ArticleMayo Clinic proceedings2010
Ethics consultation at a large urban public teaching hospital.
Article in Mayo Clinic proceedings, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- [Clinical Ethics Consultation: Ethics matter to all of us!]Wiener klinische Wochenschrift · 2025Article
- Clinical Ethics Consultations in Cirrhosis Care.Digestive diseases and sciences · 2025Article
- Ethical concerns in caring for persons with anorexia nervosa: content analysis of a series of documentations from ethics consultations.BMC medical ethics · 2024Article
- Functions, Operations and Policy of a Volunteer Ethics Committee: A Quantitative and Qualitative Analysis of Ethics Consultations from 2013 to 2018.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2022Article
- Ethics Consultation in Surgical Specialties.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2022Article
- Ethics experts and fetal patients: a proposal for modesty.BMC medical ethics · 2021Article
- Reinforcing medical authority: clinical ethics consultation and the resolution of conflicts in treatment decisions.Sociology of health & illness · 2020Article
- Content review of pediatric ethics consultations at a cancer center.Pediatric blood & cancer · 2019Article
- Shall parent / patient wishes be fulfilled in any case? A series of 32 ethics consultations: from reproductive medicine to neonatology.BMC medical ethics · 2019Review
- Reflecting on the Reasons Pros and Cons Coercive Measures for Patients in Psychiatric and Somatic Care: The Role of Clinical Ethics Consultation. A Pilot Study.Frontiers in psychiatry · 2019Article
- Conscientious Non-objection in Intensive Care.Cambridge quarterly of healthcare ethics : CQ : the international journal of healthcare ethics committees · 2017Article
- [Decision conflicts with relatives in the intensive care unit].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2016Review
- What Ethical Issues Really Arise in Practice at an Academic Medical Center? A Quantitative and Qualitative Analysis of Clinical Ethics Consultations from 2008 to 2013.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2016Article
- Clinical Ethics Consultants are not "Ethics" Experts-But They do Have Expertise.The Journal of medicine and philosophy · 2016Article
- Ethics in the Intensive Care Unit.Tuberculosis and respiratory diseases · 2015Review
- Ethical issues recognized by critical care nurses in the intensive care units of a tertiary hospital during two separate periods.Journal of Korean medical science · 2015Article
- Ethics consultation in pediatrics: long-term experience from a pediatric oncology center.The American journal of bioethics : AJOB · 2015Article
- Bioethics cardioteam useful for bedside crisis management.Arquivos brasileiros de cardiologia · 2014Article
- Consults for conflict: the history of ethics consultation.Proceedings (Baylor University. Medical Center) · 2013Article
- A comparison of general medical and clinical ethics consultations: what can we learn from each other?Mayo Clinic proceedings · 2012Article
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4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo describe the population served and issues encountered by Hospital Ethics Committee consultation, to describe the incidence of consultation per hospital admission, and to describe the resource utilization per consult. PATIENTS AND
methodsThis is a retrospective review of all ethics consults at a large urban teaching hospital and level one trauma center in a metropolitan area from January 1, 2004, through December 31, 2006. The data points analyzed were patient demographics, time spent by consultants (resource utilization), and the choice to pursue a full consult, which differs from a brief consult by the number of ethics consultants involved and the formality of the deliberative process.
resultsA total of 285 consults were conducted or 0.16% (95% confidence interval, 0.14%-0.18%) of all hospital admissions. The highest incidence was 0.88% (95% confidence interval, 0.59%-1.3%) for the trauma intensive care unit. The average age of patients consulted on was 51 years, and 54% were in the intensive care unit. Of the consults, 90% were brief, and 52% were requested by house staff. Consultants logged 60,368 minutes, 38% of which were devoted to full consults (10% of total). Consults in obstetrics, general medicine, and surgery were the most time-consuming. Pregnancy and human immunodeficiency virus were more prevalent in full consults. The "classic" ethics cases of confidentiality (5%), patients requesting futile treatment (5%), brain death (4%), error disclosure (1%), and organ-donor rights (0.3%) were marginal in our series.
conclusionLittle data exist on the practice of ethics consultation services. To our knowledge, this series represents the largest to date. Specific issues, patient characteristics, and hospital services were more prevalent in the most time-consuming consults. These data can be used to target the education of residents and inform hospital quality initiatives.
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