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Ethical Dilemma
The author of this report is to assess an ethical dilemma that involves a couple of important factors. The two main ethical issues are patient privacy and when the proper time to blow the whistle on a doctor truly comes, not to mention how to do it. Kendra finds out that a family member is about to get gastric bypass from a doctor that has had a staggering amount of people that have had complications or died post-surgery. She feels compelled to warn her mother even though this would be a breach of privacy laws and ethical guidelines. While privacy regulations are in place for a reason, patient safety is also a valid concern and that is clearly an issue with Dr. Russell and his practices.
Analysis
Sue's internal forces would include the fact that Dr. Russell, her boss and employer, is facing a lawsuit due to the death of a patient and it is also known that other patients have died or have complications and this is bring stress to Sue. Sue's external forces would be the current patient that is threatening to sue as it involves her employer. Kendra's internal forces are similar in that the doctor's apparent malpractice is affecting her work stability and structure and she's getting pressure from Sue to dig up records that are certainly going to implicate the doctor and/or the practices of the office. Kendra's external pressures include the fact that all but one gastric bypass patient have had complications and roughly a third of them actually died and this is going to mushroom in the form of pressure against...
The ultimate external pressure is that Kendra's mother is due up for a surgery from that same doctor (AMA, 2014).
One of the ethical concerns in this case is when it is acceptable to breach patient/doctor privacy and how exactly it should or should not be done. The question is extremely important in this case because there is a doctor that is ostensibly killing patients through his own malpractice or the malpractice of his staff, if not both. To be sure, the ostensible odds of Kendra's mother dying or at least having complications are 33% or nearly 100%, respectively. The American Health Information Code of Ethics would seem to stipulate that while only blowing the whistle to family members or friends would be unethical but that doing so for the health of all patients in general would absolutely be called for. However, there are legal issues here as HIPAA and other laws are potentially going to be violated as a result. However, if Kendra follows the right avenues she will be better off. For example, if Kendra told her mother to not have the surgery but didn't offer details why, that would be better but immediately going to the proper authorities and licensing boards and having all surgeries halted until an investigation could be conducted would be the best way (Medical Malpractice, 2014).
However, that is not what happened. It obviously registers with Sue that the way Kendra initially revealed this was improper but the ultimate problem is that…
References
AACAP. (2014, July 11). Know Your Rights: Consent and Confidentiality. Know Your
Rights: Consent and Confidentiality. Retrieved July 11, 2014, from http://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/Facts_for
_Families_Pages/Know_Your_Rights_Consent_and_Confidentiality_103.aspx
AMA. (2014, July 11). AMA's Code of Medical Ethics. AMA's Code of Medical Ethics.
Retrieved July 11, 2014, from http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics.page
from http://www.nejm.org/doi/full/10.1056/NEJMsa1300625
Medical Malpractice. (2014, July 11). How to Report Doctor or Hospital Malpractice or Unsafe Practices | MedicalMalpractice.com. MedicalMalpractice.com. Retrieved July 11, 2014, from http://www.medicalmalpractice.com/resources/how-to-report-doctor-hospital-medical-malpractice.html
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