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:
    TAG: Fair decisions more important when hospitals face crisis like SARS

    (Date:10/25/2014)... Steven Reinberg HealthDay Reporter ... virus that causes common cold sores -- herpes simplex -- ... Swedish researchers suggest. In fact, being a carrier of ... Alzheimer,s disease, the researchers found. "The identification of ... disorder is a breakthrough," said lead researcher Dr. Hugo Lovheim, ...
    (Date:10/25/2014)... (HealthDay News) -- Researchers who discovered antibiotics in ... cause for concern. The use of antibiotics ... human consumption contribute to the development of antibiotic-resistant ... information from the study. Each year in ... million people and kill about 23,000, according to ...
    (Date:10/25/2014)... (HealthDay News) -- Current osteoporosis screening guidelines and ... at risk for osteoporosis-related fractures, a new study ... we need tools that help us accurately predict ... we can target these at-risk people for preventive ... medicine in the division of general internal medicine ...
    (Date:10/25/2014)... 24, 2014 (HealthDay News) -- October,s shorter, darker days ... affective disorder, according to an expert. People ... feel overly tired, lack motivation and even have trouble ... lead to suicide, said Dr. Angelos Halaris, a professor ... Loyola University Chicago Stitch School of Medicine. "Seasonal ...
    (Date:10/22/2014)... 22, 2014 On Saturday, October 25, 2014, ... annual family health and fitness fair ¡Vive tu vida! Get ... and good nutrition for better health and wellness for people ... free and open to the public, will be held at ... 9:00 am to 1:00 pm. , “¡Vive tu Vida! ...
    Breaking Medicine News(10 mins):Health News:Studies Link Cold Sore Virus to Alzheimer's Risk 2Health News:Studies Link Cold Sore Virus to Alzheimer's Risk 3Health News:Researchers Say Antibiotics in Fish a Health Concern 2Health News:Osteoporosis Screening Guidelines May Miss Younger Women at Risk 2Health News:Dark Days Here for Folks With Seasonal Depression 2Health News:Brownsville Community Health Center Presents Fourth Annual ¡Vive Tu Vida! Get Up! Get Moving!® Event 2Health News:Brownsville Community Health Center Presents Fourth Annual ¡Vive Tu Vida! Get Up! Get Moving!® Event 3Health News:Brownsville Community Health Center Presents Fourth Annual ¡Vive Tu Vida! Get Up! Get Moving!® Event 4
    (Date:10/25/2014)... -- Burzynski Research Institute, Inc. (BRI) announced today that ... the company permission to conduct an open-label study of ... of age with a diffuse intrinsic brainstem glioma (DIPG). ... treatment groups based on their age and whether or ... primary study endpoint is a decrease in the size ...
    (Date:10/22/2014)... 2014  Cephasonics, a technology-innovation leader with a game-changing ... (cQuest Ultrasound Box™-1), the first product in a new ... by Cephasonics for purchase by companies to rebrand with ... be showcasing the cQUB-1 for the first time at ... Chongqing, China from October 23 to ...
    (Date:10/22/2014)... IRVINE, Calif. , Oct 22, 2014 ... Irvine, California , announced the receipt ... Small Business Innovation Research award (SBIR) from the National Institute of ... will fund the development of a Pan-HIV Protein Microarray ... the HIV-1 and HIV-2 subtypes and aid in the ...
    Breaking Medicine Technology:Burzynski Research Institute, Inc. Announces FDA Permission to Launch a New Clinical Trial in Diffuse Intrinsic Brainstem Glioma 2Cephasonics Launches the cQUB-1, First Product in New Family of cQUB White-Label Ultrasound Systems Targeted at Medical Applications 2Cephasonics Launches the cQUB-1, First Product in New Family of cQUB White-Label Ultrasound Systems Targeted at Medical Applications 3Biomarker Discovery Company, Antigen Discovery Inc., Awarded an NIH Phase I Small Business Innovation Research Grant to Develop a Pan-HIV Protein Microarray Chip 2
    Cached News: