Medical Economics November 16, 2023
It’s time to evolve our understanding and implementation of advance directives.
As an emergency medicine physician, I’ve seen the pitfalls of advance directives (ADs) firsthand. While ADs promise patient autonomy, they often fall short in the chaotic landscape of medicine. Dr. Dan Morhaim’s recent piece champions ADs as a safeguard against wrongful prolongation of life lawsuits and a means to ensure personalized end-of-life care, but there is a starkly different narrative unfolding within emergency rooms, hospitals and post acute facilities across the nation.
My clinical experience and TRIAD Patient Safety Research suggests that ADs, in their current form, are far from foolproof and at times harmful. In fact some ADs, while crafted with the intention to respect patient autonomy, often...
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