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Medical Ethics

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  • Some surrogates overriding organ donors' wishes

    Some countries, such as Australia, Spain, Norway, Italy, and Canada, allow next of kin to override the consent of registered organ donor candidates if they personally do not concur with the donation desire of their relative, but this form of surrogate decision-making represents a double standard in terms of the principle of substituted judgment.
  • Living donor near-misses underreported

    Aborted hepatectomies and potentially life-threatening near-miss events during which a donor's life may be in danger but after which there are no long-term sequelae are rarely reported, according to a survey of 71 transplant programs that performed donor hepatectomy 11,553 times.
  • Obesity isn't often considered with transplants

    Obesity presents many ethical challenges for transplant practice, according to a review article that describes an approach for applying available data on the importance of body composition to the kidney transplant population.
  • Guidelines promote better communication, "preventive ethics"

    The 2013 Guidelines for Decisions on Life-Sustaining Treatment and Care Near the End of Life were written with the nation's changing health care landscape and "the real world of clinical practice" in mind, says Nancy Berlinger, PhD, a research scholar at The Hastings Center in Garrison, NY. Berlinger is lead author of the new edition of the Guidelines and the director of the research project supporting the new edition.
  • Patients taking pre-emptive action due to genetic results

    Angelina Jolie's widely publicized bilateral mastectomy brought a great deal of public attention to the issue of what to do in response to genetic testing results, but also raised some important ethical concerns, according to bioethicists interviewed by Medical Ethics Advisor.
  • Mind-body training increases MDs' compassion

    Teaching medical students about mind-body approaches could help boost their compassion, according to a study from Boston (MA) University School of Medicine.
  • Readmissions are on more shoulders now

    You know that you are going to get dinged for any unplanned readmissions related to a patients original hospitalization. You have probably felt the heat about that for some time and have worked on how to make sure no one bounces back unless its part of the plan.
  • Underappreciated source of pain

    One in five. That was the incidence and prevalence of pressure ulcers in 2007 at Onslow Memorial Hospital in Jacksonville, NC.
  • TJC expands core measure sets

    On Jan. 1, 2014, The Joint Commission will start holding accredited hospitals responsible for two more core measure sets.
  • Combating drug diversion — what you can do to help

    Many in healthcare will tell you outright that drug diversion isnt a big problem in their organization, says Commander John Burke of the Warren County Drug Task Force in Lebanon, OH. That is people putting their heads in the sand, he says.