MEDI7232 Lecture Notes - Lecture 6: Endoscopy, Arm, Contractible Space

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Overview: patient safety and the law, adverse events and outcomes, regulatory frameworks and suitability for redress, ethical considerations, negligence law, key elements - duty, standard of care, breach, causation, examples. Funding arrangements for the australian health system is linked to improved quality outcomes in healthcare: acsqhc published the australian open disclosure framework (2013) Factual explanation of what happened: expression of regret, outline the potential consequences, take steps to manage the event & avoid recurrence. Local resolution - respond in line with open disclosure principles: office of the health ombudsman, possible "voluntary notification" to ahpra, civil legal proceedings, negligence (unintentional act); monetary compensation, coronial system. Investigation into ranges of reportable deaths that are unexpected, unnatural or violent: 3 categories. Redress (solutions: death occurred as a result of an unexpected outcome of health related operation or procedure, death occurred as a result of an anaesthetic, death occurred by or temporarily associated with an operation or procedure, criminal law.

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