The paper examines the failure of the medical system to detect the activities of Charles Cullen, a nurse responsible for the deaths of at least 40 people.
Written in 2009; 1,480 words; 4 sources; APA; $ 48.95
Paper Summary:
This paper contends that the combination of negative factors impacting the state of American healthcare is clearly conducive to a diminished level of quality in medicine. The paper continues and states that a shortage of nursing professionals, resources, facilities and centralized standard control have collectively conspired to endanger the health and lives of patients. The paper illustrates this contention by examining and discussing the case of Charles Cullen, who, during his fifteen years as a nurse in Pennsylvania and New Jersey, murdered some 40 patients, between 1988 and 2003, without essentially alerting any attention to the fact that there was a serial killer in the healthcare system.
From the Paper:
"We can also see by the manner in which Cullen was finally apprehended that a clear pattern existed that, if illuminated under the lens of a proper accountability standard in any of the hospitals where he worked prior to the Somerset Medical Center, his actions might have been easily spotted. It as at Somerset where an effective internal accountability system would ultimately show Cullen to be something worse than just an incompetent healthcare practitioner. His clearly intentional acts of drug overdosing for patients could be traced with a quick review of some suspicious computer system transactions. Particularly, "the state-of-the-art computerized care system at SMC, called Cerner, allowed nurses to check patients' medical history at a terminal, according to Max Alexander, in the Reader's Digest. Another system tracked all drugs that were used and opened a drawer that allowed workers to get them. So the procedure for accessing and dispensing meds had become much easier." (Ramsland, 1) This would be inconsistent with Cullen's prior experiences, where individuals were alerted to suspicious but where this could never be reinforced by discernible physical evidence. With the Cerner system, there existed the capacity to time-stamp many of the actions that would distinguish Cullen as connected to the suspicious deaths that, retrospect would soon show, accompanied all of his prior shifts."
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