HIS LESSON 12-PART 1

Question 1

What is the alternate spelling for nuremberg?

Answer 1

Nuernberg

Question 2

Germany’s National Socialist Party (Nazi Party)

Answer 2

Nuremberg code

Question 3

12 Million Jews – “Sub-humans” or “Undesirables”

Answer 3

Nuremberg Code

Question 4

the Holocaust

Answer 4

Nurember Gode

Question 5

-Euthanasia
-Sterilization of mentally and physically handicapped
people
-”Useless eaters” (unnützen Esser)
-“Unworthy of life” (lebensunwerten Lebens or
Lebensunwerts)

Answer 5

the holocaust

Question 6

a town in germany

Answer 6

nurnberg

Question 7

known as germany’s national socialist party and had controlled much of germany and europe

Answer 7

nazi’s party

Question 8

mostly Jews, Poles,
Romani, Gypsies, Eastern Europeans and others
regarded by the Nazi’s as sub-humans or
undesirables were systematically murdered in what
is now referred to as the?

Answer 8

holocaust

Question 9

Much to the shame of the Medical Profession in
Germany at that time, they cooperated in
performing crimes such as euthanasia, sterilization
of mentally and physically handicapped people
referred to as?

Answer 9

useless eaters and unworthy of life

Question 10

Permission or consent was _______ fully obtained

Answer 10

never

Question 11

obtained alternative to death or promise of
release

Answer 11

permission

Question 12

Nuremberg, medical trial, code of conduct, which later became known as

Answer 12

The Nuremberg Code

Question 13

A large number of medical and biological experiments
were conducted on?

Answer 13

concentration camp inmates

Question 14

for the medical experiments was
almost never obtained from the inmates.

Answer 14

Permission or consent

Question 15

In short, those victims were _______ to participate in those
heinous medical experiments. _____ of the surviving
victims was ever released by their captors, nor were any
death sentences commuted.

Answer 15

forced; none

Question 16

Ironically, many of the experiments would have been
_______ if it had been performed or conducted on ______
as the Nazi’s had introduced strict laws governing the use
of animals in medical experiments. This is not surprising if
you remember that they value the undesirables less than
animals.

Answer 16

illegal; animals

Question 17

At the Nürnberg medical trial, a code of conduct, which
later became known as _______________ was
presented. The Nuremberg code was in direct response to
the medical crimes. The code emphasized the need for?

Answer 17

“The Nuremberg Code”; experimental subjects voluntary consent to theexperiment, regard for their safety, including mental suffering, balance of risks, and the right to withdraw
from the experiment if they wish.

Question 18

In addition, the code noted that the responsibility for
performing the experiment lay with a qualified medical
experimenter and this responsibility ____________________.

Answer 18

could not be easily transferred.

Question 19

As the prosecution at Nuremberg Code has noted, the
medical professionals who had performed these
procedures had ________a basic medical principle of “First,
do no harm,” otherwise known as?

Answer 19

violated; the primum non nocere

Question 20

• World Medical Association (WMA)
• Current Version adopted in Fortaleza, Brazil
• Human subject’s safety
• Consent
• Risks
• Right of Withdrawal
• “Privacy of research subjects and the confidentiality of their
  personal information.”

Answer 20

Declaration of helsinki

Question 21

the year where the World Medical Association drew up the first version of the Declaration of Helskinki.

Answer 21

1964

Question 22

The idea of either allowing individuals to make their own
decisions in response to a particular societal contact or being
free from external influence or control.

Answer 22

Autonomy

Question 23

“Electronic health records must maintain respect for
patient autonomy” This means?

Answer 23

This means we have to respect certain
restrictions about the access, content, and ownership of
the patient records.

Question 24

A _________ should be reached between the levels of
patient autonomy and quality of patient records.

Answer 24

compromise

Question 25

• Means simply to do good
• Relates mostly to used storage data

Answer 25

Beneficence

Question 26

• To do no harm
• Relates to how stored data is protected

Answer 26

non-maleficence

Question 27

Information obtained by the healthcare professional must not
be shared UNLESS there is reason to believe that is in the
best interest of the patient.

Answer 27

Right to privacy

Question 28

• There must be safeguards against excessive personal data
  collection

Answer 28

Guard Against Excess

Question 29

for the people not very educated they would
probably give the names right away without regard for
privacy since they trust you and assume it’s a normal part
of the interview. This means?

Answer 29

→ You are violating the patient’s privacy,
→ the privacy of other’s mentioned
→ And being inefficient because you are taking
longer than you should in an interview

Question 30

• Maintain patient safety
• Prevent unauthorized access to it
• Should not impede the patient’s right to access that data

Answer 30

Security of Data

Question 31

If the health care provider becomes aware of security
problems even those not under his/her direct control, the
responsible persons ______________

Answer 31

must be informed.

Question 32

Ensure data are kept current and accurate

Answer 32

integrity of sata

Question 33

Data cannot be presented in such a way that it presents
a _____________________________________________________ Aside from being current (up-to-date),
accurate, and correct it should be clear and
straightforward also.

Answer 33

false or inaccurate picture of reality or is design to
mislead either.

Question 34

Generally, the patient should be aware of what is to happen

Answer 34

Informed consent

Question 35

They know their in the hospital for laboratory test or
admission or procedure but in the medical world we still
have the responsibility to tell them in _____________________ as to what is about to happen

Answer 35

a straightforward manner

Question 36

So when you interact with the patient you should be
_____________________________________________________ and the test and ask for verbal confirmation that they understand and that they give their consent.

Answer 36

courteous, introduce yourself and tell them about the
procedure

Question 37

Patient awareness is considered to be complete only when?

Answer 37

the patient is informed

Question 38

So even if they’re the ones who came in the laboratory or
the hospital for the test. If you don’t tell them what’s about
to happen then patient awareness is?

Answer 38

not considered to be complete.

Question 39

So we have crucial aspects of informed consent?

Answer 39

1. Competence of the subject to consent
2. Disclosure of information
3. The subjects understanding of the information being
   disclosed
4. Volition or choice in consent
5. Authorization of consent

Question 40

For those who are minors the one authorized to give
consent would be?

Answer 40

their parents

Question 41

In some specialcases with a patient who is not in the right state of mind or is unconscious you would have to?

Answer 41

have to find out who is the next of kin or has the power of attorney to make medical decisions for the patient.

Question 42

• Awareness of the laws that apply
• Conflict between the law and professional ethics

Answer 42

Laws

Question 43

• Subset of medical ethics
• All issues that apply to medical ethics in general, also apply to health informatics ethics

Answer 43

Health Information Ethics

Question 44

• When necessary (i.e., further research, temporary of
  permanent storage, data, transmission)

Answer 44

Sharing Data

Question 45

• Ethical responsibilities to the employers and wider community regarding data protection and maintaining professional standard.

Answer 45

Wider responsibility

Question 46

• Beneficial to the patient
• Provides no harm to the patient
• Implicit in all of these are principles of beneficence and nonmaleficence. This means that the ethics must be beneficial to the patient and must not be consciously aimed at preventing harm to the patient

Answer 46

Principles of Beneficence and Non-Maleficence

Question 47

Any and all of your actions must not provide either
direct or indirect harm to the patient.

Answer 47

Non-Maleficence

Question 48

provides benefits

Answer 48

Beneficence