Medical Ethics
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Ethical approaches to disclose errors made by other clinicians
Physicians face a number of personal and ethical challenges in disclosing medical errors made by a colleague.
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The Challenge of Advance Care Planning Billing
Providers can now bill Medicare for advance care planning, eliminating one important barrier to end-of-life conversations.
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Demands to Stop Controversial Work Trials
Refuting that it gave a green light to “highly unethical” research, the Accreditation Council for Graduate Medical Education won't rescind waivers of 2011 duty-hour requirements for physician training.
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Families say nursing care is key support for end-of-life care
Vigilance in the provision of nursing care, communication of even slight changes in the patient’s condition, and validation of the family’s decision-making increase family members’ comfort during the dying process, a recent qualitative study suggests.
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New guidance on palliative care delivery in oncology practices
A new guidance statement to define high-quality primary palliative care delivery in medical oncology has been developed by the American Society of Clinical Oncology and the American Academy of Hospice and Palliative Medicine.
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Many academics on industry boards: Conflicts of interest are ethical concern
Academics from medical schools and research institutions hold nearly 10% of positions on boards of directors at publicly traded healthcare companies, according to a recent study.
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“Instant access” culture driving trend toward at-home testing
Ethical issues involving at-home self-testing include patient autonomy, the fact that knowledgeable providers aren’t interpreting findings, and the possibility of false or misleading results.
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Did ethics consults occur too late? Reluctant clinicians are one reason
Ethics consults often are called only after the patient lacks decision-making capacity and death is inevitable despite aggressive treatment.
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Greater palliative care knowledge in nursing homes linked to less aggressive end-of-life care
The more nursing directors knew about palliative care, the less likely their patients experienced feeding tube insertion, injections, restraints, suctioning, and emergency department visits, according to a recent study.
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Incidental findings in research subjects: It’s complicated
Incidental findings in research subjects — which can be completely benign or herald significant health problems — raise thorny issues for IRBs that are best addressed through informed consent and a detailed contingency plan.