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may be at disproportionate risk, compared to the average population, of experiencing preventable adverse events, including permanent disability and even death. Arturo’s cultural background had a great impact on his care in regard to his communication due to his language barrier. Arturo did not speak English therefore he was unable to communicate with Dr. Ricketson and the Hilo Medical staff effectively. Arturo may have not fully understood the risks and the benefits of what the surgery entailed A translator should have been provided to explain the procedure, surgery, and post-surgical care. If patients believe they are not getting quality of care due to their cultural backgrounds, then faith in the healthcare system is lost and patients will seek alternate treatment and care. AccountabilityThe outcome in this case determined that both Dr. Ricketson and the Hilo Medical Centerwere negligent in the care of Arturo Iturralde. The Estate of Arturo Iturralde was granted $5,517,500 in damages due to malpractice. Dr. Ricketson was held 65% liable for damages while Hilo Medical Center was held to 35% liability in the malpractice case. Hawaii Orthopaedics reached a good faith settlement for $200,000 plus a promissory note in this case. Medtronic Sofamor Danek was found not liable for any of the claims. Medtronic was found not liable in any of the claims because upon arrival of the M8 Titanium CD Horizon Kit at Hilo Medical Center, the hospital staff failed to inventory the contents of the kit. Policies and
9MILESTONE ONEprocedures were violated, deviation from the standard of care and scope of practice were consistent throughout this patient’s care. In this case, Dr. Ricketson and the Hilo Medical Center were negligent in the care of Arturo Iturralde therefore were held accountable for their actions. References
10MILESTONE ONEFremgen, B.(2016).Glossary.In B. Fremgen.Medical Law and Ethics (pp. 385-389).United States: Pearson Education.Fremgen, B.(2016).Essentials of the legal system for healthcare professionals.In B. Fremgen.Medical Law and Ethics (pp. 61).United States: Pearson EducationJohnstone, M. J., & Kanitsaki, O. (2008). Cultural racism, language prejudice and discriminationin hospital contexts: An Australian study. Diversity in Health & Social Care, 5(1), 19-30.Retrieved from ?T=P&P=AN&K=31322360&S=R&D=sih&EbscoContent=dGJyMNHr7ESeqLE40dvuOLCmr1CeqLFSsqq4SrWWxWXS&ContentCustomer=dGJyMPHe34jn6O1T69fnhrnb4osALeonard, J. (2018). FindLaw's Intermediate Court of Appeals of Hawaii case and opinions. Retrieved from -appeals/1597588.htmlSuszek, A. (2017). What is medical malpractice? AllLaw.Retrieved from Introduction to medical equipment inventory management. Retrieved from