BioethicsTV (October 15-18) #TheResident, #TheGoodDoctor, #NewAmsterdam, #ChicagoMed
by Craig Klugman, Ph.D.
“Exploring ethical issues in TV medical dramas”
Jump to The Resident (Season 2; Episode 4): Medical Lawsuits; Jump to The Good Doctor (Season 2; Episode 4): Inappropriate coercion to remove autonomy; Jump to New Amsterdam (Season 1; Episode 4): Conflicts of interest; Giving bad news; Jump to Chicago Med (Season 4: Episode 4): When medicine and immigration collide; tough choices
The Resident (Season 2; Episode 4): Medical Lawsuits
This episode is less about particular stories than the about the topic of malpractice lawsuits.… (Source: blog.bioethics.net)
Source: blog.bioethics.net - October 22, 2018 Category: Medical Ethics Authors: Craig Klugman Tags: BioethicsTV Conflict of Interest Decision making Featured Posts Informed Consent #ChicagoMed #NewAmsterdam #thegooddoctor #TheResident giving bad news immigration Source Type: blogs
Care but don ’t touch: Being wise in the modern era
The medicine I practiced between 1974 to 1992 is gone. Evidence is the coin of the realm in the courts of modern medicine. The rule “first, do no harm” demands a corollary — be paranoid.
We receive extensive training and licensure to “touch” patients. Any person who is not a physician who cuts into another person commits a very serious crime. The same is true for merely talking with a person, whether or not a patient, as a physician. Physicians, with words, go where no others are permitted to go.
Here is the legal yardstick: Conduct that benefits the patient and is necessary is “within” bounds. Conduct that b...
Source: Kevin, M.D. - Medical Weblog - October 17, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/elliott-oppenheim" rel="tag" > Elliott Oppenheim, MD, JD < /a > Tags: Physician Malpractice Primary Care Source Type: blogs
When doctors leave clinical medicine, don ’t blame the victim
I don’t want to be unclear here. I don’t want to mince my words. But I’m mad about an interaction I had on Facebook. I was commenting on the Physician Side Gigs group page when someone riffed on one of my statements. They mentioned that my opinions could be a slippery slope towards a future where doctors no longer see patients. The insinuation was that we as physicians owe it to our community to continue practicing medicine. As many of you know, with my half retirement, I am planning to leave patient visits behind. Being financially independent is allowing me to escape a work environment laced with fe...
Source: Kevin, M.D. - Medical Weblog - October 14, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/docg" rel="tag" > DocG, MD < /a > Tags: Physician Practice Management Source Type: blogs
Jahi McMath – Status of Her Lawsuits
Since 2013, there have been six lawsuits contesting the death of Jahi McMath. Now, there is only one.
The Alameda County medical malpractice case was the primary case in which the family of Jahi McMath challenged the legitimacy of her determination o... (Source: blog.bioethics.net)
Source: blog.bioethics.net - October 13, 2018 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs
How to survive a medical liability lawsuit
I do not feel that I truly survived my lawsuit. Sure, I am alive, but the emotional toll it took on me during the four years that we co-existed was tremendous. That being said, I do feel that it taught me several things that may be helpful to others.
My lawsuit occurred very early in my career. The series of events that led up to it happened when I was a mere 15 months into my pediatric practice. Being named in a lawsuit as a young new physician led to serious self-doubt and much thought about how to abandon medicine as a career entirely. Being $100,000 in debt from my medical education (a sum that pales in comparison to w...
Source: Kevin, M.D. - Medical Weblog - October 7, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/anonymous" rel="tag" > Anonymous < /a > Tags: Physician Malpractice Pediatrics Source Type: blogs
Your son is dead. How will you remember me?
I introduced myself to the family sitting anxiously in the private room away from the chaotic symphony of beeping monitors in the main ER. When I opened the door, four pairs of bewildered eyes landed squarely and intensely on me. I wanted to look away so as not to betray my own emotions but instead stepped in and introduced myself again — one by one making eye contact. After a brief assessment of the landscape of relationships in the room and how much they knew, I was ready to deliver the update. Their husband, father, and family friend was dead. They had done all they could do to get him to us as quickly as possible...
Source: Kevin, M.D. - Medical Weblog - October 5, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/leigh-ann-j-webb" rel="tag" > Leigh-Ann J. Webb, MD < /a > Tags: Physician Emergency Medicine Source Type: blogs
Expensive Hospitals: The Enemy Within
By ANISH KOKA MD
Everyone agrees that health care is bankrupting the nation. The prevailing winds have carried the argument that a system that pays per unit of health care delivered and thus favors volume over value is responsible. The problem, you see, was the doctors. They were just incentivized to do too much. This incontrovertible fact was the basis for changes in the healthcare system that favored hospital employment and have made the salaried physician the new normal. Yet, health care costs remain ascendant.
Why?
It turns out overutilization in the US healthcare system isn’t what its cracked up to be.
Figure 1...
Source: The Health Care Blog - October 1, 2018 Category: Consumer Health News Authors: anish_koka Tags: Finance Patients Physicians Anish Koka expensive health care finances health care finances Incentives Source Type: blogs
The Power of a Pause
by Kayla Sheehan (@kksheehan)October TW, Dizon ZB, Arnold RM, Rosenberg AR.Characteristics of Physician Empathetic Statements During Pediatric Intensive Care Conferences With Family Members: A Qualitative Study. JAMA Network Open. 2018;1(3):e180351. doi:10.1001/jamanetworkopen.2018.0351Ask any patient what qualities they desire in a physician, and empathy will almost always make the list. A physician ’s ability to demonstrate empathy has beenshown to significantly impact patient outcomes1,increase patient satisfaction2, andraise physician “compassion satisfaction,” which may hinder burnout (3). Though much debate sur...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 28, 2018 Category: Palliative Care Tags: communication journal article NICU open access pallimed writing group pediatrics sheehan Source Type: blogs
Going from Paper-Based Consents to eConsents in Healthcare
For years we’d talk about the “paperless office” that would be created by the adoption of EHR software. Years later, that paperless office still doesn’t exist. One of the big reasons this hasn’t come to fruition is because EHRs can print massive reams of paper with the click of the button. Another reason the paperless office still alludes us is paper-based consents.
