AMA Journal of Ethics®

Illuminating the art of medicine

Journal of Ethics Header

AMA Journal of Ethics®

Illuminating the art of medicine

Virtual Mentor. September 2011, Volume 13, Number 9: 587-678.

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September 2011 Contents

First, Do No Harm

Ethics Poll

In the last 10 years, many formerly hand-written aspects of patient care have become computerized, from physician entry of treatment orders and prescriptions to patient medical records. Do you think this step from hand-documentation to computerized entry and retrieval will contribute to patient safety and error reduction or introduce more opportunity for error?
One suggestion for reducing the cost of medical malpractice litigation is the establishment of administrative health courts. In health courts, the decision is reached and compensation assigned by a trained judge, rather than by a jury. The injured party does not need to have a lawyer (but may have one) and must prove only that his or her injury could have been avoided if best practices had been followed, not that the physician was negligent. Compensation is based on the severity of the injury and precedent cases and is capped, meaning that compensation for given injuries cannot exceed given amounts. Which of the following best describes your response to the idea of health courts?
Have you ever received an apology from a physician or medical professional for an adverse treatment outcome?

From the Editor

Systemic Problems and Personal Accountability
Ishani Ganguli
Full Text | PDF
Virtual Mentor. 2011; 13:589-592.

Educating for Professionalism

Clinical Cases

After the Apology—Coping and Recovery After Errors
Commentary by Andrew A. White and Thomas H. Gallagher
Full Text | PDF
Virtual Mentor. 2011; 13:593-600.

Labeling an Adverse Drug Event “Preventable”
Commentary by Dan Blumenthal
Full Text | PDF
Virtual Mentor. 2011; 13:601-608.

The Problem with Hand-Offs
Commentary by David B. Nash
Full Text | PDF
Virtual Mentor. 2011; 13:609-611.

Bander Essay Contest

2010 Winning Essay
Medical Ethics and Retail Clinics

Thomas Heyne
Full Text | PDF
Virtual Mentor. 2011; 13:612-619.

Medical Education

Improvement Science—A Curricular Imperative
Samara Ginzburg
Full Text | PDF
Virtual Mentor. 2011; 13:620-625.

The Code Says

The AMA Code of Medical Ethics’ Opinions on Patient Safety
Full Text | PDF
Virtual Mentor. 2011; 13:626-628.

Journal Discussion

Medical Error and Individual Accountability
Kavitha V. Neerukonda
Full Text | PDF
Virtual Mentor. 2011; 13:629-631.

State of the Art and Science

Open-Source Health Care Software
Adrian Gropper
Full Text | PDF
Virtual Mentor. 2011; 13:632-636.

Law, Policy, and Society

Health Law

The Jury Is Still Out on Health Courts
Valarie Blake
Full Text | PDF
Virtual Mentor. 2011; 13:637-641.

Policy Forum

Patient Safety Organizations Are Step 1; Data Sharing Is Step 2
Allan S. Frankel
Full Text | PDF
Virtual Mentor. 2011; 13:642-646.

Medicine and Society

Resolving Harmful Medical Mistakes—Is There a Role for Forgiveness?
Nancy Berlinger
Full Text | PDF
Virtual Mentor. 2011; 13:647-654.

History, Art, and Narrative

Medical Narrative

Learning to Care about Patient Safety
Elaine Besancon
Full Text | PDF
Virtual Mentor. 2011; 13:655-658.

Op-Ed and Correspondence

Op-Ed

Never Events? Well, Hardly Ever.
Paul F. Levy
Full Text | PDF
Virtual Mentor. 2011; 13:659-662.

Resources

Suggested Readings and Resources
PDF
Virtual Mentor. 2011; 13:663-675.

About the Contributors
Full Text | PDF
Virtual Mentor. 2011; 13:676-678.