| Mandatory ethics consultation policy. | |
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MedLine Citation:
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PMID: 19567711 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To describe ethics consultations at a single institution that has a mandatory ethics consultation policy. PATIENTS AND METHODS: We retrospectively reviewed the medical records of all adult patients who were admitted to the intensive care unit at Columbia University Medical Center and had an ethics consultation between August 1, 2006, and July 31, 2007. All mandatory and nonmandatory ethics consultations were reviewed. Patient diagnosis, prognosis, presence of do-not-resuscitate order, presence of written advance directives, reason for the ethics consultation, and survival data were collected. The number of ethics consultations hospital-wide from January 1, 2000, to December 31, 2007, was collected. RESULTS: The total number of mandatory and nonmandatory ethics consultations requested was 168. Of these consultations, 108 (64%) were considered mandatory, and 60 (36%) were considered nonmandatory. Between January 1, 2000, and December 31, 2007, the total number of ethics consultations increased 84%. CONCLUSION: The increase in the total number of ethics consultations is interpreted as a positive outcome of the mandatory policy. The mandatory ethics consultation policy has possibly increased exposure to ethics consultant-physician interactions, increased learning for physicians, and raised awareness among physicians and nurses of potential ethics assistance. |
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Authors:
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Megan E Romano; Staffan B Wahlander; Barbara H Lang; Guohua Li; Kenneth M Prager |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Mayo Clinic proceedings. Mayo Clinic Volume: 84 ISSN: 1942-5546 ISO Abbreviation: Mayo Clin. Proc. Publication Date: 2009 Jul |
Date Detail:
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Created Date: 2009-07-01 Completed Date: 2009-07-22 Revised Date: 2010-09-27 |
Medline Journal Info:
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Nlm Unique ID: 0405543 Medline TA: Mayo Clin Proc Country: United States |
Other Details:
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Languages: eng Pagination: 581-5 Citation Subset: AIM; IM |
Affiliation:
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Department of Anesthesiology, Columbia University, New York, NY 10032, USA. meganromano@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Cohort Studies Ethics Consultation / utilization* Female Hospital Mortality Humans Intensive Care / ethics*, organization & administration Male Mandatory Programs / utilization* Middle Aged Organizational Policy* Program Evaluation Retrospective Studies Terminal Care / ethics Withholding Treatment / ethics Young Adult |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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