Lauren B Smith
Biographic Data
| ID | 8306375 |
|---|---|
| NAME | Lauren B Smith |
| GIVEN NAMES | Lauren B |
| FAMILY NAME | Smith |
| SIGNATURE | SMITH L B |
| AFFILIATIONS | Institute of Medical Ethics |
| ORCID | 0000-0001-8142-9762 |
| VERIFIED | Yes |
| TOTAL WORKS | 7 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 7 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2011 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 0 |
What Are Ethical Merits and Drawbacks of a Patient’s Open and Direct Access to Clinical Information in Their EHRs During a Hospital Stay
Electronic health records (EHRs) now generally offer patients immediate access to a broad swath of health information and data they are often not fully prepared to interpret or review. This commentary on a case considers risks and benefits of open access to EHRs and strategies for mitigating patient anxiety caused by immediate access, including improving patient understanding of data, tools to promote health literacy, and customizable EHR informa…
How Should Decision Science Inform Scarce Blood Product Allocation
Blood products are a scarce resource in our health care system. This article discusses a pediatric case involving large quantities of blood products transfused at the end of life. It argues that decision aids could help clinicians determine when to request ethics consultation or re-evaluation of blood product usage in a specific patient care situation and considers questions about scarce resource allocation, futility, and parental involvement in …
Doctor Knows Best? Tubal Ligation in Young, Childless Women
When a gynecologist asks a twenty‐one‐year‐old patient about her use of contraception, he is surprised that she would like to have a tubal ligation. The patient says that she would “never want to bring a child into this screwed up world.” She has discussed tubal ligation with her boyfriend of one year, and he has told her that he accepts her decision. She asks her doctor if she can schedule the procedure as soon as possible. Her gynecologist ment…
Requests for VIP Treatment in Pathology
Preferential treatment of patients whom we deem "very important" is a practice that is common in our health care system. The impact of this designation and the care that results is rarely studied or scrutinized. Although we assume that this type of treatment results in superior outcomes, this assumption can be wrong for a variety of reasons, which we discuss here. In addition to expressing unjust preferential treatment for some patients and not o…
Ethical Considerations about EHR-Mediated Results Disclosure and Pathology Information Presented via Patient Portals
Electronic health records (EHR) now include patient portals where patients can obtain clinical reports, including notes, radiology reports, and laboratory/anatomic pathology results. Although portals increase patient access to information, no guidelines have been developed for hospitals about appropriate delays in posting different types of pathology reports to the EHR. Delays exist as a matter of policy to allow physicians time to answer questio…
Truly Personalized Medicine
The patient wished to receive an experimental drug that she was instrumental in developing. After her diagnosis, she had investigated treatments that might help her condition and discovered that a specific compound could be beneficial. To further the development of this potential drug, she obtained preclinical data, founded a company, and sought investment from venture capitalists. The company was about to begin phase I testing, but the clinical …
Commentary
No prominent works on this page.
Commentary
Truly Personalized Medicine
The patient wished to receive an experimental drug that she was instrumental in developing. After her diagnosis, she had investigated treatments that might help her condition and discovered that a specific compound could be beneficial. To further the development of this potential drug, she obtained preclinical data, founded a company, and sought investment from venture capitalists. The company was about to begin phase I testing, but the clinical …
Doctor Knows Best? Tubal Ligation in Young, Childless Women
When a gynecologist asks a twenty‐one‐year‐old patient about her use of contraception, he is surprised that she would like to have a tubal ligation. The patient says that she would “never want to bring a child into this screwed up world.” She has discussed tubal ligation with her boyfriend of one year, and he has told her that he accepts her decision. She asks her doctor if she can schedule the procedure as soon as possible. Her gynecologist ment…
Requests for VIP Treatment in Pathology
Preferential treatment of patients whom we deem "very important" is a practice that is common in our health care system. The impact of this designation and the care that results is rarely studied or scrutinized. Although we assume that this type of treatment results in superior outcomes, this assumption can be wrong for a variety of reasons, which we discuss here. In addition to expressing unjust preferential treatment for some patients and not o…
Ethical Considerations about EHR-Mediated Results Disclosure and Pathology Information Presented via Patient Portals
Electronic health records (EHR) now include patient portals where patients can obtain clinical reports, including notes, radiology reports, and laboratory/anatomic pathology results. Although portals increase patient access to information, no guidelines have been developed for hospitals about appropriate delays in posting different types of pathology reports to the EHR. Delays exist as a matter of policy to allow physicians time to answer questio…
How Should Decision Science Inform Scarce Blood Product Allocation
Blood products are a scarce resource in our health care system. This article discusses a pediatric case involving large quantities of blood products transfused at the end of life. It argues that decision aids could help clinicians determine when to request ethics consultation or re-evaluation of blood product usage in a specific patient care situation and considers questions about scarce resource allocation, futility, and parental involvement in …
What Are Ethical Merits and Drawbacks of a Patient’s Open and Direct Access to Clinical Information in Their EHRs During a Hospital Stay
Electronic health records (EHRs) now generally offer patients immediate access to a broad swath of health information and data they are often not fully prepared to interpret or review. This commentary on a case considers risks and benefits of open access to EHRs and strategies for mitigating patient anxiety caused by immediate access, including improving patient understanding of data, tools to promote health literacy, and customizable EHR informa…
Medicine (5 works) · Health care (3 works) · Pathology (3 works) · Psychology (3 works) · Computer Science (2 works) · Confidentiality (2 works) · Electronic health record (2 works) · Electronic Health Records Systems (2 works) · Ethics and Legal Issues in Pediatric Healthcare (2 works) · Ethics in medical practice (2 works)