TITLE

Functions and Outcomes of a Clinical Medical Ethics Committee: A Review of 100 Consults

AUTHOR(S)
Moeller, Jessica; Albanese, Teresa; Garchar, Kimberly; Aultman, Julie; Radwany, Steven; Frate, Dean
PUB. DATE
June 2012
SOURCE
HEC Forum;Jun2012, Vol. 24 Issue 2, p99
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Context: Established in 1997, Summa Health System's Medical Ethics Committee (EC) serves as an educational, supportive, and consultative resource to patients/families and providers, and serves to analyze, clarify, and ameliorate dilemmas in clinical care. In 2009 the EC conducted its 100th consult. In 2002 a Palliative Care Consult Service (PCCS) was established to provide supportive services for patients/families facing advanced illness; enhance clinical decision-making during crisis; and improve pain/symptom management. How these services affect one another has thus far been unclear. Objectives: This study describes EC consults: types, reasons, recommendations and utilization, and investigates the impact the PCCS may have on EC consult requests or recommendations. Methods: Retrospective reviews of 100 EC records explored trends and changes in types of consults, reasons for consults, and EC recommendations and utilization. Results: There were 50 EC consults each in the 6 years pre- and post-PCCS. Differences found include: (1) a decrease in number of reasons for consult requests (133-62); (2) changes in top two reasons for EC consult requests from 'Family opposed to withdrawing life-sustaining treatment (LST)' and 'Patient capacity in question' to 'Futility' and 'Physician opposed to providing LST'; (3) changes in top two recommendations given by the EC from 'Emotional Support for Patient/Family' and 'Initiate DNR Order' to 'Comfort Care' and 'Withdraw Treatment.' Overall, 88% of recommendations were followed. Conclusion: PCCS availability and growth throughout the hospital may have influenced EC consult requests. EC consults regarding family opposition to withdrawing LST and EC recommendations for patient/family support declined.
ACCESSION #
76401424

 

Related Articles

  • Clinical ethics committees: a worldwide development. Slowther, Anne; Hope, Tony; Ashcroft, Richard // Journal of Medical Ethics;Apr2001 Supplement 1, Vol. 27 Issue 2, p1 

    Editorial. Introduces a series of articles on clinical ethics committees.

  • THE HOSPITAL ETHICS COMMITTEE: Bridging the Gulf of Miscommunication and Values. Pharr, Elizabeth // Trustee;Mar2003, Vol. 56 Issue 3, p24 

    Discusses the purpose of a hospital ethics committee (HEC). Influences behind the standards for addressing ethical dilemmas; Benefits of an ethics consultation; Role of HEC in the prevention of ethical dilemmas.

  • Hospital ethics committees in Israel: structure, function and heterogeneity in the setting of statutory ethics. Wenger, N. S.; Golan, O.; Shalev, C.; Glick, S. // Journal of Medical Ethics;Jun2002, Vol. 28 Issue 3, p177 

    Objectives: Hospital ethics committees increasingly affect medical care worldwide, yet there has been little evaluation of these bodies. Israel has the distinction of having ethics committees legally required by a Patients' Rights Act. We studied the development of ethics committees in this...

  • GMC's professional conduct committee.  // British Medical Journal (Clinical Research Edition);8/4/1984, Vol. 289 Issue 6440, p334 

    Focuses on the importance of a professional conduct committee in the field of medicine. Functions of the committee; Factors to consider in the selection of the members; Significance of professional ethics.

  • Reproductive health care policies around the world. Eisenberg, Vered H.; Schenker, Joseph G. // Journal of Assisted Reproduction & Genetics;Oct96, Vol. 13 Issue 9, p689 

    Discusses medical ethics, and ethics committees in health institutions. History of the medical ethical codes; Previous unethical practices; Main functions of hospital ethics committees; International and national ethics committees; Ethics committees in the field of human reproduction.

  • The end of an era. Farsides, Bobbie; Eckstein, Sue // Clinical Ethics;2011, Vol. 6 Issue 4, p153 

    An introduction is presented in which the editor discusses various reports within the issue on topics including discussion of real cases by ethicsCommittees, the five-minute focus series and clinical ethics.

  • Polish doctors vote to stop carrying out abortions. Szawarski, Zbigniew // BMJ: British Medical Journal (International Edition);1/18/92, Vol. 304 Issue 6820, p137 

    Reports the agreement between doctors regarding an ethical code on abortion in Poland. Increase of restrictions on abortion; Provisions for doctors performing abortion; Arguments raised by Catholic doctors.

  • Support for ethical dilemmas in individual cases: experiences from the Neu-Mariahilf hospital in Geottingen. Simon, Alfred // Journal of Medical Ethics;Apr2001 Supplement 1, Vol. 27 Issue 2, p18 

    Prompted by a recommendation of the two Christian hospital associations in Germany, the Neu-Mariahilf Hospital in Goettingen set up a health ethics committee in autumn 1998. It is the committee's task to give support to staff members, patients and their relatives in individual cases where...

  • Clinical governance--watchword or buzzword? Campbell, Alastair V. // Journal of Medical Ethics;Apr2001 Supplement 1, Vol. 27 Issue 2, p54 

    In the latest reform of the National Health Service great emphasis has been placed on the achievement and maintenance of quality. Mechanisms for ensuring this are being set up under the general title of "clinical governance". What is the meaning of this term? The metaphor behind the phrase is of...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics