scholarly journals Prison medicine: ethics and equivalence

2006 ◽  
Vol 188 (1) ◽  
pp. 4-6 ◽  
Author(s):  
Luke Birmingham ◽  
Simon Wilson ◽  
Gwen Adshead
Keyword(s):  
Medical Practice ◽  
Ethical Dilemmas ◽  
Ethical Problems ◽  
Good Medical Practice

SummaryGuidelines for good medical practice do not reflect the complex reality of the ethical problems that arise in prison. Perhaps the best a doctor working in prison can do is realise that there are ethical dilemmas everywhere, try to recognise them and feel the tension.

The effect of the implementation of a good medical practice booklet on nursing home residents’ drug prescriptions: a difference-in-differences analysis based on data from electronic pill dispensers (Preprint)

2019 ◽  
Author(s):  
Stéphane Sanchez ◽  
Cécile Payet ◽  
Marie Herr ◽  
Anne Dazinieras ◽  
Caroline Blochet ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Medical Practice ◽  
Intervention Group ◽  
Medication Use ◽  
Nursing Home Residents ◽  
Control Group ◽  
Multilevel Regression ◽  
Difference In Differences ◽  
Good Medical Practice ◽  
The Impact

BACKGROUND The elderly are particularly exposed to adverse events from medication. Among the various strategies to reduce polypharmacy, educational approaches have shown promising results. OBJECTIVE We aimed to evaluate the impact of the implementation of a good medical practice booklet on polypharmacy in nursing homes. METHODS We identified nursing homes belonging to a geriatric care provider that had launched a policy of proper medication use using a good medical practice booklet delivered to prescribers and pharmacists. Data were derived from electronic pill dispensers. The effect of the intervention on polypharmacy was assessed with multilevel regression models, with a control group to account for natural trends over time. The main outcomes were the average daily number of times when medication was administered and the number of drugs with different presentation identifier codes per resident per month. RESULTS 96,216 residents from 519 nursing homes were included between 1 January 2011 and 31 December 2014. The intervention group and the control group both decreased their average daily use of medication (-0.05 and -0.06). The good medical practice booklet did not have a statistically significant effect (exponentiated difference-in-differences coefficient 1.00, 95% confidence interval 0.99-1.02, P=.45). CONCLUSIONS Although the good medical practice booklet itself did not seem effective in decreasing medication use, our data show the effectiveness of a higher-level policy to decrease polypharmacy.

scholarly journals Could Personalised Self-Inking Stamps Improve Identification Standards in Medical Records?

2012 ◽  
Vol 94 (4) ◽  
pp. 128-130
Author(s):  
Sac MacKeith ◽  
Svelusamy ◽  
A Pajaniappane ◽  
P Jervis
Keyword(s):  
Medical Practice ◽  
Medical Records ◽  
General Medical Council ◽  
Case Note ◽  
Medical Council ◽  
Patient Records ◽  
Medical Case ◽  
Good Medical Practice ◽  
Professional Contact

Doctors' handwriting has long been criticised as being difficult to read or even illegible. In more recent years research has confirmed that it is not uncommon to find medical case note entries that are deficient, illegible or unidentifiable. In Good Medical Practice the General Medical Council (GMC) asks that doctors 'keep clear, accurate, legible and contemporaneous patient records'. In addition, the GMC 'expects that all doctors will use their reference numbers widely to identify themselves to all those with whom they have professional contact'. This includes encouragement for its use in case note entries and prescribing.

Good medical practice for occupational health

The Lancet ◽  
2002 ◽  
Vol 359 (9309) ◽  
pp. 895
Author(s):  
MJ Henderson ◽  
K Holland-Elliot
Keyword(s):  
Occupational Health ◽  
Medical Practice ◽  
Good Medical Practice

TWO MISTAKEN DIAGNOSES OF FATAL ILLNESS IN BROTHERS

PEDIATRICS ◽  
1967 ◽  
Vol 40 (3) ◽  
pp. 390-394
Author(s):  
Richard Winkelmayer ◽  
A. Bradford Judd ◽  
Richard P. Stearns
Keyword(s):  
Medical Practice ◽  
Physical Illness ◽  
Emotional Impact ◽  
Fatal Disease ◽  
Art Of Medicine ◽  
Good Medical Practice ◽  
Fatal Illness ◽  
Difficult Challenge

Understanding the emotional impact of physical illness is generally recognized as an indispensable aspect of good medical practice. The diagnosis of fatal illness and the feelings connected with it possibly present the most difficult challenge in the art of medicine. We have tried to present some of the factors that led a mother to influence independent specialists to supply her with diagnoses of fatal diseases for two of her children. We feel that such processes are quite often at work, and we might have dismissed the untenable diagnosis of a fatal disease with the remark, "such things happen," were it not for the fact that this unlikely event happened twice in the same family. As physicians, we should all like to believe that our knowledge of the science of medicine is sufficient to remove us from the possibility of parental or other influence in such an instance. However, we are always exposed to these influences, and we may be swayed by them more often than we care to admit.

