221109P - CODE OF ETHICS

Presentation at the Quality Day Conference held at King Fahad Medical City, Riyadh on 7th November 2022. By Professor Omar Hasan Kasule Sr. MB ChB (MUK). MPH (Harvard), DrPH (Harvard) Ex-Chairman of the Ethics Committee King Fahad Medical City.

KFMC CODE OF ETHICS

CPP WORKPLACE CONDUCT AND MISCONDUCT

SCFHS   CODE   OF   ETHICS FOR   HEALTH   PRACTITIONERS

BEHAVIOR STANDARDS

RESEARCH ETHICS: Institutional Review Board

MEDICAL and HUMAN ETHICS COMMITTEE

DEFINITIONS

• Code of Ethics: written guidelines issued by an organization to its workers and management, to help them conduct their actions in accordance with primary values and ethical standards.
• Code of Conduct: A statement and description of required behaviors, responsibilities, and actions expected of employees of an organization or of members of a professional body.
• Misconduct: inappropriate or offensive conduct; unwelcomed, unsolicited disrespect of an individual / group and / or property.
• Conflict of Interest: a personal interest (material or non-material) that affects professional judgment.
• Malpractice: failure to fulfil the duties of the trust put on the healthcare provider to the patient which result in damage or injury.
• Teamwork and role models

 

KFMC CODE OF ETHICS

• General Professional Values: honesty/integrity, respect, accountability, professional ethics, and information management.
• Conflicts of interest: material and non-material.
• Patient Rights: consent
• End of life: ethics of terminal decisions
• Research ethics

 

CPP ON CONDUCT AND MISCONDUCT

• Character: accountability, trust, honesty, and integrity
• Follow the laws
• Avoid conflict of interest
• Honor patient rights: especially autonomy/informed consent
• Avoid showing off (riyaa)
• Misconduct: sexual harassment, Drug and alcohol use, misuse of KFMC property

 

CPP ON BEHAVIOR STANDARDS

• Behavior = the way in which one acts or conducts oneself, especially towards others.
• Standard = required or agreed-on level of quality or attainment.
• Abuse of power or position.
• Communication or interpersonal skills such as abuse, and disrespect – are most often violated.
• Sexual harassment = unwanted sexual advances or obscene remarks.
• Sexual abuse = sexual assault.
• Intimidation, Discrimination, Bullying, violence (physical or verbal)

PUNISHMENTS FOR MISCONDUCT

• Issuance of a letter of admonition
• Issuance of a letter of reprimand
• Salary deduction based on approved KFMC regulations
• Impose terms of probation
• Imposed requirement for consultation, retraining, additional training, or continuing education
• Suspension or revocation of clinical privileges
• Imposed suspension or revocation of medical staff appointment

WORKING IN A TEAM

• A team is several interdependent and interacting persons.
• Team performance is superior to individual performance.
• In health care, no team = no work
• Stages of team formation
• The initial meeting, التقاء, meeting by choice/chance
• Choosingانتقاء   (not possible in a health care team)
• Rising above small things  ارتفاء

DESTRUCTION OF THE TEAM - 1

• Breaking norms, not following agreed procedures
• Secretive behavior, concealment of information, and secret talks
• Failure of communication
• Diseases of the heart
• Envy/jealousy (hasad)
• Hypocrisy (nifaq)
• Rumors (namiimah)

DESTRUCTION OF THE TEAM - 2

• Back-biting (gaybah),
• Lying (kadhb),
• Show off (riyah),
• Pride (kibriyah),
• Love of leadership (hubb al riyasa),
• Spying (tajassus),
• Negative thoughts (dhan al soo).

INCIDENTS - 1

• After code blue and resuscitation of the patient, we are doing a debriefing of what was done appropriately and not in a professional way to improve the patient care without blaming or targeting anyone.
• The nurse supervisor in the shift started to shout and communicate in a nonprofessional way.
• Although I tried to understand his anger to explain to him that the discussion is just to improve patient care and not against anyone, he continued his anger and shouting.

INCIDENTS - 2

• He talks too much in the operating room, and all about his personal life nothing related to work, thus interrupting me from doing my job.
• He asked me to give him my hand so he can teach me how to do an iv line even though there are million other ways to teach someone how to do an iv line other than this.
• He told me to stretch my hand in a certain position just as if I was kissing someone in the mouth, which is super inappropriate. 

INCIDENTS - 3

• The manner in which she was talking to me over the phone is really bad and unprofessional, she was shouting and disturbing us as it was during the ongoing procedure.
• It's really difficult to deal with her always as this is not the first time she's behaved like this. We are not perfect but good in everything we need to deal with each other with the utmost respect.

INCIDENTS - 4

• We called Dr. (   ) for admission and he was angry and shouting to me in a loud voice in the nursing station why we called him for this patient.
• At this time, I feel unsecured and intimidated while he is shouting at me in front of all CCU nurses and visitors. I could not answer back because I was shocked and shaken by his way of talking and waving his hands toward me.