The cost of safety: Balancing risk and liberty in psychiatric units.

Abstract:

:The systems approach is a widely accepted method for addressing healthcare adverse events. However, when adverse events are behavioral in nature, such as self-injury or aggression, a systems approach can restrict patient autonomy. We propose guidelines for balancing safety and autonomy considerations when developing systems for behavioral adverse events: interventions that do not limit patient liberty, or that therapeutically address the root causes of behavioral adverse events, should be fully utilized. Clinicians should collaborate with patients when designing systems that may restrict patient liberty. And clinicians should be supported in managing the stress that accrues from working in hazardous environments.

journal_name

Bioethics

journal_title

Bioethics

authors

Zhong R,Wasser T

doi

10.1111/bioe.12804

subject

Has Abstract

pub_date

2021-02-01 00:00:00

pages

173-177

issue

2

eissn

0269-9702

issn

1467-8519

journal_volume

35

pub_type

杂志文章
  • Compensation for cures: Why we should pay a premium for participation in 'challenge studies'.

    abstract::Antibiotic resistance is one of the most pressing public health problems humanity faces. Research into new classes of antibiotics and new kinds of treatments - including risky experimental treatments such as phage therapy and vaccines - is an important part of improving our ability to treat infectious diseases. In ord...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/bioe.12596

    authors: Anomaly J,Savulescu J

    更新日期:2019-09-01 00:00:00

  • Health, vital goals, and central human capabilities.

    abstract::I argue for a conception of health as a person's ability to achieve or exercise a cluster of basic human activities. These basic activities are in turn specified through free-standing ethical reasoning about what constitutes a minimal conception of a human life with equal human dignity in the modern world. I arrive at...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1467-8519.2011.01953.x

    authors: Venkatapuram S

    更新日期:2013-06-01 00:00:00

  • Looking backwards, looking forward: hopes for bioethics' next twenty-five years.

    abstract::I reflect on the past, present, and future of the field of bioethics. In so doing, I offer a very situated overview of where bioethics has been, where it now is, where it seems to be going, where I think we could do better, and where I dearly hope the field will be heading. I also propose three ways of re-orienting ou...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1467-8519.2010.01866.x

    authors: Sherwin S

    更新日期:2011-02-01 00:00:00

  • Narrative ARTifice and women's agency.

    abstract::The choice to pursue fertility treatments is a complex one. In this paper I explore the issues of choice, agency, and gender as they relate to assisted reproductive technologies (ARTs). I argue that narrative approaches to bioethics such as those by Arthur Frank and Hilde Lindemann Nelson clarify judgments about auton...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1467-8519.2005.00428.x

    authors: Kalbian AH

    更新日期:2005-04-01 00:00:00

  • Does human genome editing reinforce or violate human dignity?

    abstract::Germline genome editing is often disapproved of at the international policy level because of its possible threats to human dignity. However, from a critical perspective the relationship between this emerging technology and human dignity is relatively understudied. We explore the main principles that are referred to wh...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/bioe.12607

    authors: Segers S,Mertes H

    更新日期:2020-01-01 00:00:00

  • Presuming patient autonomy in the face of therapeutic misconception.

    abstract::Therapeutic misconception involves the failure of subjects either to understand or to incorporate into their own expectations the distinctions in nature and purpose of personally responsive therapeutic care, and the generic relationship between subject and investigator which is constrained by research protocols. Resea...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/bioe.12384

    authors: McConville P

    更新日期:2017-11-01 00:00:00

  • Equality and the treatment-enhancement distinction.

    abstract::In From Chance to Choice, Allen Buchanan, Dan Brock, Norman Daniels and Daniel Wikler propose a new way of defending the moral significance of the distinction between genetic treatments and enhancements. They develop what they call a 'normal function model' of equality of opportunity and argue that it offers a 'limite...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1467-8519.2009.01750.x

    authors: Holtug N

    更新日期:2011-03-01 00:00:00

  • Racist organ donors and saving lives.

    abstract::This paper considers what should be done about offers of organs for transplant that come with racist strings attached. Saving lives or improving their quality seem powerful reasons to accept the offer. Fairness, justice, and rejecting racism seem like powerful reasons against. This paper argues that conditional alloca...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1467-8519.2007.00526.x

    authors: Wilkinson TM

    更新日期:2007-02-01 00:00:00

  • Trading with the waiting-list: the justice of living donor list exchange.

    abstract::In a Living Donor List Exchange program, the donor makes his kidney available for allocation to patients on the postmortal waiting-list and receives in exchange a postmortal kidney, usually an O-kidney, to be given to the recipient he favours. The program can be a solution for a candidate donor who is unable to donate...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1467-8519.2008.00684.x

    authors: den Hartogh G

    更新日期:2010-05-01 00:00:00

  • Manipulation, salience, and nudges.

