Etiology and Manifestations of Iatrogenesis in Pediatrics. (Record no. 2686)
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| 000 -LEADER | |
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| fixed length control field | 02150nam a22002537a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 170918s20172017 xxu||||| |||| 00| 0 eng d |
| 040 ## - CATALOGING SOURCE | |
| Original cataloging agency | Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) | |
| PMID | 28846518 |
| 245 ## - TITLE STATEMENT | |
| Title | Etiology and Manifestations of Iatrogenesis in Pediatrics. |
| 251 ## - Source | |
| Source | AMA Journal of Ethics. 19(8):783-792, 2017 Aug 01 |
| 252 ## - Abbreviated Source | |
| Abbreviated source | AMA J Ethics. 19(8):783-792, 2017 Aug 01 |
| 253 ## - Journal Name | |
| Journal name | AMA journal of ethics |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Year | 2017 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Manufacturer | FY2018 |
| 266 ## - Date added to catalog | |
| Date added to catalog | 2017-09-18 |
| 520 ## - SUMMARY, ETC. | |
| Abstract | There is general agreement in the literature of what ought to occur following iatrogenic harm. Senior members of the team should disclose what occurred and how the problem will be remedied. Those involved should express heartfelt regrets and apologize sincerely. But in the pediatric setting, parents, as surrogates, can sometimes place clinicians on the horns of a dilemma: respect parental autonomy, which may involve continuing nonadvised therapy, or uphold the patient's best interests, which may indicate another course of care. In other cases, clinicians themselves may initiate or continue care without real benefit. The young patients who may be harmed as a result often cannot understand an explanation, an apology, or, when warranted, receive reparation; what duties are owed them? In this paper, we first discuss iatrogenesis writ large and then propose the formulation of this concept in this latter context, where harm occurs as a result of counterpoise between two or more ethical obligations, which we term counterpoise iatrogenesis. We then articulate its etiology and manifestation through two true cases. We conclude with a re-examination of the meaning and function of autonomy in pediatrics and the designation of secondary victims. Copyright (c) 2017 American Medical Association. All Rights Reserved. |
| 546 ## - LANGUAGE NOTE | |
| Language note | English |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME | |
| Institution | Ethics |
| 657 ## - INDEX TERM--FUNCTION | |
| Medline publication type | Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Local Authors | Teti, Stowe Locke |
| 790 ## - Authors | |
| All authors | Ennis-Durstine K, Silber TJ, Teti SL |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| DOI | <a href="https://dx.doi.org/10.1001/journalofethics.2017.19.8.stas2-1708">https://dx.doi.org/10.1001/journalofethics.2017.19.8.stas2-1708</a> |
| Public note | https://dx.doi.org/10.1001/journalofethics.2017.19.8.stas2-1708 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Koha item type | Journal Article |
| Item type description | Article |
| Withdrawn status | Lost status | Damaged status | Not for loan | Collection | Home library | Current library | Date acquired | Total Checkouts | Full call number | Barcode | Date last seen | Price effective from | Koha item type |
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| MedStar Authors Catalog | MedStar Authors Catalog | 09/18/2017 | 28846518 | 28846518 | 09/18/2017 | 09/18/2017 | Journal Article |