It should be borne in mind that knowledge of the truth is one of the fundamental rights of patients and their family members. According to similar studies, explaining the error could be a stressful situation for patients, combined with intense emotional reactions from patients/family members or the healthcare team. In general, the person who made the mistake has a sense of guilt or fear of punishment, and patients/family members experience feelings such as anger and fear. In addition, it should be noted that primary conversations usually take place when there is no accurate and complete information about the event, so it is not possible to recognize, understand and explain all the details in complicated clinical situations. Therefore, it is proposed that in such situations, information should be given in several stages and through psychological support to the patient. In addition, while the patient`s family may require supportive interventions, they may be considered an important source of information in the root cause analysis (CRA) process of similar incidents (17-20). Since creating ethical patient safety is a multidimensional achievement, it should be taken into account that an active partnership with the patient`s family can be a successful approach to detecting and preventing medical errors (10). This case was raised during the monthly ethics session at the Children`s Medical Center of Tehran University of Medical Sciences, Iran, and the ethical dimensions of patient safety were discussed by experts from various fields. The opinions expressed in this article are a summary of the views of experts in various fields, including neonatology, medical law, ethics, and nursing. Jane has been a medical assistant for two years. A patient named Carrie comes to see the doctor.
Carrie has unpleasant symptoms that indicate a cold, flu or perhaps something more serious. During her interview with Carrie, Jane learns that the patient took ibuprofen an hour before arriving at the office. Jane measures Carrie`s temperature, which is normal, but does not note on the table that the patient has taken an over-the-counter medication that can lower the fever. Some medical assistants choose to specialize in clinical work and provide hands-on patient care. Others prefer to work in administration and perform clerical and managerial tasks in a medical setting. In some cases, a medical assistant may be trained in both clinical and administrative skills and may function in both workplace roles. In keeping with the non-malignancy principle of medical ethics, ensuring patient safety and preventing injury or harm to them is a top priority for healthcare providers (1). This makes it the most important element of the quality of health services in the world. In 1999, the Institute of Medicine (IOM) published a report entitled “Man is fallible: create a safe health system” on the incidence of medical errors in the United States, ushering in a major international shift in patient safety (2). As a result, Iran`s healthcare system has implemented special plans to provide standard health services and avoid errors, as well as an organized approach to managing risks, systematic deficiencies and improving patient safety (3). One such program is clinical governance, which was introduced by the Ministry of Health and Medical Education (MOHME) and launched in November 2009. While the MESMM emphasized the importance of clinical governance, there are some challenges to achieving desired outcomes (4).
This may be the result of insufficient understanding by healthcare providers of the importance of clinical governance and the lack of an organizational safety culture (5, 6). Jack has worked as a medical assistant for the past three years as he progressed through his nursing studies. He works in the only medical office in his small town. Susan, one of her neighbors, was recently diagnosed with an incurable heart condition. Jack is aware of the situation through his work at the clinic. The confidentiality of medical records is governed by the federal Federal Health Insurance Portability and Accountability Act (HIPAA), which protects sensitive health information, as well as rules introduced by the employer. The protection of medical records is also linked to respect for each patient. Medical and health information is never a gossip issue and is only shared when it is necessary to know. In some cases, however, legal reports are required: this report presents various aspects of patient safety with respect to root cause analysis (CRA) and risk management, the role of human resources, the role of professionalism, the need to inform parents (disclosure of medical errors) and forensic pathology with a focus on ethical aspects. To achieve the ultimate goal of the health care system of ensuring the quality and safety of services, structured policies and processes are needed to promote safety attitudes based on mutual trust. This can be facilitated by fostering multidisciplinary collaboration for transparent reporting of medical errors and by actively involving patients and their families in the detection of medical errors.
In addition, the organization`s provision of emotional support and legal protection to employees is essential to encourage voluntary reporting of incidents. The medical assistant is required to treat all patients equally, regardless of age, gender, background or financial situation. It must not discriminate between patients for any reason. There is information that he is legally obliged to report to the authorities; These are the only cases where confidentiality rules do not apply: births and deaths, injuries due to abuse or similar violence, abuse of illicit drugs and outbreaks of communicable or sexually transmitted diseases. Many medical assistants choose other careers in healthcare. These include licensed or licensed practical nursing, physician or physician assistants, or specialization in medical record technology. For a career in healthcare that allows you to help patients develop transferable skills and experience professional growth, explore how to become a medical assistant by enrolling in Philadelphia, Pennsylvania, or at a campus in Cherry Hill or Egg Harbor, New Jersey. Contact the Prism Career Institute for more information. Professional ethics and patient safety are closely related fundamental concepts in medicine. Patient safety is based on ethical principles, which are considered indicators of quality of care (15). Patient safety requires the establishment and implementation of a code of professional ethics. Based on Iran`s Code of Conduct for Health Professionals, all patients are expected to be treated with dignity and protected from potential harm (16).