Document 0612
 DOCN  M9460612
 TI    The ethical appropriateness of using prognostic scoring systems in
       clinical management.
 DT    9404
 AU    Luce JM; Wachter RM; Department of Medicine, University of California at
       San; Francisco.
 SO    Crit Care Clin. 1994 Jan;10(1):229-41. Unique Identifier : AIDSLINE
       MED/94163532
 AB    The four ethical principles of beneficence, nonmaleficence, autonomy,
       and social justice provide a framework for making medical decisions,
       including those that involve the administration of life-sustaining
       therapies. In recent years, a number of prognostic scoring systems,
       including the Acute Physiology Assessment and Chronic Health Evaluation
       (APACHE) system, have been developed to augment clinical judgment in
       determining which critically ill patients are likely to benefit from
       such therapies. Although these systems all have limitations, their use
       in decision making is as ethically appropriate as is the use of clinical
       judgment, which has its own limitations and has been used for years.
 DE    Adult  AIDS-Related Opportunistic Infections/CLASSIFICATION/MORTALITY/
       THERAPY  Case Report  Clinical Competence  *Critical Care/ORGANIZATION &
       ADMIN  Decision Making, Organizational  *Ethics, Medical  Forecasting
       Human  Judgment  Male  Outcome Assessment (Health Care)/*ORGANIZATION &
       ADMIN  Patient Admission  Pneumonia, Pneumocystis
       carinii/CLASSIFICATION/MORTALITY/THERAPY  Prognosis  Sensitivity and
       Specificity  *Severity of Illness Index  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).