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Biomedical subjects

D Berwick

Publications and source records attributed to D Berwick.

At least 19 recordsLinked to original sources
PubMed1999

A shared statement of ethical principles for those who shape and give health care: a working draft from the Tavistock group.

Health care delivery in many countries has expanded over the past 150 years from a largely social service delivered by individual practitioners to an intricate network of services provided by teams of professionals. The problems of increasing resource consumption, financial constraints, complexity, and poor system design that have emerged as consequences of these changes have exacerbated many of the ethical tensions inherent in health care and have created new ones. Many groups of professionals that give and affect health care have established separate codes of ethics for their own disciplines, but no shared code exists that might bring all stakeholders in health care into a more consistent moral framework. A multidisciplinary group therefore recently met at Tavistock Square in London in an effort to prepare such a shared code. The result was not a code but a more basic and generic statement of ethical principles. The intent and hope is that it will offer clear guidance for tough calls in real world settings. It is presented here not as a finished work, but as a draft to elicit comment, critique, suggestions for revision, and, especially, ideas for implementation.

Codes of Ethics↗
PubMed1998

Charting the future of healthcare improvement.

Healthcare improvement must become a function of systems--hospitals, delivery systems and communities--to overcome inequities in care and to make quality as much a priority as financial success, according to Don Berwick, MD, CEO of the Institute for Healthcare Improvement.

Community Health Planning↗
PubMed1987

Efficacy of a brief psychosocial intervention for symptoms of stress and distress among patients in primary care.

Psychosocial problems and symptoms of emotional distress play a prominent role in patients reporting to primary care settings. Interpersonal counseling (IPC) was developed as a brief psychosocial intervention for patients with stress and distress to be administered by nurse practitioners in a primary care setting. The results of a pilot study indicate more rapid reduction of symptoms and improvement in emotional symptoms and psychosocial functioning in the IPC group than in a comparison group with initially elevated scores on the General Health Questionnaire. The priorities for further testing are discussed, and possible implications for service delivery are explored.

Adult↗
PubMed1978

Angina pectoris in a child with sickle cell anemia.

A 7-year-old black boy with sickle cell disease, Wolff-Parkinson-White syndrome, mild left ventricular dysfunction, and normal coronary arteries developed angina pectoris five months after cessation of hypertransfusion therapy. Exercise-induced ECG ST segment depression associated with angina disappeared following transfusion therapy.

Anemia, Sickle Cell↗
PubMed1976

Effects of pooled samples.

Pooling of specimens before testing may reduce the costs of expensive tests for rare conditions. This paper presents models of how test performance is degraded by such pools, and of the financial savings that pooling allows. The method of computing optimal pool size is demonstrated on a screening test and on the test for gastrin. Test characteristics that make pooling especially effective are listed.

Clinical Laboratory Techniques↗
PubMedDate not supplied

Shared ethical principles for everybody in health care.

In this report the authors introduce the first step in discussing a shared code of ethics across all medical disciplines. The Tavistock Group has published a shared statement of ethical principles, and June Andrews, RCN Scottish secretary, provides a commentary.

Ethics, Professional↗