An ethical dilemma: Medical errors and medical culture.
نویسندگان
چکیده
Employment grade differences in cause specific mortality. 25 year follow-up of civil servants from the first Whitehall study. National infant mortality rates in relation to gross national product and distribution of income. 15 Chiang T-L. Economic transition and changing relation between income inequality and mortality in Taiwan: regression analysis. income inequality and mortality: empirical demonstration.feld S. Low job control and risk of coronary heart disease in the White-hall II (prospective cohort) study. Balinkyiene I, et al. Attenuated cortisol response to a standardised stress test in Lithuanian vs. Swedish men. Childhood social circumstances and psychosocial and behavioural factors as determinants of plasma fibrinogen. 36 Hsieh CC, Pugh MD. Poverty, income inequality, and violent crime: a meta-analysis of recent aggregate data studies. In: Kawachi I, Kennedy B, Wilkinson RG, eds. Income inequality and health. The society and population health reader. A junior doctor fails to read an electrocardiogram that has been ordered and the patient dies, undiagnosed and in pain, from a myocardial infarction. We asked a professor of medical ethics, an expert in medical errors, and two clinicians to comment on the ethical implications of covering up the mistake. The patient, an elderly lady, was blind and deaf without speech. She had been brought in as an emergency case, clutching her abdomen and moaning. She had been like that for a couple of hours and had also vomited a few times. On examination she had some epigastric tenderness , her heart and lungs were normal, and her blood pressure was slightly low. Routine investigations were ordered; a drip was set up; and the team moved on. On the next round the patient was still in severe pain. Nothing new had turned up. Her serum haemoglobin concentration, blood biochemistry, and chest and abdominal radiographs were normal. We
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عنوان ژورنال:
- BMJ
دوره 322 7296 شماره
صفحات -
تاریخ انتشار 2001