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:7/26/2017)... ... July 26, 2017 , ... “We are thrilled to be partnering with Six ... schedule an appointment online in real time,” said Keith English, LocalMed CEO. “Allowing patients ... will bring more Six Month Smiles patients to their providers.” , Each month, over ...
    (Date:7/26/2017)... ... July 26, 2017 , ... IDC-Eating Disorder Care ... the treatment program located in Royal Oak, Michigan. IDC, formerly known as ... focused on providing the highest standards in the field of eating disorder treatment in ...
    (Date:7/26/2017)... ... July 26, 2017 , ... The Amnesty Rally 2017 will be held on ... 3313 Bernstein Park Drive in Monroe (adjacent to the Louisiana Purchase Gardens & Zoo). ... gun violence throughout Monroe. Citizens can turn in unregistered, illegally-held and imitation guns to ...
    (Date:7/26/2017)... ... July 26, 2017 , ... BioPlus Specialty Pharmacy ... updated version of the HCV Treatment Path app (version 4.4.0) to keep health ... (HCV) infection. All of the latest HCV medications are included in this app, ...
    (Date:7/25/2017)... ... July 25, 2017 , ... “Now Hiring!” is a popular phrase at ... company has achieved record-breaking sales for over 30 consecutive years and now plans to ... The upcoming year offers excitement and growth at HDIS, following the company’s acquisition by ...
    Breaking Medicine News(10 mins):
    (Date:7/26/2017)... , July 26, 2017 The Galien Foundation ... Galien USA Award Nominees. Counted among ... Galien Award recognizes outstanding biomedical and technology product achievement that ... To qualify, each candidate must be U.S. Food and ... years and demonstrate tremendous potential to impact human health. Sales ...
    (Date:7/24/2017)... IBM (NYSE: IBM ) has been recognized as a ... for the fourth year in a row. 1 ... the Leaders quadrant have the highest scores for their Ability ... Leaders quadrant has the market share, credibility, and marketing and ... These vendors demonstrate a clear understanding of market needs; they ...
    (Date:7/21/2017)... SPRING, Md. and RESEARCH TRIANGLE ... United Therapeutics Corporation (NASDAQ: UTHR ) announced ... financial results before the market opens on Thursday, July ... Therapeutics will host a teleconference on Thursday, July 27, ... accessible by dialing 1-877-351-5881, with international callers dialing 1-970-315-0533.  ...
    Breaking Medicine Technology:
    Cached News: