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May 25, 2021 · Clinical ethical case consultations have been widely implemented in clinical practice. It has been hailed as important tool to support clinical decision making. At the same time, it is a matter of debate what ethical case consultations actually do contribute to clinical practice and what it should actually contribute.
Many clinical ethics services, such as Clinical Ethics Committees (CECs), are involved in case consultation, in which a case involving a particular patient is referred to the service for its advice. It is important to ensure that the service has clear and appropriate processes for receiving, considering and responding to referrals of cases.
The option of direct involvement of the Clinical Ethicist also ensures that clinical ethics support can be provided in “ward-based” contexts such as “best interests” meetings or case conferences when this is either more convenient for all concerned, or necessary to ensure that the patient’s perspective is adequately represented.
Jul 23, 2021 · Clinical ethics case consultation (CECC) services have been introduced in many hospitals and other healthcare institutions to provide a systematic and comprehensive analysis of ethical challenges related to patient care in the case of ethical uncertainty or moral conflicts [16–20].
- Andre Nowak, Jan Schildmann, Stephan Nadolny, Nicolas Heirich, Kim P Linoh, Henning Rosenau, Jochen ...
- 10.1186/s12910-021-00668-6
- 2021
- BMC Med Ethics. 2021; 22: 99.
- Study Characteristics
- Delivery Context
- Outcome Domain Reporting
Forty-eight studies were included in the review, with a majority of studies conducted in the United States (n = 27). Other countries represented were Norway (n = 4), the Netherlands (n = 5), Sweden (n = 4), Germany (n = 2), as well as n = 1 each from Canada, Taiwan, Japan, Chile, and Australia. One study was conducted across Norway, Sweden, and the...
The CEC intervention was most often identified as a clinical/ethics/ethics committee consultation or service (n = 34). Six studies used the term moral case deliberation. Other descriptions referenced ethics consultation system, ethics case reflection sessions, ethics rounds, clinical ethics support, structured multidisciplinary medical-ethical deci...
The top three outcome domains that studies reported on were quality (n = 31), process factors (n = 23), and clinical factors (n = 19). The majority of studies examined multiple outcome domains. All five outcome domains were multidimensional and included a variety of subthemes (see Table 4).
Jun 7, 2016 · Background “Clinical ethics consultation” (CEC) is the provision of consultative services by an individual or team with the aim of helping health professionals, patients, and their families grapple with difficult ethical issues arising during health care. There are almost 25,000 articles in the worldwide literature on CEC, but very few explicitly address measuring the quality of CEC. Many ...
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A full consult will generally involve a review of the case by the Ethics Attending and Ethics Fellow, and conversations with members of the health care team, the patient, and/or family as appropriate. The consultants help to facilitate a discussion and clarify the ethical issues to assist decision making. A formal consult note is placed in the ...