    abstract::Cass Sunstein and Richard Thaler recommend helping people make better decisions by employing 'nudges', which they define as noncoercive methods of influencing choice for the better. Not surprisingly, healthcare practitioners and public policy professionals have become interested in whether nudges might be a promising ...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/bioe.12421

    authors: Noggle R

    更新日期:2018-03-01 00:00:00

  • Judging the social value of controlled human infection studies.

    abstract::In controlled human infection (CHI) studies, investigators deliberately infect healthy individuals with pathogens in order to study mechanisms of disease or obtain preliminary efficacy data on investigational vaccines and medicines. CHI studies offer a fast and cost-effective way of generating new scientific insights,...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/bioe.12794

    authors: Rid A,Roestenberg M

    更新日期:2020-10-01 00:00:00

  • Wrongs, preferences, and the selection of children: a critique of Rebecca Bennett's argument against the principle of procreative beneficence.

    abstract::Rebecca Bennett, in a recent paper dismissing Julian Savulescu's principle of procreative beneficence, advances both a negative and a positive thesis. The negative thesis holds that the principle's theoretical foundation - the notion of impersonal harm or non-person-affecting wrong - is indefensible. Therefore, there ...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1467-8519.2010.01870.x

    authors: Herissone-Kelly P

    更新日期:2012-10-01 00:00:00

  • Harming the non-conscious.

    abstract::Peter Singer has argued that nothing done to a fetus before it acquires consciousness can harm it. At the same time, he concedes that a child can be harmed by something done to it when it was a non-conscious fetus. But this implies that the non-conscious fetus can be harmed. The mistake lies in thinking that, since ex...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/1467-8519.00158

    authors: Persson I

    更新日期:1999-07-01 00:00:00

  • Burden of Proof in Bioethics.

    abstract::A common strategy in bioethics is to posit a prima facie case in favour of one policy, and to then claim that the burden of proof (that this policy should be rejected) falls on those with opposing views. If the burden of proof is not met, it is claimed, then the policy in question should be accepted. This article illu...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/bioe.12194

    authors: Koplin JJ,Selgelid MJ

    更新日期:2015-11-01 00:00:00

  • The Ties that Undermine.

    abstract::Do biological relations ground responsibilities between biological fathers and their offspring? Few think biological relations ground either necessary or sufficient conditions for responsibility. Nevertheless, many think biological relations ground responsibility at least partially. Various scenarios, such as cases co...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/bioe.12213

    authors: Beverley J

    更新日期:2016-06-01 00:00:00

  • Beyond accountability for reasonableness.

    abstract::This paper is a critique of Norman Daniels' and James Sabin's 'Accountability for Reasonableness' framework for making priority-setting decisions in health care in the face of widespread disagreement about values. Accountability for Reasonableness has been rapidly gaining worldwide acceptance, arguably to the point of...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1467-8519.2007.00605.x

    authors: Friedman A

    更新日期:2008-02-01 00:00:00

  • Moral dilemmas in (not) treating patients who feel they are a burden.

    abstract::Working as clinical ethicists in an academic hospital, we find that practitioners tend to take a principle-based approach to moral dilemmas when it comes to (not) treating patients who feel like a burden, in which respect for autonomy tends to trump other principles. We argue that this approach insufficiently deals wi...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/bioe.12579

    authors: Metselaar S,Widdershoven G

    更新日期:2019-05-01 00:00:00

  • Adjusting the focus: A public health ethics approach to data research.

    abstract::This paper contends that a research ethics approach to the regulation of health data research is unhelpful in the era of population-level research and big data because it results in a primary focus on consent (meta-, broad, dynamic and/or specific consent). Two recent guidelines - the 2016 WMA Declaration of Taipei on...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/bioe.12551

    authors: Ballantyne A

    更新日期:2019-03-01 00:00:00

  • Prescribing Posttraumatic Growth.

    abstract::This article introduces questions in psychiatric ethics regarding the substantial field of qualitative and quantitative research into 'posttraumatic growth', which investigates how, after devastating experiences, individuals can come to feel that they have developed warmer relationships, increased spirituality, or a c...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/bioe.12164

    authors: Harbin A

    更新日期:2015-11-01 00:00:00

  • AIDS, gays, and state coercion.

    abstract::Mohr argues that coercive government policies in response to the AIDS crisis are unjustified and pose a serious threat to the rights of homosexuals. AIDS presently can be transmitted only to those whose actions place them at risk. Paternalistic state coercion is warranted only when a person has diminished capacity o...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1467-8519.1987.tb00003.x

    authors: Mohr RD

    更新日期:1987-01-01 00:00:00

  • How will the economic downturn affect academic bioethics?

    abstract::An educated guess about the future of academic bioethics can only be made on the basis of the historical conditions of its success. According to its official history, which attributes its success primarily to the service it has done for the patient, it should be safe at least as long as the patient still needs its ser...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1467-8519.2010.01807.x

    authors: Epstein M

    更新日期:2010-06-01 00:00:00

  • Defining core health services: the New Zealand experience.

    abstract::The New Zealand health service has been extensively changed over the past four years, with the introduction of four new Regional Health Authorities, required to purchase services on behalf of the Government from a range of providers. In order to ensure fairness across the four regions a Core Services Committee has bee...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1467-8519.1995.tb00359.x

    authors: Campbell AV

    更新日期:1995-07-01 00:00:00

  • Medical confidentiality: legal and ethical aspects in Greece.

    abstract::Respect for confidentiality is firmly established in codes of ethics and law. Medical care and the patients' trust depend on the ability of the doctors to maintain confidentiality. Without a guarantee of confidentiality, many patients would want to avoid seeking medical assistance The principle of confidentiality, how...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1467-8519.2008.00654.x

    authors: Papadodima SA,Spiliopoulou CA,Sakelliadis EI

    更新日期:2008-08-01 00:00:00

  • Monological versus dialogical consciousness: two epistemological views on the use of theory in clinical ethical practice.

    abstract::In this article, we argue that a critical examination of epistemological and anthropological presuppositions might lead to a more fruitful use of theory in clinical-ethical practice. We differentiate between two views of conceptualizing ethics, referring to Charles Taylors' two epistemological models: 'monological' ve...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/j.1467-8519.2011.01912.x

    authors: Ohnsorge K,Widdershoven G

    更新日期:2011-09-01 00:00:00

  • Why a right to life rules out infanticide: A final reply to Räsänen.

    abstract::Joona Räsänen has argued that pro-life arguments against the permissibility of infanticide are not persuasive, and fail to show it to be immoral. We responded to Räsänen's arguments, concluding that his critique of pro-life arguments was misplaced. Räsänen has recently replied in 'Why pro-life arguments still are not ...

    journal_title:Bioethics

    pub_type: 评论,杂志文章

    doi:10.1111/bioe.12646

    authors: Blackshaw BP,Rodger D

    更新日期:2019-10-01 00:00:00

  • The vulnerable and the susceptible.

    abstract::Human beings are essentially vulnerable in the view that their existence qua humans is not given but constructed. This vulnerability received basic protection from the State, expressed in the form of the universal rights all citizens are meant to enjoy. In addition, many individuals fall prey to destitution and depriv...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/1467-8519.00361

    authors: Kottow MH

    更新日期:2003-10-01 00:00:00

  • Consequentialism, reasons, value and justice.

    abstract::Over the past 10 years, John Harris has made important contributions to thinking about distributive justice in health care. In his latest work, Harris controversially argues that clinicians should stop prioritising patients according to prognosis. He argues that the good or benefit of health care is providing each ind...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/1467-8519.00109

    authors: Savulescu J

    更新日期:1998-07-01 00:00:00

  • Hit but not down. The substance view in light of the criticism of Lovering and Simkulet.

    abstract::In his article 'The substance view: A critique', Rob Lovering argues that the substance view -according to which a human person comes into existence at the moment of conception - leads to such implausible implications that this view should be abandoned. I responded to his reductio arguments in 'A critique of Rob Lover...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/bioe.12450

    authors: Friberg-Fernros H

    更新日期:2018-07-01 00:00:00

  • Humanity and Justice in Global Health: Problems with Venkatapuram's Justification of the Global Health Duty.

    abstract::One of the most ambitious and sophisticated recent approaches to provide a theory of global health justice is Sridhar Venkatapuram's recent work. In this commentary, we first outline the core idea of Venkatapuram's approach to global health justice. We then argue that one of the most important elements of the account,...

    journal_title:Bioethics

    pub_type: 杂志文章

    doi:10.1111/bioe.12224

    authors: Kollar E,Laukötter S,Buyx A

    更新日期:2016-01-01 00:00:00

  • The contributions of empirical evidence to socio-ethical debates on fresh embryo donation for human embryonic stem cell research.

    abstract::This article is a response to McLeod and Baylis (2007) who speculate on the dangers of requesting fresh 'spare' embryos from IVF patients for human embryonic stem cell (hESC) research, particularly when those embryos are good enough to be transferred back to the woman. They argue that these embryos should be frozen in...

    journal_title:Bioethics

    pub_type: 评论,杂志文章

    doi:10.1111/j.1467-8519.2009.01792.x

    authors: Haimes E,Taylor K

    更新日期:2011-07-01 00:00:00