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Some commonly used diagnostic tests or treatments do not benefit patients, according to the ABIM Foundation's "Choosing Wisely" initiative. "This is not about 'rationing' care," says Christine K. Cassel, MD, president and CEO of the American Board of Internal Medicine and the ABIM Foundation.
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When a patient is communicating with a provider online, it is "quite easy for a physician to cross ethical boundaries that are inherent to the physician-patient relationship," says Toby Schonfeld, PhD, associate professor of medicine and director of the master of arts in bioethics program at the Center for Ethics at Emory University in Atlanta.
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Payments made to physicians by pharmaceutical companies may undermine the trust of patients and the general public in medicine and science, according to Henk ten Have, MD, PhD, director of the Center for Healthcare Ethics at Duquesne University in Pittsburgh, PA.
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Physicians misrepresented their credentials online, violated patient confidentiality, had inappropriate communications with patients online, and used the Internet to prescribe medications to patients with whom they had no therapeutic relationship, according to a study of violations reported to state medical boards.1
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State regulators have determined that a California hospital owned by Prime Healthcare Services violated patient confidentiality by sharing a woman's medical files with journalists and sending an email about her treatment to 785 hospital workers.
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News: A 36-year-old woman was transported to the emergency department (ED) at 12:55 p.m. after exhibiting symptoms consistent with a viral infection. A lumbar puncture was performed, the results of which revealed herpes viral encephalitis. Acyclovir was ordered stat; however, the nurse on duty did not administer the medication until three hours later, by which time the patient had become comatose.
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Regulatory issues such as state-by-state licensing continue to be a serious hurdle in the expansion of telemedicine, according to a survey of clinicians using the technology.
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The reputation of Pottstown Memorial Medical Center in Philadelphia will take a big hit from the recent $78.5 million malpractice verdict against it, says Scott Sobel, president of Media & Communications Strategies in Washington, DC.
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With so much to cover in employee orientation, it is tempting to include a lot of dry legalese in the employee handbook and be satisfied that you have fulfilled your obligation to notify.
