Asuransi Liability

Doctor’s Malpractice Caused #2, Medical-Surgical Failure

Liga Asuransi – Dear readers, how are you? I hope you and your family are doing well.

Let’s continue the previous article about doctor malpractice risks. Now go to Malpractice number 2, SURGICAL FAILURE.

As a senior insurance broker and risk management consultant, I want to avoid this from happening to you and all our loved ones. But the fact is that this happens often, and the consequences are terrible.

If you are interested in the article, please share it with your friends so they can understand as you do.

UNDERSTANDING THE MEDICAL-SURGICAL 

Medical surgical, or med-surgical, refers to a branch of nursing that focuses on caring for adult patients who are acutely ill or have chronic medical conditions. Medical-surgical nurses work in various settings, including hospitals, clinics, and outpatient facilities.

The scope of medical-surgical nursing is broad, including assessing, planning, implementing, and evaluating care for patients with various medical conditions. Some common conditions that medical-surgical nurses may encounter include heart disease, diabetes, cancer, respiratory illness, and gastrointestinal disorders. They may also care for patients who have undergone surgery or require post-operative care.

Medical-surgical nurses work closely with other healthcare professionals, including physicians, nurse practitioners, pharmacists, and physical therapists, to provide comprehensive care to patients. They are responsible for administering medications, monitoring vital signs, providing wound care, assisting with diagnostic tests and procedures, and educating patients and their families about their condition and treatment options.

Medical-surgical nursing is an essential and challenging specialty that requires a high level of skill and knowledge to provide quality care to patients with complex medical needs.

HOW DOES THE MEDICAL-SURGICAL WORK? 

The medical-surgical process involves a systematic approach to caring for adult patients who are acutely ill or have chronic medical conditions. The process typically involves the following steps:

  • Assessment

The medical-surgical process begins with thoroughly assessing the patient’s condition. This includes gathering information about the patient’s medical history, current symptoms, and any medications or treatments they are currently receiving.

  • Diagnosis

Based on the assessment, the medical-surgical nurse works with other healthcare professionals to develop the patient’s diagnosis and treatment plan. This may involve ordering diagnostic tests or consulting with a physician or specialist.

  • Planning

Once a diagnosis has been made, the medical-surgical nurse develops a care plan for the patient. This includes setting goals for treatment, identifying interventions and therapies that will be used, and outlining the expected outcomes of care.

  • Implementation

The plan of care is then implemented, which involves carrying out the interventions and therapies identified in the planning stage. This may include administering medications, providing wound care, assisting with diagnostic tests and procedures, and educating patients and their families about their condition and treatment options.

  • Evaluation

Throughout the implementation stage, the medical-surgical nurse continuously evaluates the patient’s response to treatment and modifies the care plan as needed. This helps ensure that the patient receives the best possible care and that their condition is improving.

The medical-surgical process is designed to provide comprehensive and coordinated care to adult patients with complex medical needs. It requires high skill and knowledge from the medical-surgical nurse and collaboration with other healthcare professionals to ensure patients receive the best possible care.

THE CONDITIONS NEEDED FOR A MEDICAL SURGICAL

To process the medical-surgical care of adult patients, several conditions need to be met, including:

  • Skilled healthcare professionals

Medical-surgical care requires a team of skilled healthcare professionals, including nurses, physicians, pharmacists, and other specialists, who provide comprehensive patient care.

  • Access to diagnostic tools and technology

Medical-surgical care relies on diagnostic tools such as laboratory tests, imaging studies, and other technology to identify and monitor medical conditions.

  • Evidence-based practice guidelines

Medical-surgical care is based on evidence-based practice guidelines developed from research studies and clinical expertise to ensure patients receive the most effective care possible.

  • Effective communication and collaboration

Effective communication and collaboration between healthcare professionals are essential to providing high-quality medical-surgical care. This includes sharing patient information, coordinating care, and providing timely updates on patient progress.

  • Patient-centered care

Medical-surgical care should be patient-centered, considering the patient’s needs, preferences, and goals for care. Patients should be involved in their care and have access to education and resources to help them manage their condition and make informed decisions about their treatment.

The conditions needed to process medical-surgical care involve a combination of skilled healthcare professionals, access to diagnostic tools and technology, evidence-based practice guidelines, effective communication and collaboration, and patient-centered care.

WHAT ARE THE TOOLS AND EQUIPMENT USED FOR MEDICAL SURGICAL? 

The tools and equipment needed for medical-surgical care depend on the specific medical conditions being treated and the procedures being performed. However, some standard tools and equipment used in medical-surgical care include:

  • Diagnostic equipment

This includes X-ray machines, CT scanners, MRI machines, and ultrasound machines used to diagnose medical conditions and monitor treatment progress.

  • Surgical instruments

Surgical instruments such as scalpels, forceps, retractors, and scissors are used during surgical procedures to cut, dissect, and manipulate tissue.

  • Anesthesia equipment

This includes equipment such as anesthesia machines, endotracheal tubes, and monitors used to administer and monitor anesthesia during surgical procedures.

  • Wound care supplies

Include dressings, bandages, and other supplies for treating and managing wounds.

  • Intravenous (IV) therapy supplies. 

Include IV catheters, infusion pumps, and other supplies to administer medications and fluids directly into the bloodstream.

  • Respiratory equipment

This includes equipment such as oxygen tanks, nebulizers, and ventilators, which treat respiratory conditions and support breathing.

  • Monitoring equipment

This includes heart monitors, blood pressure monitors, and pulse oximeters, which are used to monitor vital signs and other critical clinical data.

The tools and equipment needed for medical-surgical care can vary widely depending on the specific medical conditions being treated and the procedures being performed. However, having access to the right tools and equipment is essential to providing high-quality care and achieving positive patient outcomes.

PARTIES INVOLVED IN MEDICAL-SURGICAL

Several healthcare professionals are involved in the medical-surgical process to provide comprehensive and coordinated care to adult patients with complex medical needs. These healthcare professionals may include:

  • Medical-surgical nurses

They are registered nurses with specialized knowledge and training in caring for patients with acute and chronic medical conditions. They coordinate patient care, administer medications, monitor patient progress, and provide patient and family education.

  • Physicians

Physicians provide medical oversight and guidance, diagnose conditions, prescribe medications, and perform medical procedures.

  • Surgeons

Surgeons perform surgical procedures to treat medical conditions and injuries, working closely with medical-surgical nurses and other healthcare professionals to provide comprehensive care.

  • Anesthesiologists

Anaesthesiologists administer anesthesia during surgical procedures, monitor patient vital signs, and manage pain during and after the procedure.

  • Pharmacists

Pharmacists prepare and dispense medications, monitor patients for potential interactions and side effects, and provide patient and family education on medication use.

  • Respiratory therapists

Respiratory therapists care for patients with respiratory conditions, including administering oxygen therapy and breathing treatments.

  • Physical and occupational therapists

Physical and occupational therapists work with patients to help them regain strength and mobility after illness or injury.

  • Social workers and case managers

Social workers and case managers assist patients and families in navigating the healthcare system, accessing resources and support, and planning ongoing care needs.

The medical-surgical process involves a multidisciplinary team of healthcare professionals working together to provide high-quality care to patients. Effective communication, collaboration, and coordination between team members ensure that patients receive the best possible care.

WHAT IS A SURGICAL ERROR?

A surgical error is an unintended and preventable mistake that occurs during a surgical procedure. It can happen for various reasons, such as miscommunication among surgical team members, inadequate pre-operative planning or preparation, lack of technical skill or experience, equipment failure, or fatigue.

