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Etiology and Manifestations of Iatrogenesis in Pediatrics

Overview of attention for article published in AMA Journal of Ethics, August 2017
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36 tweeters
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Etiology and Manifestations of Iatrogenesis in Pediatrics
Published in
AMA Journal of Ethics, August 2017
DOI 10.1001/journalofethics.2017.19.8.stas2-1708
Pubmed ID

There is general agreement in the literature of what ought to occur following iatrogenic harm. Senior members of the team should disclose what occurred and how the problem will be remedied. Those involved should express heartfelt regrets and apologize sincerely. But in the pediatric setting, parents, as surrogates, can sometimes place clinicians on the horns of a dilemma: respect parental autonomy, which may involve continuing nonadvised therapy, or uphold the patient's best interests, which may indicate another course of care. In other cases, clinicians themselves may initiate or continue care without real benefit. The young patients who may be harmed as a result often cannot understand an explanation, an apology, or, when warranted, receive reparation; what duties are owed them? In this paper, we first discuss iatrogenesis writ large and then propose the formulation of this concept in this latter context, where harm occurs as a result of counterpoise between two or more ethical obligations, which we term counterpoise iatrogenesis. We then articulate its etiology and manifestation through two true cases. We conclude with a re-examination of the meaning and function of autonomy in pediatrics and the designation of secondary victims.

Twitter Demographics

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Mendeley readers

The data shown below were compiled from readership statistics for 7 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 7 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 2 29%
Researcher 2 29%
Student > Bachelor 1 14%
Student > Master 1 14%
Unknown 1 14%
Readers by discipline Count As %
Medicine and Dentistry 2 29%
Agricultural and Biological Sciences 1 14%
Nursing and Health Professions 1 14%
Unknown 3 43%