The ethics of disclosure of adverse health events caused by healthcare management
Bibliographic record
Abstract
The disclosure of adverse health events is the imparting, by healthcare providers to patients or their family, of information pertaining to any unexpected health event affecting the patient. Even though both the law and professional codes of ethic require the disclosure of all adverse health events, only a fraction of such events are actually disclosed. This disclosure gap is a reflection of the morally difficult decision about whether and how to disclose adverse events to patients. This thesis examines deontological and casuistic theoretical ethical perspectives on the healthcare professional's duty to disclosure adverse health events. Three case studies with different severities of clinical outcomes are used to demonstrate the differences and similarities between the two theories. The conclusions support the reconciliation of the deontological theory and casuistic reasoning in the decision to disclose adverse events, with recommendations to improve communications skills and disclosure training for healthcare providers.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.027 | 0.064 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.006 | 0.028 |
| Scholarly communication | 0.008 | 0.004 |
| Open science | 0.001 | 0.004 |
| Research integrity | 0.006 | 0.005 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".