Are You Disciplined Enough to Maintain Single-Digit Body Fat? [...]
| |||||
        
Bertalan Mesko,MD,PhD    Alzheimer's Disease Education & Referral Center  Colorectal Cancer Screen  CDC.gov  
 | Creating Your Own Breakdown Emergency Kit [...] There is an inherent tension between the training needs of inexperienced clinicians and the safety of the patients for whom they are responsible. Our society has accepted this tension as a necessary trade-off to maintain a competent workforce of physicians year after year. However,recent trends in medical education have diminished resident autonomy in favor [...] A gap exists between recommendations to disclose errors to patients and current practice. This gap may reflect important,yet unanswered questions about implementing disclosure principles. We explore some of these unanswered questions by presenting three real cases that pose challenging disclosure dilemmas. The first case involves a pancreas transplant that failed due to the pancreas [...] The evaluation of medical decision-making capacity and provision of emergency treatment in the acute care setting may present a significant challenge for both physicians-in-training and attending physicians. Although absolutely essential to the proper care of patients,recalling criteria for decision-making capacity may prove cumbersome during a medical emergency. Likewise,the requirements for providing emergency treatment [...] Respect for patient autonomy has become the preeminent principle of medical ethics,to the point that tools have been developed,such as instructive directives,in an attempt to preserve a semblance of autonomy even when it has become clearly and irretrievably lost. Much of the practice around the respect for autonomy,however,mistakenly supposes that [...] The current article surveys an assortment of legal issues identified by the editors that relate to the malpractice sphere. However,this represents only a small part of the total legal medicine picture. The interaction of law and medical care in the United States today encompasses a broad array of specific points of contact between physicians’[...] Concern about the quality and safety of health care persists,10 years after the 1999 Institute of Medicine report To Err is Human. Despite growing awareness of quality and safety risks,and significant efforts to improve,progress is difficult to measure. Hospital leaders,including boards and medical staffs,are accountable to improve care,yet they [...] Many physicians struggle to strike an acceptable balance between respecting patient autonomy and guiding patients’decisions toward what is in their best interests based on their expressed values and long-term goals. Over the past 40 years,the ethical principle of respect for autonomy has gained primacy in Western medicine,but judgments about the appropriate dose [...] Accountability in medicine,once assigned primarily to individual doctors,is today increasingly shared by groups of health-care providers. Because patient safety experts emphasize that most errors are caused not by individual providers,but rather by system breakdowns in complex health-care teams,individual doctors are left to wonder where their accountability lies. Increasingly,teams deliver care. [...] |
  --------------------------------------
University of Washington - Seattle,WA --------------------------------------  --------------------------------------  University of Washington - Harborview Medical CenterSeattle,WA   Office on Women's Health U.S. Department of Health and Human Services      "Watch your weight & your waist!"     CDC:Public Health
  
 U.S. Department of Health & Human ServicesNational Health Information Center
  | |||
| Copyright © 2013 Knowledge of Medicine - All Rights Reserved | Mission Statement | About Us | Contact Us | Hosted &Designed Whelan Technologies | Submit an Article | | |||||