Why a New Approach to Medical Ethics Is Needed

2020 ◽  
pp. 9-43
Author(s):  
Rosamond Rhodes
Keyword(s):  
Medical Ethics ◽  
Medical Practice ◽  
Systematic Approach ◽  
Biomedical Ethics ◽  
Common Morality ◽  
Medical Professionalism ◽  
New Approach ◽  
Good Medical Practice ◽  
Everyday Ethics ◽  
The Common

The Trusted Doctor: Medical Ethics and Professionalism rejects the well-entrenched views of medical ethics as everyday ethics or common morality applied to medicine. This chapter lays the foundation for the original account of medical ethics that follows in the book’s succeeding chapters. By presenting vivid examples and general arguments the author demonstrates ways in which the ethics of medicine is distinct and different from common morality. The chapter discusses the most popular common morality views, namely, the four principles approach expounded by Tom Beauchamp and James Childress in Principles of Biomedical Ethics and the ten rules approach presented by Bernard Gert, Charles Culver, and K. Danner Clouser in Bioethics: A Systematic Approach by presenting arguments that challenge their applicability to medical practice. A chart identifies some stark differences between the common morality approach and good medical practice and shows how everyday ethics is incompatible with medical professionalism.

Clinical guidelines and patient related outcomes: summary of evidence and recommendations

2019 ◽  
Vol 24 (3) ◽  
pp. 230-238
Author(s):  
Luciana Pereira de Vasconcelos ◽  
Luiza de Oliveira Rodrigues ◽  
Moacyr Roberto Cuce Nobre
Keyword(s):  
Medical Practice ◽  
Positive Impact ◽  
The Other ◽  
Evidence Based ◽  
Content Type ◽  
Good Medical Practice ◽  
Other Hand ◽  
Care Improvement ◽  
Based Medicine

Purpose Good medical practice, evidence-based medicine (EBM) and clinical practice guidelines (CPG) have been recurring subjects in the scientific literature. EBM advocates argue that good medical practice should be guided by evidence-based CPG. On the other hand, critical authors of EBM methodology argue that various interests undermine the quality of evidence and reliability of CPG recommendations. The purpose of this paper is to evaluate patient related outcomes of CPG implementation, in light of EBM critics. Design/methodology/approach The authors opted for a rapid literature review. Findings There are few studies evaluating the effectiveness of CPG in patient-related outcomes. The systematic reviews found are not conclusive, although they suggest a positive impact of CPGs in relevant outcomes. Research limitations/implications This work was not a systematic review of literature, which is its main limitation. On the other hand, arguments from EBM and CPG critics were considered, and thus it can enlighten health institutions to recognize the caveats and to establish policies toward care improvement. Originality/value The paper is the first of its kind to discuss, based on the published literature, next steps toward better health practice, while acknowledging the caveats of this process.

scholarly journals The aging physician: A practical approach to protect our patients

2019 ◽  
Vol 14 (1) ◽  
pp. 46-49
Author(s):  
John T Fortunato ◽  
Daniel Londyn Menkes
Keyword(s):  
Case Report ◽  
Cognitive Decline ◽  
Medical Practice ◽  
Ethical Dilemmas ◽  
Cognitive Screening ◽  
The Public ◽  
Age Related ◽  
Age Related Cognitive Decline ◽  
Practical Recommendations ◽  
Practicing Physicians

As the median age of practicing physicians increases, ethical dilemmas due to age-related cognitive decline among clinicians will become ever more pressing. Compelling data show that despite acknowledgement of their duty to protect the public, physicians often fail to report themselves, their colleagues, or their physician-patients when cognitive decline appears to impact medical practice adversely. As such, efforts to educate physicians about ethical obligations and various tactful methodologies to report themselves or others seem ineffective. Illustrated by a case report of age-related cognitive decline in a practicing physician, practical recommendations are made both to develop and validate cognitive screening in middle-aged physicians, presumably before the onset of age-related cognitive decline.

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