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When performing whole genome sequencing, clinicians may encounter incidental findings unrelated to the condition for which the patient was tested. The American College of Medical Genetics and Genomics recently recommended that clinical labs should be required to analyze 56 genes that increase the likelihood of diseases for which there is an intervention.
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Bioethicists often lack a clear prescence in quality assurance committees, but their involvement has many potential benefits for clinical ethics services, clinicians, hospital administrators, and patients.
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More hospitals and health care facilities are developing policies, procedures, resources, and training modules to address disclosure of mistakes to patients and families.
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Informed consent is a key ethical concern when health care providers are consenting to a mandatory vaccination, since autonomous patient choice is not possible where vaccination is a condition of employment.
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Patient safety is at risk if clinicians with undiagnosed conditions causing impairment continue to practice, but colleagues often fail to report the impairment.
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Occasionally, clinicians, patients, or surrogates reject an ethicists advice or recommendations. In this scenario, bioethicists should seek to maintain working relationships and continue dialogue.
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Customer service is included in the patient access job description at Baptist Health Richmond (KY).
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