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Biomedical subjects

A R Jonsen

Publications and source records attributed to A R Jonsen.

At least 55 records · Page 3Linked to original sources
PubMed1988

Beyond the physicians' reference. The ethics of active euthanasia.

This discussion was selected from the weekly Grand Rounds in the Department of Medicine, University of Washington School of Medicine, Seattle. Taken from a transcription, it has been edited by Drs Paul G. Ramsey, Associate Professor of Medicine, and Philip J. Fialkow, Professor and Chair of the Department of Medicine.

Ethics, Medical↗
PubMed1986

Involuntary treatment in medicine.

The duty to benefit one's patient sometimes appears to conflict with the wishes of the patient. This conflict can be resolved by examining the nature of benefit, of competent choice, and of unusual and erroneous beliefs.

Adult↗
PubMed1986

The artificial heart's threat to others.

A member of the two federal advisory panels on artificial hearts reflects that the nuclear-powered artificial heart, had it been developed, would have posed a physical threat to others. Today's artificial heart poses a different threat. Because of the high costs, many people may be deprived of access to other forms of medical care and other social goods.

Advisory Committees↗
PubMed1986

Providers as predictors: using outcome predictions in intensive care.

Physicians' outcome predictions probably influence their treatment decisions in the ICU. The importance and accuracy of these predictions, however, are poorly defined. We asked 20 ICU physicians to rate the importance of 14 factors used for treatment decisions. Expected functional outcome rated highest. However, physicians' predictions of patient outcome, specifically survival and need for professional nursing care 45 days after ICU admission, had variable accuracy. For example, physicians predicted death for only 41% of adults who died, but survival for 87% of adult survivors. Predictions of survivors' need for professional nursing care proved 100% correct for children after heart surgery, but only 58% to 73% correct for other patient groups. These inaccuracies pose an important ethical question: what is the proper role of outcome predictions in ICU decision-making? We believe outcome predictions have an important role when they are proven accurate and used within the bounds of loyalty to the patients and respect for his wishes.

Critical Care↗