AMA Journal of Ethics^®

Two commentaries respond to a case about apnea testing to confirm death by neurologic criteria.

Clinical decision supports create ethically complex risks and need to align patients’ and caregivers’ professed values.

Risk managers can help patient-subjects and clinician-researchers make informed novel device implantation decisions in the absence of preclinical trial data.

For patients historically stripped of control over their reproductive health, consideration of past violations and transparent discussion are key.

Reliance on disclosure rather than understanding has prompted shared decision making and represents an important cultural change in clinical practice.

Current policy requires separate informed consent for some Public Health Service increased-risk donors, and this can make shared decision making harder.

Using alternative anesthesia techniques requires collaborative decision making that expresses a patient’s best interest.

Two pediatric cases highlight risks of prolonging anesthetic exposure for training purposes and prompt questions about influences of surgical training on outcomes.

Which factors should be part of standard required reconsideration discussions?