The role of power in healthcare can raise many ethical challenges. Power is ownership, whether given, ceded, or taken of another person's autonomy. When a person has power over someone else, they can control or strongly influence the decision-making freedom of that person. From the principalist perspective of healthcare ethics, denying a person their freedom to choose, should only occur when justifying conditions related to beneficence and nonmaleficence are sufficiently satisfied. In healthcare, it is rare to be able to identify situations where paternalism is justified. However, experience suggests that abusive power in healthcare is used too frequently without justifying criteria.
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http://dx.doi.org/10.1017/S0963180122000275 | DOI Listing |
J Health Organ Manag
January 2025
Department of Quality, Safety and Clinical Adoption, University Health Network, Toronto, Canada.
Purpose: Despite robust quality improvement efforts in healthcare, learning from patient safety incidents remains difficult. Our study explores counter-vailing powers shaping learning processes and possibilities in healthcare organizations, with a focus on social, political and organizational dynamics of learning.
Design/methodology/approach: Deploying concepts of situated curriculum, boundary work and interconnected knowledge practices, we interviewed staff and physicians ( = 15) in a large Academic Health Science Centre in Canada about their experiences of incident investigations and resultant information sharing.
J Am Coll Surg
January 2025
Department of Thoracic Surgery. Vanderbilt University Medical Center, 1313 21st Avenue South, Nashville, TN 37232.
Background: Artificial intelligence (AI)-powered platforms may be used to ensure that clinically significant lung nodules receive appropriate management. We studied the impact of a commercially available AI natural language processing tool on detection of clinically significant indeterminate pulmonary nodules (IPNs) based on radiology reports and provision of guideline-consistent care.
Study Design: All computed tomography (CT) scans performed at a single tertiary care center in the outpatient or emergency room setting between 20-Feb-2024 and 20-March-2024 were processed by the AI natural language processing algorithm.
Cureus
December 2024
Faculty of Medicine, University of Patras, Rion, GRC.
General practice/family medicine is a primary healthcare discipline that focuses on providing comprehensive, patient-centered care to individuals and families across their lifespan. This study aimed to assess the implementation of artificial intelligence (AI) in general practice/family medicine regarding the 12 characteristics of its discipline as described in the recently revised European Definition of General Practice/Family Medicine. AI has the potential to revolutionize family medicine practice by improving the accuracy, efficiency, and effectiveness of various clinical tasks.
View Article and Find Full Text PDFObjective: To describe demographics, causative pathogens, hospitalization, mortality, and antimicrobial resistance of bacterial bloodstream infections (BSIs) among beneficiaries in the global U.S. Military Health System (MHS), a single-provider healthcare system with 10-year longitudinal follow-up.
View Article and Find Full Text PDFEClinicalMedicine
January 2025
School of Nursing, Wuhan University, Wuhan, Hubei, China.
Background: While advancements in leukemia care have been made, the global quality of care remains a concern. This study utilizes a modified quality of care index (QCI) to assess the global status of leukemia care.
Methods: We analyzed data from the global burden of disease (GBD) study spanning 1990-2021.
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