PDF-(READ)-After Harm: Medical Error and the Ethics of Forgiveness

Medical error is a leading problem of health care in the United States Each year more patients die as a result of medical mistakes than are killed by motor vehicle accidents breast cancer or AIDSWhile most government and regulatory efforts are directed toward reducing and preventing errors the actions that should follow the injury or death of a patient are still hotly debated According to Nancy Berlinger conversations on patient safety are missing several important components religious voices traditions and modelsIn After Harm Berlinger draws on sources in theology ethics religion and culture to create a practical and comprehensive approach to addressing the needs of patients families and clinicians affected by medical error She emphasizes the importance of acknowledging fallibility telling the truth confronting feelings of guilt and shame and providing just compensation After Harm adds important human dimensions to an issue that has profound consequences for patients and health care providers. Module 2. Unit 1 Insights. Do No Harm. No statement of ethical standards can anticipate all situations that have ethical implications.. Therefore, overarching principles – like . “Do No Harm” should guide the behaviors of professionals in everyday practice.. Hank Puls, MD. Diane Plantz, MD. Pediatric Hospital Medicine Conference. Case-Based Workshop. July 29. th. , 2016. Disclosures. We have no relevant financial relationships with the manufacturers of any commercial products and/or provider of commercial services discussed in the CME activity.. Learning Objectives. Examine and discuss beliefs about personal and professional ethics. Identify how your beliefs and values affect your daily decisions. Discuss NAMSS Ethics Policies and the NAMSS Code of Conduct. John D. Banja, PhD. Center For Ethics. Emory University. jbanja@emory.edu. 20/20 Special in 1982 on lethal anesthesia errors . Resulted in creation of Anesthesia Patient Safety Foundation in 1985;. Pulse oximetry and electronic monitoring became standardized . Learning Objectives. Examine and discuss beliefs about personal and professional ethics. Identify how your beliefs and values affect your daily decisions. Discuss NAMSS Ethics Policies and the NAMSS Code of Conduct. Basic Biomedical Principles. Principle of Beneficence. Act to benefit others. Principle of Autonomy. Worth and dignity of all persons. Right to self-determination and moral obligation to protect others with impaired autonomy. Issues in Research Ethics. Coercion. $$$, extra credit, social pressures. Privacy. Deception. Physiology of cheating. Discomfort or Harm. Right to . Service. Experimental group gets beneficial treatment, control group does not.. N. Al-. Asadi. 2018-2019. Ethics and Morality. What are they?. The terms . ethics. and . morality. are often used interchangeably - indeed, they usually can mean the same thing, and in casual conversation there . The American Medical Association enacted its Code of Ethics in 1847, the first such national codification. In this volume, a distinguished group of experts from the fields of medicine, bioethics, and history of medicine reflect on the development of medical ethics in the United States, using historical analyses as a springboard for discussions of the problems of the present, including what the editors call a sense of moral crisis precipitated by the shift from a system of fee-for-service medicine to a system of fee-for-system medicine, better known as \'managed care.\'The authors begin with a look at how the medical profession began to consider ethical issues in the 1800s and subsequent developments in the 1900s. They then address the sociological, historical, ethical, and legal aspects of the practice of medicine. Later chapters discuss current and future challenges to medical ethics and professional values. Appendixes display various versions of the AMA\'s Code of Ethics as it has evolved over time.Contributors: George J. Annas, J.D., M.P.H., Arthur Isak Applbaum, Ph.D., Robert B. Baker, Ph.D., Chester R. Burns, M.D., Ph.D., Arthur L. Caplan, Ph.D., Alexander Morgan Capron, J.D., Christine K. Cassel, M.D., Linda L. Emanuel, M.D., Ph.D., Eliot L. Freidson, Ph.D., Albert R. Jonsen, Ph.D., Stephen R. Latham, J.D., Ph.D., Susan E. Lederer, Ph.D., Florencia Luna, Ph.D., Edmund D. Pellegrino, M.D., Charles E. Rosenberg, Ph.D., Mark Siegler, M.D., Rosemary A. Stevens, Ph.D., Robert M. Tenery, Jr., M.D., Robert M. Veatch, Ph.D., John Harley Warner, Ph.D., Paul Root Wolpe, Ph.D. Medical error is a leading problem of health care in the United States. Each year, more patients die as a result of medical mistakes than are killed by motor vehicle accidents, breast cancer, or AIDS.While most government and regulatory efforts are directed toward reducing and preventing errors, the actions that should follow the injury or death of a patient are still hotly debated. According to Nancy Berlinger, conversations on patient safety are missing several important components: religious voices, traditions, and models.In After Harm, Berlinger draws on sources in theology, ethics, religion, and culture to create a practical and comprehensive approach to addressing the needs of patients, families, and clinicians affected by medical error. She emphasizes the importance of acknowledging fallibility, telling the truth, confronting feelings of guilt and shame, and providing just compensation. After Harm adds important human dimensions to an issue that has profound consequences for patients and health care providers. In this book Paul Carrick charts the ancient Greek and Roman foundations of Western medical ethics. Surveying 1,500 years of pre-Christian medical moral history, Carrick applies insights from ancient medical ethics to developments in contemporary medicine such as advance directives, gene therapy, physician-assisted suicide, abortion, and surrogate motherhood. He discusses such timeless issues as the social status of the physician attitudes toward dying and death and the relationship of medicine to philosophy, religion, and popular mortality. Opinions of a wide range of ancient thinkers are consulted, including physicians, poets, philosophers, and patients. He also explores the puzzling question of Hippocrates\' identity, analyzing not only the Hippocratic Oath but also the Father of Medicine\'s lesser-known works. Accessible to both professionals and to those with little background in medical philosophy or ancient science, Carrick\'s book demonstrates that in the ancient world, as in our own postmodern age, physicians, philosophers, and patients embraced a diverse array of perspectives on the most fundamental questions of life and death. Patients enter the medical system with faith that they will receive the best care possible, so when things go wrong, it\'s a profound and painful breach. Medical science has made enormous strides in decreasing mortality and suffering, but there\'s no doubt that treatment can also cause harm, a significant portion of which is preventable. In When We Do Harm, practicing physician and acclaimed author Danielle Ofri places the issues of medical error and patient safety front and center in our national healthcare conversation.Drawing on current research, professional experience, and extensive interviews with nurses, physicians, administrators, researchers, patients, and families, Dr. Ofri explores the diagnostic, systemic, and cognitive causes of medical error. She advocates for strategic use of concrete safety interventions such as checklists and improvements to the electronic medical record, but focuses on the full-scale cultural and cognitive shifts required to make a meaningful dent in medical error. Woven throughout the book are the powerfully human stories that Dr. Ofri is renowned for. The errors she dissects range from the hardly noticeable missteps to the harrowing medical cataclysms. Batch 28. What Is Medical Ethics, and Why Is It Important?. Medical ethics involves examining a specific problem, usually a clinical case, and using values, facts, and logic to decide what the best course of action should be. . May 16, 2018. Introduction. A little about me:. Over 20 years in the medical device and pharmaceutical industries. Started as a medical device representative-in surgery every day M-F and then moved into the pharmaceutical industry.