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At the Institute on HealthCare Directives you and your family are our primary concern. Utilizing technology known as MIDEOTM (My Informed Decision on Video), we strive to make sure YOUR VOICE as the PATIENT is RECOGNIZED, RESPECTED, and that the medical care is right for you

Dr. Mirarchi - Principal Investigator of the TRIAD series

“Living wills, dnr and POLST orders were created with the greatest intentions to preserve a patients rights! Unfortunately they produced unintended consequences. Those unintended consequences are a compromise in your ability to have your decisions correctly followed and safety as a patient.”

Laura Landro, Wall Street Journal Nov 2014

“A continuing series of studies known as TRIAD, for The Realistic Interpretation of Advance Directives, concludes that there is confusion among doctors about living wills and DNR orders, which could lead to limiting or delaying lifesaving treatment in cases that aren’t terminal or where there is hope for survival with a good quality of life.”

Jane E. Brody, New York Times Feb 2009

“Millions of Americans have living wills that they think provide clear instructions to medical personnel about what should and should not be done if their lives hang in the balance and they cannot speak for themselves. Yet in case after case, study after study, it seems that these documents fail to result in the desired end among patients in hospitals and nursing homes.”

Pennsylvania Patient Safety Advisory Dec 2008

“Despite the prevalence of living wills and DNR orders, PA-PSRS reports received between June 2004 and September 2008 have revealed that healthcare providers, as well as patients and families, may not understand the differences between living wills and DNR orders. Misinterpretation of living wills and DNR orders may inadvertently result in the provision of unwanted care or the withdrawal or withholding of otherwise appropriate interventions.”

Jane E. Brody - New York Times

“A living will does not necessarily say “do not treat me if I have a critical illness”.

This is a major misconception says Dr. Ferdinando Mirarchi, as quoted in the NY Times.

Joint Commission - Patient Safety Advisory Group

“The Joint Commission PSAG (Patient Safety Advisory Group) has recognized that confusion surrounding end of life care documents is a patient safety issue.”

Dr. Mirarchi - Featured in NY Times

“Dr. Ferdinando Mirarchi, as featured by Jane Brody in the NY Times, has studied how health professionals interpret living wills and found that the overwhelming majority think they mean that the patient wants to be treated as D.N.R., when in fact aggressive life-saving interventions could restore some patients to their previous state of health.”

Dr. Mirarchi, featured in National Patient Safety Foundation article

“The TRIAD series of studies disclosed that this new patient safety risk exists on a nationwide scale. The risk stems from variable understanding and misinterpretation of living wills, DNR orders, and POLST-like documents, which then translates into overtreatment or undertreatment, both of which are medical errors.”

As cited in the Wall Street Journal Special Report

Dr. Mirarchi - Principal Investigator of the TRIAD series

“Though few living wills contain DNR orders, doctors may mistakenly assume that the living will is the same as a DNR.  And when a patient has signed a DNR order, doctors may assume that means not to provide treatment at all”

As cited in the Wall Street Journal

Joint Commission - Patient Safety Advisory Group

“The Joint Commission has publicly stated that “Patient safety and end-of-life care must not be, and are not, mutually exclusive. End-of-life issues are crucial for maintaining patient safety, which is a central aim of quality. ”

Client Testimonial

“I am personally relieved that I was lucky enough to work with Dr. Mirarchi to create a MIDEO card for me. He helped me think things through in a way that broadened my perspective.”

Wendy Lee Forman, Ph.D.

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You can either click on the View Packages link or call us at 814-490-6584 to learn more about we offer that will ensure the safety of you or a loved one.

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“With my MIDEO ID card, I have peace of mind to be sure they don’t give up on me before my time and my family is protected.”
– Michael Gallagher, Erie Pa

What & Why

Discover why healthcare directives pose a clear & present danger

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Dr. Ferdinando Mirarchi in TV Interview

MIDEO on Erie News Now from Ferdinando Mirarchi on Vimeo.

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