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Ethical Considerations of Electronic Consent in Stroke Clinical Trials

eConsent improves trial enrollment, efficiency, and diversity by enabling remote participation and reducing burdens. Ethical benefits include timely interventions and broader representation. Barriers remain, but adoption can accelerate research and enhance equity in stroke care and beyond.

Research Ethics Boards/IRBs May Have Gaps in Expertise

Institutional review boards often lack specialized expertise for emerging research areas. Solutions include recruiting diverse members, using consultants, and ongoing training. Boards must ensure protocols justify risks, uphold ethical principles, and adapt to new technologies while maintaining participant protections.

Ethical Considerations if Patient Undergoing Surgery or Invasive Procedures Has DNR Order

Managing do-not-resuscitate (DNR) orders during surgery is complex. Guidelines stress patient autonomy and preoperative discussions. Misinterpretation of DNR can lead to under-treatment. Structured workflows, education, and ethics consults help align care with patient goals while minimizing perioperative risks.

Ethical Concerns Surround Accessibility and Documentation of Advance Care Plans

Advance care planning often is lacking, especially among marginalized groups. Values-based conversations, standardized documentation, and clinician prompts improve planning. Clear workflows and education help ensure patient wishes are honored, reducing conflicts and ethical dilemmas during critical care.

Ethical Challenges with EFIC Studies

Exception from Informed Consent (EFIC) allows emergency research without prior consent but raises ethical concerns. Best practices include rigorous protocols, community engagement, and digital consultation tools to balance patient rights with advancing care in time-sensitive, high-risk scenarios.

Ethical Concerns if Researchers Fail to Meet Recruitment Targets

Under-enrollment in clinical trials raises ethical issues, including inconclusive results and wasted participant risk. Strategies such as research navigators and extended-hour recruitment improve enrollment and diversity, ensuring trials answer critical questions and uphold obligations to participants and society.

New Approaches to Improve Medical Trainees’ Ethical Confidence

Medical trainees often lack confidence in applying ethical principles. Programs such as RISE use case-based learning, role-play, and simulations to build skills. Tools such as Pedi-EPAT assess ethical reasoning, emphasizing structured feedback and practice to prepare clinicians for complex decisions.

SWOT Analysis of Artificial Intelligence in Medicine

Artificial intelligence (AI) is rapidly transforming clinical workflows, especially by reducing documentation time and after-hours work, and improving work-life balance, with studies showing substantial drops in burnout within weeks of implementation. As AI systems continue to demonstrate strong medical knowledge and performance, they offer clinicians a powerful way to elevate accuracy, streamline tasks, and improve patient understanding without replacing clinical judgment.

Patient Photos in Marketing Materials Pose HIPAA Risks

The Office of Civil Rights (OCR) recently announced a settlement with five healthcare providers in a case that illustrates the dangers of using patient photos in marketing materials. HIPAA violations are possible even when the patient photos seem innocuous and do not reveal medical information.

Virginia Appeals Court Vacates $2.5 Million Verdict Over Omitted Jury Instruction

A Virginia appellate court has overturned a $2.5 million medical malpractice verdict after finding that the trial judge erred by refusing to instruct the jury on the doctrine of superseding cause. The opinion underscores how critical jury instructions are in shaping negligence cases and highlights the continuing importance of foreseeability in determining legal causation.