Guy P. Micco

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E rrare humanum est : “to err is human.” In medical practice, mistakes are common, expected, and understandable. 1,2 Virtually all practicing physicians have made mistakes, but physicians often do not tell patients or families about them. 3,4 Even when a definite mistake results in a serious injury, the patient often is not told. In one study, house(More)
BACKGROUND Although physicians sometimes use the futility rationale to limit the use of life-sustaining treatments, little is known about how surrogate decision makers view this rationale. We sought to determine the attitudes of surrogates of patients who are critically ill toward whether physicians can predict futility and whether these attitudes predict(More)
OBJECTIVES Although discussing a prognosis is a duty of physicians caring for critically ill patients, little is known about surrogate decision-makers' beliefs about physicians' ability to prognosticate. We sought to determine: 1) surrogates' beliefs about whether physicians can accurately prognosticate for critically ill patients; and 2) how individuals(More)
OBJECTIVES To examine whether the end-of-life treatment provided to hospitalized patients differed for those who had a family member present at death and those who did not. DESIGN A retrospective cohort analysis. SETTING An urban community hospital. PARTICIPANTS All 370 inpatients who died during a 1-year period. MEASUREMENTS Medical records were(More)
PURPOSE Researchers often use the term "successful aging" to mean freedom from disability, yet the perspectives of elders living with late-life disability have not been well described. The purpose of this study was to explore the meaning of successful aging among a diverse sample of community-dwelling elders with late-life disability. DESIGN AND METHODS(More)
The development of a wide array of molecular and neuroscientific biomarkers can provide the possibility to visualize the course of Alzheimer's disease (AD) at early stages. Many of these biomarkers are aimed at detecting not only a preclinical, but also a pre-symptomatic state. They are supposed to facilitate clinical trials aiming at treatments that attack(More)
OBJECTIVE Oncology patients are increasingly encouraged to play an active role in treatment decision making. While previous studies have evaluated relationships between demographic characteristics and decision-making roles, less is known about the association of symptoms and psychological adjustment characteristics (eg, coping styles and personality traits)(More)