For years, there wasn’t a good way to replace paper-based consents with eConsents. However, that’s not the case today. To help us move towards the paperless office and to learn about adoption of eConsents in healthcare,...
Source: EMR and HIPAA - September 24, 2018 Category: Information Technology Authors: John Lynn Tags: EHR Electronic Health Record Electronic Medical Record EMR Healthcare HealthCare IT Tablets eConsents FormFast Healthcare Consents Paper-Based Consents Robin McKee Source Type: blogs
Wrongful Death Suits for Frozen Embryos: A Bad Idea
Last March, 4,000 frozen eggs and embryos were lost at University Hospitals Fertility Center in Cleveland when the temperature in cryogenic tanks spiked due to human error. Officials at University Hospitals have apologized repeatedly to the affected patients, and say that they are working to provide refunds, free services, and “emotional support.” A similar incident… Read more
The post Wrongful Death Suits for Frozen Embryos: A Bad Idea appeared first on The Hastings Center. (Source: blog.bioethics.net)
Source: blog.bioethics.net - September 12, 2018 Category: Medical Ethics Authors: Susan Gilbert Tags: Health Care frozen embryos harm Hastings Bioethics Forum Health and Health Care Human Reproduction lawsuits Medical Error & Malpractice Reform Reproduction & Technology Science and Society syndicated Source Type: blogs
The currency of science and the value of stories
What is evidence? How do we gather evidence of patient harm? More importantly, what is the evidence that counts?
A research paper dating back to 2004 suggests that besides research evidence, clinical and patient experiences, as well as contextual information also constitute evidence. However, the only currency of science is data collected through systematic and rigorous research.
But when it comes to the business of medical error, the 3rd leading cause of death in the United States…research is a vehicle that doesn’t get us far enough. It lets us look through a straw at “wicked problems” – a term coined by Ritt...
Source: Kevin, M.D. - Medical Weblog - September 4, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/elizabeth-lerner-papautsky" rel="tag" > Elizabeth Lerner Papautsky, PhD < /a > Tags: Physician Hospital-Based Medicine Malpractice Source Type: blogs
Yale Student Essay Competition – Emerging Issues in Health Law
The Yale Law Journal has announced its
second annual Student Essay Competition. The topic this year is Emerging
Issues in Health Law.
Students and recent graduates should submit entries. Submissions must focus on novel issues in health law,
broadly conceived.
Possible topics include, but are not limited to, the
following: bioethics, biotechnology, decriminalization of controlled
substances, food law, global health, healthcare legislation, law and the opioid
crisis, medical malpractice, and pharmaceutical regulation.
The submission
deadline is October 15, 2018. Up to three winners will receive...
Source: blog.bioethics.net - September 4, 2018 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs
3 malignant retention strategies in health care contracts
Establishing a medical career inevitably requires signing a number of contracts along the way that we are not trained to evaluate, leaving us at risk for malignant retention strategies. At the beginnings of our careers, we were obligated to sign all contracts offered to us without question. The medical school match did not leave much choice, and salary negotiations were nonexistent. This lack of choice later changed, as most of us can keenly recall receiving our first confusing offer letter while completing the last few months of training. Some of us try to sift through the legalese alone, while others will start the daunt...
Source: Kevin, M.D. - Medical Weblog - September 2, 2018 Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/jonathan-zipkin" rel="tag" > Jonathan Zipkin, MD < /a > Tags: Physician Practice Management Source Type: blogs
Prior Authorizations: Will They Become Damocles Sword?
By NIRAN AL-AGBA
Niran Al-Agba, MD, FAAP
In July 2009, the family of Massachusetts teenager Yarushka Rivera went to their local Walgreens to pick up Topomax, an anti-seizure drug that had been keeping her epilepsy in check for years. Rivera had insurance coverage through MassHealth, the state’s Medicaid insurance program for low-income children, and never ran into obstacles obtaining this life-saving medication. But in July of 2009, she turned 19, and when, shortly after her birthday, her family went to pick up the medicine, the pharmacist told them they’d either have to shell out $399.99 to purchase Topomax out-of-poc...
Source: The Health Care Blog - August 28, 2018 Category: Consumer Health News Authors: matthew holt Tags: Patients Physicians Insurance companies medical malpractice Medicine Pharmaceuitcals Prior Authorization Source Type: blogs
Are You an Effective Communicator?
When specialists fail to accurately communicate important patient information,it can have enormous repercussions on that patient ’s health along with lasting legal consequences. According to the non-profit healthcare accreditation organization, Joint Commission, 70 percentof “adverse health outcomes” derive from failed physician communication. In an opinion piece published in theJournal of the American College of Radiology,radiologist Leonard Berlin examined how lack of specialist communication plays out in malpractice lawsuits and physician relationships.Dr. Berlin describes a lawsuit in which a 53-year-old male pa...
Source: radRounds - August 3, 2018 Category: Radiology Authors: Julie Morse Source Type: blogs
