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Shared Decision-Making ModelsShared decision making is essential in providing safe quality patient centered healthcare. The shared-decision making approach is “an approach where clinicians and patients share the best available evidence when faced with the task of making decisions, and where patients are supported to consider options, to achieve informed preferences” (Elwyn et al., 2012, p. 1361). In essence this model would have been the model that would have been helpful for this case. It is “based on choice, option and decision talk” The three steps are to informing the patient of their choices, next describe to the patient their options, and lastly help the patient achieve informed preferences (Elwyn et al., 2012, p. 1361). This would have been the option for Dr. Ricketson to work together with Arturo to make the best decisions regarding his care and treatment. This model would have given choices to Arturo, then allowed Dr. Ricketson to describe the options, and involve Arturo in the decision making process. Implementing this model Arturo would have had safe high quality healthcare.Ethical GuidelinesEthical guidelines or codes are used by groups and organizations to define what actions are morally right and wrong. The guidelines are used by group members as a code with which to perform their duties (Alleydog, n.d.). Ethical guidelines are put in action within healthcare organizations to prevent incidents from occurring, improve patient safety and decrease liability
FINAL PROJECT ONE12issues. Once applied ethical guidelines help improve the organization, the health of the patient, and improve the providers understanding. “A physician shall be dedicated to providing competent medical care, with compassion and respect for human dignity and rights” (AMA, 2001). Dr. Ricketson did not provide competent medical care to Arturo when he implanted that screwdriver shaft. The supervisor for HMC also did not follow the ethical guidelines by implementing a plan of correction to Dr. Ricketson, Nursing, and HMC staff. The supervisor needed to address the lack in inventory, the lack of consent obtained, and the lack of anyone being the voice of the patient. HMC should have implemented ethical guidelines and policies and procedures to ensure that this would not have happened and needs to implement them to prevent this from happening in the future. HMC needs to enforce that informed consent is signed by the patient prior to treatment or surgery. “Informed (or expressed) consent means that the patient agrees to the proposed course of treatment after having been told about the possible consequences of having ornot having certain procedures and treatments (Fremgen, 2016, p. 120). It is imperative that HMC obtain informed consent from the patient prior to surgery to prevent claims of negligence and malpractice. There is no guarantee that informed consent for the unapproved screwdriver shaft would have been approved by Arturo, however HMC and Dr. Ricketson may have had a stronger defense in this case.