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World Patient Safety Day

“Seesaw game - Politics? Science? Emotion? Ethics? - in pandemic era.”

Work as a chair of in-house ethical committee

I see many of advanced treatment here in Kyushu University Hospital where I work which needs to be reviewed from the ethical viewpoint. We need to ensure balance of effectiveness and safety when physicians attempt to apply drugs, treatment or procedures which are not approved by the government in the regulatory system. I work as a chair of the ethical committee in my hospital which deals with wide variety of medical treatments. Application of non-approved drug, device, procedure are most common in our regular agenda, while in extreme and rare case we discussed a family problem in which guardians rejected risky treatment to their baby which was proposed by our medical team on full agreement with confidence. You may be familiar with ethically contentious case in which a patient refuses blood transfusion for religious reason even he/she may get into critical condition caused by massive bleeding during surgery. I hope you to understand that there are wide variety of cases with points to discuss in ethical committee. However, I have to admit at this time point that ethical review is still regarded by most doctors as one of the tiresome administrative process for providing advanced treatment even in university hospital. Concurrently, it is also true that the significance of ethics is growing in many respects in Japanese healthcare system.

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Health inequalities, COVID-19, Black Lives Matter

On either side of the Atlantic, the US Black Lives Matter protests over the death of George Floyd, and the calls for a UK enquiry into the disproporti...
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You have to take a side: Silence is not an option

A personal reflection – You have to take a side: Silence is not an option At this time of Black lives Matters, it is time for examining our inner selv...
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Who’s last in the healthcare queue? Evidence from mystery patient visits and household surveys

South Africa has one of the highest inequality levels in the world and an extremely polarised healthcare system. On the one end, there exists a seemin...
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Covid-19 Doctors on Call: National Program in South Africa

The National Covid-19 Doctors on Call Program has been in operation since 27th March 2020 and we have currently raised sufficient funding to run ...
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