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https://www.readbyqxmd.com/read/29751362/low-prevalence-of-palliative-care-and-ethics-consultations-for-children-with-chronic-critical-illness
#1
Renee D Boss, Alison Falck, Naomi Goloff, Nancy Hutton, Alison Miles, Miriam Shapiro, Elliott M Weiss, Pamela K Donohue
Medical advances over the past two decades have increased the numbers of children who survive serious conditions. Mortality from premature birth and genetic syndromes has improved such that more clinicians offer, and more families request, interventions to prolong their child's life. While some interventions promise cure, others result in chronic disease states that require ongoing medical care. This article is protected by copyright. All rights reserved.
May 11, 2018: Acta Paediatrica
https://www.readbyqxmd.com/read/29746009/evaluation-of-a-paediatric-clinical-ethics-service
#2
Melanie A Jansen, Luregn J Schlapbach, Helen Irving
AIM: To evaluate a paediatric clinical ethics service incorporating both normative and empirical analysis. METHODS: Section 1: Review of consensus guidelines to identify emerging standards for clinical ethics services (CES) and evaluation of the service in relation to these. Section 2: Description of service activity data. Section 3: Feedback from clinical staff involved in clinical ethics consultations was collected using a web-based survey. RESULTS: Four guideline documents were reviewed, and clear emerging consensus standards were identified...
May 10, 2018: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29725893/moral-conflicts-and-religious-convictions-what-role-for-clinical-ethics-consultants
#3
John C Moskop
Moral conflicts over medical treatment that are the result of differences in fundamental moral commitments of the stakeholders, including religiously grounded commitments, can present difficult challenges for clinical ethics consultants. This article begins with a case example that poses such a conflict, then examines how consultants might use different approaches to clinical ethics consultation in an effort to facilitate the resolution of conflicts of this kind. Among the approaches considered are the authoritarian approach, the pure consensus approach, and the ethics facilitation approach described in the Core Competencies for Healthcare Ethics Consultation report of the American Society for Bioethics and Humanities, as well as a patient advocate approach, a clinician advocate approach, and an institutional advocate approach...
May 3, 2018: HEC Forum: An Interdisciplinary Journal on Hospitals' Ethical and Legal Issues
https://www.readbyqxmd.com/read/29665608/-level-of-development-of-clinical-ethics-consultation-in-psychiatry-results-of-a-survey-among-psychiatric-acute-clinics-and-forensic-psychiatric-hospitals
#4
Jakov Gather, Sarah Kaufmann, Ina Otte, Georg Juckel, Jan Schildmann, Jochen Vollmann
OBJECTIVE: The aim of this article is to assess the level of development of clinical ethics consultation in psychiatric institutions in North Rhine-Westphalia. METHODS: Survey among medical directors, directors of nursing and administrative directors of all psychiatric acute clinics and forensic psychiatric hospitals in North Rhine-Westphalia. RESULTS: 113 persons working in psychiatric acute clinics responded (reponse rate: 48 %) and 13 persons working in forensic psychiatric hospitals (response rate 54 %)...
April 17, 2018: Psychiatrische Praxis
https://www.readbyqxmd.com/read/29616676/certification-and-evaluation-of-the-clinical-ethics-consultant-a-proposal-for-italy
#5
Mario Picozzi, Alessandra Gasparetto, Federico Nicoli, Renzo Pegoraro
Clinical ethics, as a sub-discipline of bioethics, is subject to growing professionalization in North America, Europe and elsewhere. Since the goal of clinical ethics is the identification, analysis and resolution of ethical dilemmas and conflicts in health care settings, specific competencies for practitioners and criteria to evaluate them are strongly needed. Regarding clinical ethics consultation (CEC) many efforts have been made by American clinical ethicists and scholars to delineate the core knowledge and skills to perform it, to settle specific professional responsibilities and tasks and to identify the fundamental training and quality requirements that candidates and actual professionals should satisfy in order to serve as ethics consultants...
