Although sharing health records with psychiatric patients may cause harm, clinicians also must consider beneficence and autonomy in making this decision.
AMA J Ethics. 2017; 19(3):253-259. doi:
10.1001/journalofethics.2017.19.3.ecas3-1703.
Respecting another’s religious beliefs does not compel us to accept that those beliefs have been examined and are autonomously espoused. We come to hold beliefs in a multitude of ways, not all of which are fully informed and uncoerced.
Approximately two-thirds of men aged 50 and older diagnosed REM sleep behavior disorder develop neurologic disease, for which there is no prevention or treatment at present.
The patient appears to have decision-making capacity, has head trauma, a headache despite intoxication, and is irritable—and she refuses a CT scan of the head.
Consent sounds like a laborious process that requires much time. Actually discussing a procedure or exam with a patient doesn’t take much more time than it took to read this paragraph.
Physicians make patients aware of those interventions that they (the patients) may then refuse. In short, informed consent is less about patient decisions than it is about restraining physicians.
Nicole Martinez-Martin, JD, PhD, Laura B. Dunn, MD, and Laura Weiss Roberts, MD, MA
Calibrating a machine learning model with data from a local setting is key to predicting psychosis outcomes. Clinicians also need to understand an algorithm’s limitations and disclose clinically and ethically relevant information to patients.
AMA J Ethics. 2018; 20(9):E804-811. doi:
10.1001/amajethics.2018.804.