Patient Safety versus Privacy Laws evaluation

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.


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 office and lawsuits from the patients and/or families of patients. 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 patients are dying or having complications entirely too much after these surgeries and something must be done. Sue and Kendra should both make reports of the problems to the proper authorities. Kendra made several violations including looking at charts and such without the medical need to do so, not to mention she is not a doctor, and she divulged the information to a person that did not have a “right to know,” at least not at the level that was divulged to her (AACAP, 2014).

From Sue’s point-of-view, it would seem that Dr. Russell only seems to be focusing on the one death because of pending litigation when he should actually be a lot more concerned and careful than that given the two dozen overall deaths that have occurred. From Kendra’s perspective, the aforementioned odds of her mother having complications or dying is sky-high and she has the same overall concerns as Sue about the doctor’s competence. However, despite Kendra’s transgressions, it is crystal clear that Dr. Russell’s ostensible malpractice is the overarching issue here and both Sue and Kendra should approach the licensing board and other proper authorities and make them aware of the beyond unacceptable level of complications and deaths that are occurring. Gastric bypass is by no means completely safe but the level of problems being experienced by Dr. Russell is by not acceptable by any means or measure as the overall rate for complications in gastric bypass are usually less than ten percent, let alone deaths. Even lower-skill surgeons see rates only in the teens (Birkmeyer, 2013).


It is clear from the case study that Kendra’s heart was in the right place but her reaction to the problem broke a number of ethical rules as well as laws punishable by both criminal and civil penalties, not to mention the loss of her job or the ability to find a similar one. Kendra absolutely should have taken action but she needed to use the proper channels. Warning her mother could be done in a way that is not specific but still to the point such as simply telling her that she needs to put it off or simply not do it and the reasons behind this are more than sufficient to give her cause. It is reasonable and almost expected that Dr. Russell will lose his license to practice medicine as something is obviously terribly wrong with his practices and procedures.


AACAP. (2014, July 11). Know Your Rights: Consent and Confidentiality. Know Your

Rights: Consent and Confidentiality. Retrieved July 11, 2014, from


AMA. (2014, July 11). AMA’s Code of Medical Ethics. AMA’s Code of Medical Ethics.

Retrieved July 11, 2014, from

Birkmeyer, J. (2013, January 1). Surgical Skill and Complication Rates after Bariatric

Surgery. NEJM. New England Journal of Medicine. Retrieved July 11, 2014,


Medical Malpractice. (2014, July 11). How to Report Doctor or Hospital Malpractice or Unsafe Practices | Retrieved July 11, 2014, from

Get Professional Assignment Help Cheaply

Buy Custom Essay

Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?

Whichever your reason is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.

Why Choose Our Academic Writing Service?

  • Plagiarism free papers
  • Timely delivery
  • Any deadline
  • Skilled, Experienced Native English Writers
  • Subject-relevant academic writer
  • Adherence to paper instructions
  • Ability to tackle bulk assignments
  • Reasonable prices
  • 24/7 Customer Support
  • Get superb grades consistently

Online Academic Help With Different Subjects


Students barely have time to read. We got you! Have your literature essay or book review written without having the hassle of reading the book. You can get your literature paper custom-written for you by our literature specialists.


Do you struggle with finance? No need to torture yourself if finance is not your cup of tea. You can order your finance paper from our academic writing service and get 100% original work from competent finance experts.

Computer science

Computer science is a tough subject. Fortunately, our computer science experts are up to the match. No need to stress and have sleepless nights. Our academic writers will tackle all your computer science assignments and deliver them on time. Let us handle all your python, java, ruby, JavaScript, php , C+ assignments!


While psychology may be an interesting subject, you may lack sufficient time to handle your assignments. Don’t despair; by using our academic writing service, you can be assured of perfect grades. Moreover, your grades will be consistent.


Engineering is quite a demanding subject. Students face a lot of pressure and barely have enough time to do what they love to do. Our academic writing service got you covered! Our engineering specialists follow the paper instructions and ensure timely delivery of the paper.


In the nursing course, you may have difficulties with literature reviews, annotated bibliographies, critical essays, and other assignments. Our nursing assignment writers will offer you professional nursing paper help at low prices.