Examples of surgical errors include performing the wrong surgery or operating on the wrong part of the body, leaving surgical instruments or foreign objects inside the patient’s body, causing damage to surrounding organs or tissues, and administering incorrect doses of anesthesia or medication.

Surgical errors can have serious consequences, including prolonged recovery, increased pain and suffering, permanent disability, and even death. 

Medical professionals must provide a standard of care to their patients, and when surgical errors occur, it may constitute medical malpractice. Patients who have suffered harm from a surgical error may be entitled to compensation for their damages through a medical malpractice claim or lawsuit.

WHAT THINGS CAN GO WRONG DURING THE MEDICAL-SURGICAL PROCESS? 

Despite the best efforts of healthcare professionals, several things can go wrong during the medical-surgical process. Some of the most common complications include:

  • Anesthesia complications

Anesthesia complications can occur during the administration of anesthesia or the recovery period. These may include allergic reactions, medication interactions, or difficulty breathing.

  • Surgical complications

Surgical complications can occur during or after surgery, including bleeding, infection, or damage to surrounding organs or tissues.

Medication errors can occur at any stage of the medical-surgical process, including during medication administration or prescription, and can lead to adverse drug reactions or other complications.

  • Equipment malfunction

Equipment malfunction can occur during any stage of the medical-surgical process, including issues with diagnostic equipment, surgical instruments, or monitoring equipment.

  • Communication breakdowns 

Communication breakdowns between healthcare professionals and patients can lead to misunderstandings or errors in care.

  • Patient-related complications 

It can include pre-existing medical conditions, non-adherence to treatment plans, or unexpected medication reactions.

  • Post-operative complications

Post-operative complications can occur during the recovery period and may include pain, infection, or issues with wound healing.

  • Human error

Human error can occur at any stage of the medical-surgical process and may include errors in judgment, miscommunication, or mistakes in carrying out procedures.

It’s important to note that while these complications can occur, many can be prevented or mitigated through effective communication, collaboration, and adherence to established protocols and guidelines. 

Healthcare professionals work diligently to minimize the risks associated with medical-surgical procedures and ensure the best possible patient outcomes.

LEGAL CASES ARISING FROM ERRORS IN SURGICAL OPERATION

There are legal cases that can arise from errors in surgical operations, mainly when those errors result in harm to the patient. These cases can be filed as medical malpractice lawsuits. They typically require proving that the healthcare professional or facility failed to provide appropriate care, resulting in injury or harm to the patient.

Some examples of errors in surgical operations that can lead to legal cases include:

  • Wrong-site surgery 

It occurs when surgery is performed on the wrong part of the body, which can cause serious harm to the patient.

  • Surgical instrument left in the body.

This occurs when a surgical instrument, such as a sponge or forceps, is accidentally left inside the patient’s body, which can lead to infection or other complications.

  • Anesthesia errors 

It can include giving the wrong dose of anesthesia, failing to monitor the patient’s vital signs during the procedure, or not correctly managing pain during recovery.

  • Post-operative complications

These can include infections, blood clots, or other complications that occur during recovery and may result from inadequate post-operative care.

  • Nerve damage

This can occur during surgery, mainly when the surgeon works close to the nerves. Nerve damage can lead to pain, numbness, or paralysis.

In these cases, patients or their families may seek legal action to recover damages for medical expenses, lost income, pain and suffering, and other related costs. It’s important to note that medical malpractice cases can be complex and require a skilled attorney’s expertise.

 

IF THE PATIENT WANTS TO SUE FOR THE ERRORS, CAN IT BE COVERED BY INSURANCE?

Yes, the type of insurance that can respond to it is called Professional indemnity insurance, also known as professional liability insurance, which covers professionals, including doctors and hospitals, against claims of negligence or malpractice. 

Suppose a patient decides to sue a doctor or hospital for surgical errors. In that case, the professional indemnity insurance policy may cover the costs of legal defense and any damages awarded to the patient up to the policy limits.