January 2018: Annali Dell'Istituto Superiore di Sanità
https://www.readbyqxmd.com/read/29590373/certification-iso-9001-in-clinical-ethics-consultation-for-improving-quality-and-safety-in-healthcare
#6
Pamela Tozzo, Anna Mazzi, Anna Aprile, Daniele Rodriguez, Luciana Caenazzo
This paper refers to the quality management process of the Laboratory of Clinical Bioethics (LCB) of the University of Padua (Italy), which has obtained the quality certification to ISO 9001:2008, as a Clinical Ethics Support Service. Its activities consist mainly in clinical ethics consultations and training services, addressed to those who are called to decisions with ethical implications in the clinical setting, proposing a structured approach to identify and analyze the ethical issues that may loom in the relationships between health professionals and patients, and participating in their solution...
March 24, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29572338/institute-of-medical-ethics-guidelines-for-confirmation-of-appointment-promotion-and-recognition-of-uk-bioethics-and-medical-ethics-researchers
#7
Lucy Frith, Carwyn Hooper, Silvia Camporesi, Thomas Douglas, Anna Smajdor, Emma Nottingham, Zoe Fritz, Merryn Ekberg, Richard Huxtable
This document is designed to give guidance on assessing researchers in bioethics/medical ethics. It is intended to assist members of selection, confirmation and promotion committees, who are required to assess those conducting bioethics research when they are not from a similar disciplinary background. It does not attempt to give guidance on the quality of bioethics research, as this is a matter for peer assessment. Rather it aims to give an indication of the type, scope and amount of research that is the expected in this field...
March 23, 2018: Journal of Medical Ethics
https://www.readbyqxmd.com/read/29565797/meaningful-use-of-electronic-health-records-for-quality-assessment-and-review-of-clinical-ethics-consultation
#8
Susan Sanelli-Russo, Kelly McBride Folkers, William Sakolsky, Joseph J Fins, Nancy Neveloff Dubler
Evolving practice requires peer review of clinical ethics (CE) consultation for quality assessment and improvement. Many institutions have identified the chart note as the basis for this process, but to our knowledge, electronic health record (EHR) systems are not necessarily designed to easily include CE consultation notes. This article provides a framework for the inclusion of CE consultation notes into the formal EHR, describing a developed system in the Epic EHR that allows for the elaborated electronic notation of the CE chart note...
2018: Journal of Clinical Ethics
https://www.readbyqxmd.com/read/29502379/-the-option-of-critical-patients-with-cancer-for-icu
#9
R Xia, D H Wang
With the improvement of diagnosis and treatment, tumor has become a chronic disease, and an increasing number of older patients will live with tumors. This change has led to an increase in demand for intensive care unit (ICU) and a challenge to the traditional ICU treatment concept. The option of ICU consists of two parts. The first is the option for admission. Since classic predictors of mortality are no longer relevant, we suggest broadening the criteria for ICU admission. Patients during the first course of cancer therapies should be treated with a full-code status similar to that of other patients without malignancy...
February 23, 2018: Zhonghua Zhong Liu za Zhi [Chinese Journal of Oncology]
https://www.readbyqxmd.com/read/29467065/medication-refusal-resident-rights-administration-dilemma
#10
Danielle R Haskins, Jeannette Y Wick
Occasionally, residents actively or passively refuse to take medications. Residents may refuse medication for a number of reasons, including religious beliefs, dietary restrictions, misunderstandings, cognitive impairment, desire to self-harm, or simple inconvenience. This action creates a unique situation for pharmacists and long-term facility staff, especially if patients have dementia. Residents have the legal right to refuse medications, and long-term care facilities need to employ a process to resolve disagreement between the health care team that recommends the medication and the resident who refuses it...
