Discussion – The Josie King Story

Discussion – The Josie King Story

Josie King’s story is insightful regarding medical errors and patient safety. Josie King’s death resulted from severe dehydration, inappropriate narcotics administration, and an undetected central line infection. All of these can be related to medical negligence. Josie’s death could have been prevented had the communication been clear regarding the medication administration and if the views and concerns of the patient’s parent, Sorrel King, had been considered by the care providers. A similar tragedy can be prevented by making process changes that include ensuring that all communication and orders within all care teams are recorded and a copy placed by the patient’s bedside; the healthcare providers need to be re-educated on the need for all-round monitoring of patients during treatment and recovery to detect infections early. Another recommendation is to make the patient and their family a part of the care planning decision-making and to deliver care in a way that focuses on the patient, including how care providers communicate with patients and their families (Tran, 2021).

The hospital and its providers could have given Sorrel King more control over Josie’s plan of care by first listening to her observations and concerns regarding her child’s health and behavior. They would also have tried to explain to her the reasons for all decisions made in caring for her daughter and make her a part of all decisions made. Sorrel’s statement, “You did this to her and now you must fix her,” would have triggered an empathetic response, and I would try my best to offer her comfort while appreciating her concerns. As a clinician, I would make patients feel respected and included in decisions about their health care by communicating in a manner that they understand. Clear communication in medical care improves patient experiences and their satisfaction with care (Trant et al., 2019). I would also actively listen to them, involve them and their family in decision-making, address their concerns, and shape care based on their preferences and values.

References

Tran, B. Q. (2021). Strategies for effective patient care: Integrating quality communication with the patient-centered approach. Social and Personality Psychology Compass, 15(1), e12574. https://doi.org/10.1111/SPC3.12574

Trant, A. A., Szekely, B., Mougalian, S. S., DiGiovanna, M. P., Sanft, T., Hofstatter, E., Silber, A., Adelson, K. B., Chagpar, A., Killelea, B., Horowitz, N., Lannin, D., Park, T., Corso, M., Abraham, G., Pollard-Murphy, K., Sturrock, T., Knill-Selby, E., Western, A., … Pusztai, L. (2019). The impact of communication style on patient satisfaction. Breast Cancer Research and Treatment, 176(2), 349–356. https://doi.org/10.1007/S10549-019-05232-W/METRICS

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The Josie King Story

Case Study #1 – The Josie King Story
Please Read: https://psmf.org/patient-safety/patient-stories/josie-king/
Please View the following video: https://www.youtube.com/watch?v=b2DQg7JNwKI&t=45s
Discussion Questions –Discuss as a group
1. What factors contributed or may have contributed to Josie King’s death? (0.5 Point)
2. With those contributing factors in mind, how could Josie’s death have been prevented? What process changes would you recommend to prevent a similar tragedy from occurring? (0.5 Point)
3. How could the hospital and its providers have given Sorrel King more control over Josie’s plan of care? (0.5 Point)
4. Put yourself in the shoes of one of the clinicians who cared for Josie. How would you have reacted when Sorrel said, “You did this to her, and now you must fix her”? (0.5 Point)
5. If you plan to be a clinician, what are specific things you can do to make patients feel respected and included in decisions about their health care? (0.5 Point)

Individual Reflection: In 2 paragraphs, reflect on how the story of Josie King will impact your practice as a registered nurse. (2.5 Points)