Similarly, errors and omissions insurance, also known as E&O insurance or professional liability insurance, provides coverage for professionals against claims of errors or omissions in the performance of their services, including surgical procedures. This type of insurance can also cover the costs of legal defense and damages awarded to the patient.

It’s important to note that the specific terms and conditions of these types of insurance policies can vary and may have exclusions or limitations. Additionally, coverage may depend on the circumstances of the case, including the severity of the harm caused to the patient and the degree of negligence or malpractice involved.

Patients considering legal action against a doctor or hospital for surgical errors should consult with an attorney who can advise them on their legal options and help them navigate the complexities of medical malpractice cases.

 

PROFESSIONAL LIABILITY INSURANCE IS ESSENTIAL FOR DOCTORS AND HEALTH PROVIDERS

Professional liability insurance, also known as malpractice insurance, is essential for doctors and health providers for several reasons:

  • Protection against claims of malpractice

Professional liability insurance protects doctors and health providers from claims of malpractice, which can arise when a patient believes that they have suffered harm due to the doctor’s or health provider’s negligence or failure to provide appropriate care.

  • Legal defense

In the event of a malpractice claim, professional liability insurance covers legal defense costs, including hiring attorneys and expert witnesses.

  • Peace of mind

Professional liability insurance can provide doctors and health providers with peace of mind, knowing that they have protection against claims of malpractice that could otherwise result in significant financial losses.

  • Professional requirements

In some cases, professional liability insurance may be required by law or by healthcare organizations. For example, some hospitals and healthcare facilities may require healthcare providers to carry malpractice insurance as a condition of employment.

  • Maintaining patient trust

By carrying professional liability insurance, doctors and health providers demonstrate their commitment to providing quality care and taking responsibility for any errors or mistakes that may occur.

Professional liability insurance is essential for doctors and health providers to protect themselves against the financial and legal risks associated with malpractice claims.

 

WHY DO DOCTORS OR MEDICAL PROVIDERS NEED AN INSURANCE BROKER?

It is strongly recommended that doctors or medical providers refrain from buying insurance direct to insurance or via an insurance agent because it can lead to limited insurance coverage, an unsecured insurance company, a high premium rate, and no assistance in the claim settlement. 

Doctors and medical providers need to use the services of an insurance broker to arrange professional indemnity insurance for several reasons:

  • Expertise 

Insurance brokers specialize in insurance and have extensive knowledge and experience in the field. They can provide guidance and advice on the type and amount of insurance coverage that doctors and medical providers need to protect themselves against malpractice claims.

  • Access to multiple insurers

Insurance brokers have access to a wide range of insurers and insurance products. This allows them to compare policies and prices from different insurers and recommend the most appropriate coverage for the doctor’s or medical provider’s specific needs.

  • Tailored coverage

Insurance brokers can help doctors and medical providers customize their insurance coverage to meet their needs. They can identify and address potential risks and recommend coverage that adequately protects the doctor or medical provider.

  • Cost savings

Insurance brokers can help doctors and medical providers save money on their premiums by identifying discounts and negotiating with insurers.

  • Claims support.

In the event of a claim, insurance brokers can provide support and guidance to doctors and medical providers, including helping them navigate the claims process and assisting with documentation and evidence.

Using the services of an insurance broker can help doctors and medical providers to secure the most appropriate and cost-effective professional indemnity insurance coverage while also providing them with expert guidance and support in the event of a claim.

One of the leading insurance brokers in Indonesia focusing on malpractice insurance is L&G Insurance Broker.

For all your insurance needs, please call L&G now!

LOOKING FOR INSURANCE PRODUCTS? DON’T WASTE YOUR TIME AND CALL US RIGHT NOW

24-HOUR L&G HOTLINE: 0811-8507-773 (CALL – WHATSAPP – SMS)

website: lngrisk.co.id

E-mail: customer.support@lngrisk.co.id

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