December 1, 2017: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/29463566/evaluating-the-inpatient-pediatric-ethical-consultation-service
#11
Kelsey Watt, Matthew P Kirschen, Joel A Friedlander
OBJECTIVES: Pediatric ethical consultation services (ECSs) have been proliferating at medical centers, with little data available on evaluating their implementation. The objective of this study was to evaluate the pediatric ECS and understand the ethical issues occurring within a single quaternary-level pediatric hospital. METHODS: A retrospective chart review of documented ethics consultations at a large pediatric hospital from November 2010 to November 2013 was performed and data was abstracted per the US Department of Veterans Affairs' Domains of Ethics in Health Care...
March 2018: Hospital Pediatrics
https://www.readbyqxmd.com/read/29460473/when-a-physician-and-a-clinical-ethicist-collaborate-for-better-patient-care
#12
Thalia Arawi, Lama Charafeddine
Bioethics is a relatively new addition to bedside medical care in Arab world which is characterized by a special culture that often makes blind adaptation of western ethics codes and principles; a challenge that has to be faced. To date, the American University of Beirut Medical Center is the only hospital that offers bedside ethics consultations in the Arab Region aiming towards better patient-centered care. This article tackles the role of the bedside clinical ethics consultant as an active member of the medical team and the impact of such consultations on decision-making and patient-centered care...
February 20, 2018: Developing World Bioethics
https://www.readbyqxmd.com/read/29443811/teaching-nursing-students-nurses-and-other-health-care-providers-about-ethics-consultations
#13
(no author information available yet)
No abstract text is available yet for this article.
March 2018: Nurse Educator
https://www.readbyqxmd.com/read/29394183/outcomes-of-ethics-consultations-in-adult-icus-a-systematic-review-and-meta-analysis
#14
Selena S Au, Philippe Couillard, Amanda Roze des Ordons, Kirsten M Fiest, Dianne L Lorenzetti, Nathalie Jette
OBJECTIVES: Clinical ethics consultation as a mechanism for supporting patients, family, and staff during ethically challenging situations has become standard of care. Despite this, there is a lack of consensus about the effectiveness of clinical ethics consultation consultation in the ICU. We performed a systematic review of outcomes associated with clinical ethics consultation within adult ICUs. DATA SOURCES: We searched MEDLINE, PubMed, Cochrane CENTRAL, Embase, PsycINFO, and Cumulative Index to Nursing and Allied Health Literature from 1984 to May 2017...
May 2018: Critical Care Medicine
https://www.readbyqxmd.com/read/29393802/translating-the-human-clinical-ethics-consultation-committee-model-for-veterinary-applications
#15
Robin Downing, Sean Philpott-Jones
No abstract text is available yet for this article.
February 2018: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/29393798/another-experience-in-resolving-veterinary-ethical-dilemmas-observations-from-a-veterinarian-performing-ethics-consultation
#16
Lisa Moses
No abstract text is available yet for this article.
February 2018: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/29393790/review-of-american-society-for-bioethics-and-humanities-clinical-ethics-consultation-affairs-committee-addressing-patient-centered-ethical-issues-in-health-care-a-case-based-study-guide-1
#17
https://www.readbyqxmd.com/read/29393779/defining-the-scope-and-improving-the-quality-of-clinical-research-ethics-consultation-response-to-open-peer-commentaries-about-the-national-collaborative
#18
Kathryn M Porter, Marion Danis, Holly A Taylor, Mildred K Cho, Benjamin S Wilfond
No abstract text is available yet for this article.
February 2018: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/29313786/expanding-the-scope-of-research-ethics-consultation-services-in-safeguarding-research-integrity-moving-beyond-the-ethics-of-human-subjects-research
#19
Zubin Master, Brian C Martinson, David B Resnik
No abstract text is available yet for this article.
January 2018: American Journal of Bioethics: AJOB
https://www.readbyqxmd.com/read/29313784/clinical-ethics-consultation-and-research-ethics-consultation-a-call-for-italy
#20
Ludovica De Panfilis, Domenico Franco Merlo, Roberto Satolli, Teresa Coppola, Luca Ghirotto, Massimo Costantini
No abstract text is available yet for this article.
January 2018: American Journal of Bioethics: AJOB
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