ENDO_TEST 1: Ethics_Conflicts of Interest Flash Cards

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Title: ENDO_TEST 1: Ethics_Conflicts of Interest
Description: I always forget we have Ethics...
Number of Cards: 9
Save Count: 1
Author: dabunn9
Created: 2012-01-25
Tags: dabunn9 endo wvsom
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    • Question
    • Answer
    • Side 3
    • - Acting in the best interests of one patient may sometimes make it difficult to act on behalf of another patient who is more likely to benefit from care

      - Resources, such as time and ICU beds, are limited and people have different priorities for limited resources
    • Bedside Rationing
    • What is the best thing to do if there is a conflict of interest such as an error?
    • Tell the patient, apologize and report it!
    • What is the rule of triage regarding bedside rationing?
    • The sickest patients come first
    • What is capitation? Why would this create concerns?
    • physician receives a flat fee per
      year to take care of a patient

      A physician could easily just do the "bare minimum" since they're getting paid either way
    • Who is most likely to get free drug samples?
    • Insured Patients

      (These are meant for the uninsured)
    • You are placing a foley catheter in a patient who was just admitted to the ER. You're excited because this is your first foley procedure as a medical student. While inserting the cather you cause a urethral avulsion. Who is responsible for this error?
    • Your Attending
    • You want to perform a procedure that will likely cause a great improvement in your patient's outcome, however, his insurance refuses to pay for it. You decide not to perform the procedure and the patient later dies. Who is responsible?
    • You are.

      Physician is legally liable if he/she witholds treatment at an insurer's behest
    • You know of a procedure that will help a patient's prognosis. However, you learn that their insurance will not cover the procedure. You decide not to disclose the procedure to the patient since their insurance won't cover it anyway. Has the patient's autonomy been violated here?
    • Yes
    • You know that a medical error has been made with your patient. List some steps you should take.
    • - Explicitly acknowledge that an error occurred and offer an apology

      - Explain the error and its consequences

      - Explain what can and what will be done to mitigate harms to the patient AND

      - Prevent the error from occurring again