Problem
Scenario I
A patient arrives at the emergency department and is admitted for increased pain with the source unknown. The on-call physician asks the intake staff, "What is the source of payment for the patient?" in order to assist with his decision to see the patient or not. The physician then declines to see the patient based on the insurance status.
Scenario II
A patient is admitted to the medical floor in a health care facility. She is confused and won't stay in her bed. The patient is placed in a room at the end of the hall away from the nurses station and she is not easily seen by staff. The patient continues to get out of bed without using her call light and eventually falls, resulting in an injury.
Task
1) What is the risk management issue presented in each scenario?
2) What do you propose to resolve the issues? Explain your answer.
3) What challenges do you foresee with the proposed solutions?