Análisis

Innovation and bioethics in surgery: Redefining boundaries for a safe and human-centered future

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IDEAL Framework: Ethical aspects and principles.
Ethical aspectsMedical ethical principleDescription
Minimizing HarmNon-maleficenceIn relation to patient harm. Harm to animals can also be relevant. Reputational/psychological harm to healthcare professionals may lead to unsuccessful innovation.
Autonomy and ConsentAutonomyEnsure rigorous consent processes. Includes informing patients about the procedure’s nature, transparency about knowledge limits, and potential complications.
JusticeJusticeFair distribution of risks and benefits. Avoid directing selection in risky procedures for vulnerable patients. Access to successful innovations should be fair.
Conflicts of InterestBeneficence and justiceImportance of its impact as bias when prioritizing benefits for surgeons and manufacturers. Innovation may lead to financial and other types of rewards.

Source: Adapted from Johnson J, Rogers W. Innovative surgery: the ethical challenges.