Ethics Project-“Blind Eye”
Ethics for Nurse Leaders
April 29, 2012
I have chosen for my health care ethics project a non-fiction literary work titled “Blind Eye: How the Medical Establishment Let a Doctor Get Away with Murder” by James B. Stewart.
In this paper, I will establish and support my personal position from an ethical standpoint, regarding organizational ethics in the health care setting. This will be accomplished through a critical analysis of the aforementioned literary work. Additionally, I will provide arguments and counterarguments regarding the involved hospital organization and the events that unfolded in this book which involves a physician who was eventually declared one of the most prolific serial killers of the 20th century.
Introduction to Topic
Medical ethics has traditionally focused on the individual patient, the individual doctor, and the patient-doctor relationship. Today, most care occurs in organizational settings such as group practices, HMOs, PPO’s, and more. Consequently, insurers and other third parties have a huge influence on the exam room. Hospital cultures and policies affect what sick patients experience for both better and worse. This all means that the ethical quality of health care is profoundly influenced by the ethics of organizations and therefore we cannot have ethical health care without ethical organizations.
Complexity is a common denominator among today’s health care organizations. As such, this highly competitive market driven environment has led health care organizations to be very discriminatory in the management of critical issues which have the potential to cast a negative shadow on an organization or even lead to its demise. Despite the Joint Commission for Accreditation of Health Care’s (JCAHO) recognition that health care organizations have high potential for grave ethical consequences, there still remains significant vagueness regarding organizational ethics...