Monday, March 11, 2019

Ethical Healthcare Issues

Running Head honorable HEALTHCARE Ethical Health carry on Issues Paper Wanda Douglas Health Law and morality/HCS 545 October 17, 2011 Nancy Moody Ethical Healthc atomic number 18 Issues Paper In todays wellness c argon industry providing quality patient supervise and avoiding deterioration are the foundations of ethical practices. However, many health care professionals are non meeting the guidelines or expectations of the Ameri fecal matter College of Healthcare Executives (ACHE) or obeying the presidential terms code of morals policies, especi completelyy with the do of electronic medical records (EMR).Many patients fear that their face-to-face health tuition (PHI) leave alone be disclosed by hackers or unauthorized users. fit to Carel (2010) ethical concerns shroud the proposal in skepticism, most notably privacy. At the most fundamental level, issues arise about the dilute number of people who will confirm ready admission charge to the health information of a vast p atient population, as well as about unauthorized access via hacking. This paper will apply the tetrad principles of morals to EMR agreement. EMR History Pickerton (2005), In the 1960s, a physician named Lawrence L.Weed head start described the concept of computerized or medical records. Weed described a corpse to automate and recognize patient medical records to enhance their exercising and thereby lead to improved patient care (para 1). The advantages of EMR system includes dual-lane information integrated information, improvement of quality care, and adaptation of regulatory changes. horizontal though EMR systems train many advantages, EMR systems too have some disadvantages too. most disadvantages of EMR systems are security, and confidential, which can raise ethical issues. In order to financial aid identify and vercome ethical issues with EMR systems, health care professionals can use the quaternity principles of ethics to dish up identify where ethical issues are compromised. The foursome principles of ethics are autonomy, beneficence, nonmaleficence, and justice. Autonomy According to Mercuri (2010) autonomy means allowing individuals make their hold choices and develop their own lives in the context of a particular ordination and in dialogue with that society negatively, autonomy means that one kind-hearted individual, precisely as a human person, does not have authorization and should not have power over another human person (para 2).Autonomy has an marrow with ethics concerning EMR systems because health care organizations should have an EMR system that should maintain respect for patient autonomy. Respect for patient autonomy should have health care organizations to make decisions concerning user access of the records. Access of Records in the beginning a health care organization implements an EMR system, they should have a security system in place, which includes access control component.Access control within an EMR system is controlled by distinct user roles and access levels, the enforcement of strong login passwords, laborious user verification/authorization and user inactivity locks. Health care of professionals regardless of their level, each have specific permissions for accessing data. Even though the organization have the dear security system in place to foil unauthorized users from access patient records, autonomous patients will expect to have access to his or her records with ease.Access their record will ensure that their information is correct and safe. Beneficence According to Kennedy (2004) beneficence is acting to prevent iniquity or harm, to protect and defend the rights of others to do or promote advanced (p. 501). Beneficence has an stamp with ethics when it comes to EMR systems because health care professionals can dish out to improve the health of individual patients by using patient records to help with medical research. EMR systems contain an enormous amount of raw data, whi ch can inaugurate public health and biomedical research.This research will not save do good to help the health of individual patients, but also to the health of society (Mercuri, 2010). As a result, as new EMR systems are designed, patients should be given the ability to release information from their EMRs to researchers and scientists. Nonmaleficence Not lonesome(prenominal) does beneficence have an effect with ethics concerning EMR systems, but also nonmaleficence. According to Tabers Cyclopedic checkup Dictionary The principle of not doing something that causes harm.Hippocrates felt this was the underpinning of all medical practice. He advised his students,primum non nocere(first, do no harm) (Nonmaleficence, 2010). Nonmaleficence has an effect with ethics concerning EMR systems because it is the employees responsibilities to report any disrespect or antic of patient medical records. However, if an employee doesnt report negligence or finesse it will cause harm to the org anization and to the patient. Reporting negligence will make the organization aware of the problem and help them find a solution.Employees can help prevent negligence or fraud notifying vigilance when a problem is discovered. Employees can also help prevent negligence or fraud by making sure that their system access information is secure. In addition, employees can also help prevent negligence or fraud by making sure that they are creating dead on target records. If the employees follow these policies of EMR security systems, they will ensure that the patient medical records are secure and safe from harm. Justice Not only does nonmaleficence have an effect with ethics when it comes to EMR systems, but also justice.According to Mercuri (2010) justice is commonly delimit as fairness. With respect to health care, justice refers to societys tariff to provide its members with access to an adequate level of health care that fulfills canonical needs (para 5). Justice has an effect wit h ethics concerning EMR systems because EMRs are most helpful when the system is easy to use, fully integrated, and easily searchable. EMR systems have the potential to service health care organizations by providing higher quality care to the users and to the patients.In addition, EMR systems also assist health care organizations by having a system that is more unbiased through advanced effectiveness. Conclusion Even though there are still some ethical issues with EMR systems, health care professionals are moving in the right direction by existence more aware. Health care professional want to do the right thing by following the organizations code of ethics, but sometimes they are not always clear on how they should handle certain EMR systems situations properly.In order for health care professionals to handle certain EMR systems situations properly, they can use the ACHE as a reference. Using ACHE as a reference ensures that they are meeting ACHE standards. Health care professiona ls can also apply the four principles of ethics to determine a resolution. Applying the four principles of ethics ensures that they are following the proper protocols and guidelines and leaves considerable room for perspicaciousness in certain cases. Reference Carel, D. (2010, October). The Ethics of Electronic Health Records. Yale daybook of Medicine Law, VII (1), 8-9. Kennedy, W. (2004). Beneficence and autonomy in nursing a moral dilemma. British Journal of Perioperative Nursing, 14(11), 500-506. Retrieved from EBSCOhost. Mercuri, J. (2010). The Ethics of Electronic Health Record. Retrieved from http//www. clinical correlations. org/? p=2211 Nonmaleficence. 2010. Tabers Cyclopedic Medical Dictionary, 21st ed, Retrieved from EBSCO host. Pickerton, K. (2005). History of Electronic Medical Records. Retrieved from http//ezinearticles . com/? History-Of-Electronic-Medical-Records&id=254240

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