Truth be told, sociology papers can be quite exhausting. Our academic writing service relieves you of fatigue, pressure, and stress. You can relax and have peace of mind as our academic writers handle your sociology assignment.


We take pride in having some of the best business writers in the industry. Our business writers have a lot of experience in the field. They are reliable, and you can be assured of a high-grade paper. They are able to handle business papers of any subject, length, deadline, and difficulty!


We boast of having some of the most experienced statistics experts in the industry. Our statistics experts have diverse skills, expertise, and knowledge to handle any kind of assignment. They have access to all kinds of software to get your assignment done.


Writing a law essay may prove to be an insurmountable obstacle, especially when you need to know the peculiarities of the legislative framework. Take advantage of our top-notch law specialists and get superb grades and 100% satisfaction.

What discipline/subjects do you deal in?

We have highlighted some of the most popular subjects we handle above. Those are just a tip of the iceberg. We deal in all academic disciplines since our writers are as diverse. They have been drawn from across all disciplines, and orders are assigned to those writers believed to be the best in the field. In a nutshell, there is no task we cannot handle; all you need to do is place your order with us. As long as your instructions are clear, just trust we shall deliver irrespective of the discipline.

Are your writers competent enough to handle my paper?

Our essay writers are graduates with bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college degree. All our academic writers have a minimum of two years of academic writing. We have a stringent recruitment process to ensure that we get only the most competent essay writers in the industry. We also ensure that the writers are handsomely compensated for their value. The majority of our writers are native English speakers. As such, the fluency of language and grammar is impeccable.

What if I don’t like the paper?

There is a very low likelihood that you won’t like the paper.

Reasons being:

  • When assigning your order, we match the paper’s discipline with the writer’s field/specialization. Since all our writers are graduates, we match the paper’s subject with the field the writer studied. For instance, if it’s a nursing paper, only a nursing graduate and writer will handle it. Furthermore, all our writers have academic writing experience and top-notch research skills.
  • We have a quality assurance that reviews the paper before it gets to you. As such, we ensure that you get a paper that meets the required standard and will most definitely make the grade.

In the event that you don’t like your paper:

  • The writer will revise the paper up to your pleasing. You have unlimited revisions. You simply need to highlight what specifically you don’t like about the paper, and the writer will make the amendments. The paper will be revised until you are satisfied. Revisions are free of charge
  • We will have a different writer write the paper from scratch.
  • Last resort, if the above does not work, we will refund your money.

Will the professor find out I didn’t write the paper myself?

Not at all. All papers are written from scratch. There is no way your tutor or instructor will realize that you did not write the paper yourself. In fact, we recommend using our assignment help services for consistent results.

What if the paper is plagiarized?

We check all papers for plagiarism before we submit them. We use powerful plagiarism checking software such as SafeAssign, LopesWrite, and Turnitin. We also upload the plagiarism report so that you can review it. We understand that plagiarism is academic suicide. We would not take the risk of submitting plagiarized work and jeopardize your academic journey. Furthermore, we do not sell or use prewritten papers, and each paper is written from scratch.

When will I get my paper?

You determine when you get the paper by setting the deadline when placing the order. All papers are delivered within the deadline. We are well aware that we operate in a time-sensitive industry. As such, we have laid out strategies to ensure that the client receives the paper on time and they never miss the deadline. We understand that papers that are submitted late have some points deducted. We do not want you to miss any points due to late submission. We work on beating deadlines by huge margins in order to ensure that you have ample time to review the paper before you submit it.

Will anyone find out that I used your services?

We have a privacy and confidentiality policy that guides our work. We NEVER share any customer information with third parties. Noone will ever know that you used our assignment help services. It’s only between you and us. We are bound by our policies to protect the customer’s identity and information. All your information, such as your names, phone number, email, order information, and so on, are protected. We have robust security systems that ensure that your data is protected. Hacking our systems is close to impossible, and it has never happened.

How our Assignment  Help Service Works

1.      Place an order

You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.

2.      Pay for the order

Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.

3.      Track the progress

You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.

4.      Download the paper

The paper is sent to your email and uploaded to your personal account. You also get a plagiarism report attached to your paper.

smile and order essaysmile and order essay PLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

order custom essay paper