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Evidence-based medicine and clinical practice guidelines (CPGs) have become mantras of health care quality in the 21st century, but as a new study suggests, when it comes to older patients those guidelines should be used with extreme caution.
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In addition to providing interpreter services for its increasing immigrant population, staff from Harborview Medical Center in Seattle go into the community, helping eligible patients learn to navigate the health care system.
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Many anesthesiologists say its what they fear second only to a patient dying during surgery: A patient wakes up during an operation and, though feeling and hearing what is happening to him or her, is incapable of letting the surgical team know.
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Is it ethical to enroll an elderly person with Alzheimers disease in a new research study, even if he or she doesnt really understand what it entails? What if the research has real risks, is unlikely to benefit the patient, but could lead to advances that will help future patients with Alzheimers?
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With patients being required to pay more of their medical costs, a study getting under way at Wake Forest (NC) University School of Medicine looks at how this added responsibility affects the care that patients receive and what the implications are for health care law and medical ethics.
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Ethics committees have, in the past three decades, become ubiquitous in American hospitals. But while most hospitals have ethics committees, the makeup of those committees can vary depending on the institution they serve.
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An apparent violation of federal organ transplantation procedures at St. Vincent Medical Center in Los Angeles and the subsequent voluntary suspension of transplants at the hospital have directed new scrutiny on the process by which donor organs are distributed in the United States.
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The Institute for Healthcare Improvement (IHI) announced its 100,000 Lives Campaign one year ago, with the lofty goal of enlisting 1,500 to 2,000 hospitals that would pledge to adopt six initiatives that, if implemented, would save 100,000 lives over an 18-month period by preventing avoidable medical errors.
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A plastic surgeon offers free mammary endowments to his female staff and expects them to wear scrubs two sizes too small to show them off.
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Over the years, outpatient surgery program managers have struggled with the dilemma of whether parents should be allowed into the operating room. While some programs have prohibited the practice, other programs do allow parents in the operating room with the belief that a parents presence reduces a childs anxiety.
