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Only about one in four physicians in the United States use e-mail to communicate clinical information to patients, and one reason may be a lack of effective means of billing for e-mail time. But some say they don't yet know enough about what quality of care can be delivered via patients' e-mail inboxes.
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The recent federal approval of nonprescription sales of the emergency contraceptive Plan B (Barr Laboratories; Woodcliffe Lake, NJ) to women and men ages 18 and older may have quieted what was a brewing controversy in emergency medicine. However, the ethical issues that gave rise to the debate still are very much in play, emergency department (ED) experts say.
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In its infancy, neuroethics was thought of as simply a small offshoot of the bigger field of bioethics. In the last five years, however, interest in and study of neuroethics has taken on a life of its own, spawning studies, conferences, and the establishment of a society to further the development of the field. The term "neuroethics" is believed to have been coined in the literature in the early 1990s.
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A paper released in November by a British bioethics council has generated hot debate and headlines warning "disabled babies to be killed at birth," but the guidelines set out by the Nuffield Council on Bioethics regarding the treatment of babies born severely premature are similar to those observed in many states in the United States.
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Good physician-patient communication does much more than eliminate the need for repeated visits. Effective communication has been demonstrated to result in better outcomes, greater patient satisfaction, and decreased likelihood of lawsuits.
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A patient's race, age, and medical condition may affect whether or not they receive pain medications in the emergency department (ED), according to a study of adults who presented to an emergency department with musculoskeletal pain.
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In a case described by a prosecutor as resembling a horror movie, the U.S. Food and Drug Administration (FDA) has received reports of adverse effects in patients who received human tissue grafts that were allegedly harvested from bodies in funeral homes without consent of families and, possibly, without being tested for infectious diseases as required by federal law.
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Surveys of ethics committees have long shown that the greatest share (90%) of ethics committee consults in the United States pertain to end-of-life issues. But in one growing specialty, ethics consults are about almost nothing but end of life.
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The United States is not ready to follow some European nations in presuming that deceased patients have consented to organ donation if they did not specifically opt out, according to the national Institute of Medicine (IOM). However, the need for donor organs calls for boosting efforts to increase donations, including using organs from patients whose deaths are determined by cardiac criteria.
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Doctors recognize the importance of delivering news of brain death as well as possible thoroughly, taking as much time as necessary, conveying the information of irreversible loss of brain function clearly and at a level family members can absorb.
