HOME >> MEDICINE >> NEWS
Fair decisions more important when hospitals face crisis like SARS

But international medical ethics specialists (appendix 1) who evaluated the performance of one large Toronto area hospital during last year's SARS outbreak conclude that procedural requirements, particularly fair and ethical priority-setting, are even more important in the midst of a crisis.

"Hospitals operate at their best when staff and patients trust the process," says Doug Martin, PhD, who led the study for the University of Toronto Joint Centre for Bioethics (JCB). "But the SARS outbreak raised questions that many hospital administrators and staff had never faced before."

The study group identified a number of decision-making difficulties affecting both SARS and non-SARS patients.

Among them:

  • To what extent should the need to contain the outbreak override other important needs? In early stages of the outbreak, the hospital suspended all surgery and banned visitations, causing considerable hardship to the most seriously ill non-SARS patients and their families; and

  • To what extent should the need for quick decisions override the need for legitimate and fair decision making? Upon resumption of normal hospital operations, there was considerable pressure to move quickly to ease the surgical backlog.

    The group's report, published today by U.K.-based Biomed Central, concludes that "in the midst of a crisis such as SARS where guidance is incomplete, consequences uncertain and information constantly changing, where hour-by-hour decisions involve life and death, fairness is more important rather than less."

    The hospital's decision making practices were evaluated using the "accountability for reasonableness" ethical framework, developed by the JCB to guide fair priority setting in health care organizations. Under this framework, an institution's priority setting is judged fair if four conditions are met:

  • Relevance: Rationales for priority setting decisions must rest on rea
    '"/>


  • Contact: Terry Collins
    terrycollins@rogers.com
    416-538-8712
    University of Toronto Joint Center for Bioethics
    19-Dec-2004


    Page: 1 2 3 4

    Related medicine news :

    1. Balancing care decisions for gravely ill patients
    2. How the stories of ordinary people could give them more say over planning decisions
    3. Web-based tool to help clinicians make schizophrenia treatment decisions
    4. Concerns about fertility affect treatment decisions in one-third of young breast cancer patients
    5. European study highlights frequency of medical end-of-life decisions in terminally ill pts
    6. Brain imaging study reveals interplay of thought and emotion in economic decisions
    7. Peer pressure matters in young adults smoking decisions
    8. Computerized tool predicts sarcoma outcome and improves ability to make better treatment decisions
    9. Genetics important in age-related macular degeneration
    10. Reducing hostility in young coronary artery disease patients is important piece of rehabilitation
    11. Molecule important in cell construction also critical in learning and memory

    Post Your Comments:
    *Name:
    *Comment:
    *Email:


    (Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... Apple ... care services, staged a mock evacuation of the facility as part of a disaster ... Fire Department, Echo Hose EMS and Shelton City Emergency Manager, as well as the ...
    (Date:10/13/2017)... , ... October 13, 2017 , ... Global Healthcare Management’s ... Alexandria Park in Milford, NJ. This free event, sponsored by Global Healthcare Management’s ... The fun run is geared towards children of all ages; it is a ...
    (Date:10/13/2017)... ... October 13, 2017 , ... “The Journey: From the ... danger possible to save lost souls in the Philippines. “The Journey: From the Mountains ... a dedicated teacher of the Bible. She has taught all ages and currently teaches ...
    (Date:10/12/2017)... ... October 12, 2017 , ... Planet Fitness, one of the largest and ... plans to open a flagship location in Covington, LA at 401 N. U.S. Highway ... store next to Office Depot in the Holiday Square shopping center. Its location allows ...
    (Date:10/12/2017)... ... 2017 , ... Asante, a nationally recognized health system in ... existing home health joint venture through an agreement, effective October 1, 2017, to ... home health company with Asante, delivering clinically integrated care, for the past eight ...
    Breaking Medicine News(10 mins):
    (Date:10/10/2017)... -- NDS received FDA 510(k) clearance in May 2017 for its highly ... designed for endoscopy environments. An innovative secondary monitor solution, ZeroWire ... support the improvement of patient outcomes, procedural efficiency, and the lowering ... ... ...
    (Date:10/4/2017)... 4, 2017  South Korean-based healthcare product Development Company ... "cprCUBE" on Kickstarter. The device will educate the user ... with better efficiency compared to the dated and pricey ... on efficacy of the compression for a more informed ... goal to raise $5,000. ...
    (Date:10/2/2017)... 2017  Eli Lilly and Company (NYSE: ... third quarter of 2017 on Tuesday, October 24, 2017. ... day with the investment community and media to further ... call will begin at 9 a.m. Eastern time. Investors, ... webcast of the conference call through a link that ...
    Breaking Medicine Technology:
    Cached News: