclusions -- 8 Conclusion -- References -- 2 The Change from Leadership to Leadershift-The Human-Centered Service Design Approach Requires New Leadership Competencies in the Health System -- 1 The Challenges of Human-Centered Design of Services for Management in the Health System -- 1.1 Fundamental Challenges -- 1.2 Linking Human and Digital Interactions -- 1.3 Uncertain Conditions and Short Interaction Times -- 1.4 Contradictory Demands on Management -- 2 The Culture of Rapid Progress -- 2.1 Normative Level -- 2.2 Strategic Level -- 2.3 Operational Level -- 3 Conclusion -- References -- 3 Empowered Health and Social Care Staff: The Value of Human-Centred Service Design in Co-producing Transformative Change -- 1 Introduction -- 2 Human-Centred Service Design Experiences Throughout the Pandemic -- 2.1 Distributed Engagement Methods Enhance Human-Centred System-wide Perspectives -- 2.2 Staff Wellbeing as an Area of Focus is Required to Support Empowerment and Engagement in Collaborative Decision-making -- 2.3 Service Design Supports a Human-Centred System of Health and Care that Empowers and Engages Staff in Distributed Decision-making -- 3 Linear Closed to Open Ecosystem -- 4 Conclusion -- References.

Written as an introduction to the discipline of human factors, the authors highlight key principles and theories and relate these to aspects of paramedic practice. Containing practical prehospital examples, this resource provides a firm understanding of systems thinking and design, enabling you to look for instances where the principles of human factors might be applied in your own practice.

Cover -- Contents -- Notes on Contributors -- Introduction -- PART I: Theoretical Concepts and Constructs -- Chapter 1 Rights and Responsibilities -- Chapter 2 Rights, Risks and Healthy Choices -- Chapter 3 Rights, Risks and Responsibilities in an Age of Uncertainty -- PART II: Theory in Practice -- Chapter 4 Managing Risk in a Complex Society -- Chapter 5 Upholding the Rights of People with Profound Intellectual and Multiple Disabilities -- Chapter 6 Risk, Informed Practice and the Non-specialist Practitioner: Towards More Effective Work with Those Who Misuse Substances -- Chapter 7 Taking Relationships into Account in Mental Health Services -- Chapter 8 Interprofessional Working to Safeguard and Protect Children -- Chapter 9 Interprofessional Working and the Community Care Conundrum -- Chapter 10 Responsibilities and Accountabilities in Interprofessional Working -- Chapter 11 Critical Reflections on Balancing Rights, Risks and Responsibilities -- Chapter 12 Conclusion -- Index.

"Long gone are the days when a deaf person is expected to struggle through a healthcare consultation with a health professional who has inadequate deaf awareness. Legislation now dictates that the onus is on the health professional to utilise the right communication skills. Deafness is very common, meaning that health professionals, whatever their specialist area, can expect to encounter a client with deafness or hearing loss on a daily basis. Working with Deaf People is intended for use as a general reference manual, offering practical advice on how to prepare for the consultation with clients who are deaf or deafblind. Information is offered about language, communication and culture; case studies demonstrate how the messages can be applied in practice. Every health professional, medical and nursing student, whatever their discipline and whatever country they work in, should have a copy of this book"--Provided by publisher

Recovering general practice from epistemic disadvantage / Sally Hull and George Hull -- Mismanagement in general practice / Stefan HjÖrleifsson and Kjersti Lea -- Challenges to the "self" in IT-mediated health care / Deborah Swingelhurst -- Subjectivity of patients and doctors / Iona Heath -- In defence of the conscious mind / David Misselbrook -- Patient, person self / Christopher Dowrick -- Unlocking the creative capacity of the self / Joanne Reeve.