Reference no: EM133304905

Case Study: A 4-year-old child from India presented to his pediatrician's office for a school physical. The child had no past medical history, was in excellent health, and all immunizations were up to date except for Hepatitis A. The physician discussed the issues around vaccination with the patient's father and obtained consent. The nurse drew up the vaccine and the physician administered it. After administration, the physician went to record the lot number and discovered that a dose of vaccine for Chicken Pox had been given instead of Hepatitis A. Without hesitation, the physician informed the father that the wrong vaccine had mistakenly been given to the boy. He explained the usual indications for Chicken Pox vaccination and emphasized that this vaccine would not bring any harm to the boy and may even protect him from illness in the future. He suggested that the boy still receive the Hepatitis B vaccine. The father became extremely angry. He refused to allow further vaccination and proceeded to report the incident to the clinic administrator. After the vaccine incident, the physician in this case felt responsible for the loss of trust and the missed opportunity to administer an important vaccine to a child. Deliverables, Format, and Marking Scheme for This Week's Case Study Your task is to

Question: Respond to the following questions:

1. Now that the doctor has recognized the mistake, what should he/she do and/or say to the nurse?

2. What actions should the medical team take to understand why this error occurred? What changes can they make to ensure that this error does not occur again

3. What barriers in medicine make full disclosure challenging?

4. What are the ramifications of disclosure on: The doctor-patient relationship? The relationship between the patient and the medical care system as a whole? The relationship between members of the medical team

5. Is it more or less important to practice full disclosure for errors that have led to harm than for those that have not? Why?

6. Should full disclosure include an apology for the error that occurred? If so, how should the apology be phrased to the family (i.e. should it be an apology for the fact that an error occurred, or a personal apology for causing the error)?

7. As a leader, do you feel that you have adequate training to practice full disclosure with your patient? If so, what training has helped you to feel this way? Please prepare a naner incorporating responses to the questions above Note that a cover nage and I