Hmc also contributed to the negligence in this case

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HMC also contributed to the negligence in this case by not fully vetting Dr. Ricketson prior to providing him credentials to treat patients at their facility. If HMC would have done their due diligence, they would have found that the State of Hawai’i had placed Dr. Ricketson on probation for failing to disclose prior disciplinary actions. Had HMC done a full review of Dr. Ricketson’s past, the review would have revealed he had several actions brought against him by other facilities such as falsifying medical records, violating state and federal drug laws, and lying to licensing authorities. One of these transgressions is enough to question whether to bring a
9 physician on staff or not. However, with Dr. Ricketson having this type of history, red flags should have gone up during his hiring process prior to being given privileges at HMC. For physicians to mitigate the risk of malpractice, it is important that they update their training and knowledge in which they specialize in. Doctors should be aware of any recent developments such as technological changes, changes in disease management, and the recently published standards of care (CARE Professional Liability Association, 2020). If HMC would have properly performed the credentialling process of Dr. Ricketson, they would have reviewed his license, his training, his experience, his competence, specialty certificates and his malpractice history. If healthcare facilities, such as HMC, do not perform extensive background checks prior to giving medical credentials at a healthcare facility, the facility could end up hiring a physician without proper licensing and experience. This would then leave the door open for the physician to potentially do harm to their patients. Another failure within Mr. Iturralde’s care was when the physician did not get informed consent from the patient for the change in how the surgical procedure was performed. Dr. Ricketson also did not provide full disclosure to the patient or the family on what transpired during the initial surgery. Informed consent is when a healthcare professional explains a medical treatment to a patient before the patient agrees to it (Nunez, 2019). Mr. Iturralde agreed to the surgery where two titanium rods would be placed in his body to stabilize his spine, not the modification of a stainless-steel screwdriver used to attempt to stabilize his spine. Mr. Iturralde had the right to full medical disclosure about what transpired during his operation. Despite the outcome of Mr. Iturralde’s surgical procedure, Dr. Ricketson did not do his duty to inform his
10 patient immediately of the error that occurred. There are several components to an optimal error disclosure (Amboss, 2020): Clearly admit an error has occurred. State in clear terms the events leading to and during the error.

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