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Medical Ethics

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  • Introduce access to clinical counterparts

    Registrars have become much more comfortable calling clinicians with questions due to face-to-face meetings that take place at New York Presbyterian Hospital/Weill Cornell Medical Center in New York City. Bed assignment meetings begin with introductions. Registrars are seated next to triage nurses. Nurses obtain demographic information from patients presenting by ambulance.
  • Patients happier if they are 'connected'

    Patient access leaders added mobile cell phone chargers to registration areas at Virginia Mason Medical Center after patients requested these chargers to decrease anxiety. Staff members don't have to field constant requests from patients for cell phone chargers. Patient access employees appreciate being able to use the chargers. Patient responses have been positive.
  • Duplicate reg? Fix it right away

    Duplicate registrations decreased from 36 a month to seven, due to new processes at Childrens Hospital of Pittsburgh of UPMC. To decrease these errors, registrars should do the following: Be able to view the patient's address along with name, date of birth, and social security number. Pay close attention to details. Ask the right questions.
  • Focus on ethics of social networking

    Of 600 residency program directors and medical school admissions officers surveyed, 64% reported being somewhat or very familiar with searching individual profiles on social networking sites, 9% reported routinely using social networking sites in the selection process, and 53% stated that unprofessional information on applicants websites could compromise their admission into medical school or residency.
  • Will health care reform affect informed consent?

    Physicians will need to give more thought to whether and how to discuss the costs of care with patients as a result of health care reform, according to Mark A. Hall, JD, professor of law and public health at Wake Forest University in Winston-Salem, NC.
  • More training might be needed on industry gifts

    Exposure to a gift restriction policy during medical school was associated with reduced prescribing of two out of three newly introduced psychotropic medications, according to a recent study.
  • Plight of undocumented patients: "A difficult position"

    Hospital ethics committees can place the care of undocumented patients on their discussion agenda periodically, and can facilitate discussions about this issue during medical or interdisciplinary grand rounds, according to a 2013 report.
  • Combating obesity raises ethical concerns

    Obesity may be the most difficult and elusive public health problem this country has ever encountered, according to a 2013 Hastings Center Report.
  • Minimum criteria ensure consistent evaluation

    There is an enormous disparity between the number of patients with end-stage organ failure and the number of organs available for transplantation, resulting in patients dying on the waiting list, according to Christie P. Thomas, MD, professor in the Division of Nephrology at University of Iowa Health Care in Iowa City and chair of the Organ Procurement and Transplantation Networks (OPTN) Living Donor Committee.
  • MDs in "ethically untenable" position with undocumented patients

    If an undocumented patient presents to an emergency department, the hospital will likely meet its obligations to stabilize the patient as required by the Emergency Medical Treatment and Labor Act, but what happens after that?