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Related Concept Videos

Ethical Dilemmas II01:30

Ethical Dilemmas II

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Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
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Critical Thinking II01:25

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Ethical Issues01:27

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Critical Thinking I01:24

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Ethical Dilemmas I01:17

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Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
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Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists
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[How to develop Choosing Wisely recommendations for internal medicine].

Jan Galle1, , Berthold Jany2

  • 1Klinik für Nephrologie und Dialyseverfahren, Klinikum Lüdenscheid, Lüdenscheid, Deutschland.

Zeitschrift Fur Evidenz, Fortbildung Und Qualitat Im Gesundheitswesen
|November 21, 2017
PubMed
Summary
This summary is machine-generated.

The German Society of Internal Medicine's "Choosing Wisely" initiative offers positive recommendations for underused, beneficial medical procedures and negative recommendations for overused, unproven ones.

Keywords:
EmpfehlungEvidenzGraduierungInnere MedizinLeitlinieevidencegraduationguidelineinternal medicinerecommendation

Related Experiment Videos

Last Updated: Feb 18, 2026

Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists
03:43

Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists

Published on: July 11, 2025

817

Area of Science:

  • Internal Medicine
  • Evidence-Based Practice
  • Healthcare Quality Improvement

Background:

  • The German Society of Internal Medicine launched "Choosing Wisely" to address clinical practice variations.
  • The initiative aims to improve healthcare by identifying appropriate and inappropriate medical procedures.

Purpose of the Study:

  • To provide evidence-based recommendations for diagnostic and therapeutic procedures.
  • To highlight procedures with clear medical benefit but low utilization (undersupply).
  • To identify frequently used procedures lacking scientific evidence (oversupply).

Main Methods:

  • Development of "positive recommendations" for underused, beneficial procedures.
  • Development of "negative recommendations" for overused, unproven procedures.
  • Collaboration with various internal medicine societies.

Main Results:

  • Each participating society has developed five positive and five negative recommendations.
  • The initiative identifies areas of both undersupply and oversupply in internal medicine.

Conclusions:

  • "Choosing Wisely" recommendations guide clinicians towards evidence-based, high-value care.
  • The initiative promotes a more rational and efficient use of healthcare resources.
  • Continued development of recommendations is planned to further optimize internal medicine practices.