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Rabbi Barry M. Kinzbrunner, MD, suggests that in addressing spiritual care for their patients at the end of life, physicians often face the challenge of how to mesh the spiritual concerns with objective science a challenge that sometimes results in a "significant disconnect" with patients.
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A bill recently signed into law in New York state will require a patient's health care provider to provide information and counseling to that patient on palliative care, prognosis, and end-of-life options, once the patient is diagnosed with a terminal illness.
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If they were better informed on the outcomes of premature infants, physicians might be more inclined to intervene more often, according to Annie Janvier, MD, PhD, FRCPC, a neonatologist and clinical ethicist practicing at St. Justine Hospital in Quebec and associate professor of pediatrics at the University of Montreal.
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Although the law is squarely on the side of the pregnant mother in maternal-fetal conflict, the ethics should be examined to determine how one reaches that conclusion, according to Mark R. Mercurio, MD, MA, a neonatologist at the Yale-New Haven (CT) Children's Hospital and director of the Yale Pediatric Ethics Program.
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Accountability. It's an oft-heard word these days in health care. But just what is accountability? The Joint Commission is setting out to turn the buzzword into something more meaningful, more definable with distinct criteria.
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In May, the Centers for Medicare & Medicaid Services (CMS) issued transmittal 59, clarifying the interpretative guidelines for the anesthesia services Conditions of Participation, the latest in a round of changes in the arena of anesthesiology.
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A lot of hospitals are doing it these days posting their emergency department wait times on bulletin boards, on their websites, or even through text messages.
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The American College of Emergency Physicians (ACEP) has three "low-cost, high-impact" solutions to boarding, says Sandra M. Schneider, MD, FACEP, president-elect of ACEP; professor of emergency medicine at University of Rochester (NY) Medical Center; and a physician at Strong Memorial Hospital, also in Rochester.
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It's not all about liability when it comes to admitting medical mistakes, and it's not all about the increase or decrease of lawsuits and, thus, costs.
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Currently, core measure data are used "in the context of a variety of processes here at The Joint Commission" including in public reporting and the priority focus process, says Jerob Loeb, PhD, The Joint Commission's vice president, division of quality measurement and research.
