Evidence map›Paper›PMID 21805147›Full record

ArticleHEC forum : an interdisciplinary journal on hospitals' ethical and legal issues2011

Institutional challenges for clinical ethics committees.

Andrea Dörries, Pierre Boitte, Ana Borovecki, Jean-Philippe Cobbaut, Stella Reiter-Theil, Anne-Marie Slowther

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In one paragraph

Article in HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Making the (Business) Case for Clinical Ethics Support in the UK.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2021
    Article
  5. Engaging Tomorrow's Doctors in Clinical Ethics: Implications for Healthcare Organisations.Health care analysis : HCA : journal of health philosophy and policy · 2021
    Article
  6. Discussing End-of-Life Decisions in a Clinical Ethics Committee: An Interview Study of Norwegian Doctors' Experience.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2016
    Article
  7. Hospital/clinical ethics committees' notion: an overview.Journal of medical ethics and history of medicine · 2016
    Review
  8. Article
  9. Quality in ethics consultations.Medicine, health care, and philosophy · 2013
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Andrea DörriesZentrum für Gesundheitsethik (ZfG), Hannover, Germany. andrea.doerries@evlka.de
Pierre Boitte
Ana Borovecki
Jean-Philippe Cobbaut
Stella Reiter-Theil
Anne-Marie Slowther

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical ethics committees (CECs) have been developing in many countries since the 1980s, more recently in the transitional countries in Eastern Europe. With their increasing profile they are now faced with a range of questions and challenges regarding their position within the health care organizations in which they are situated: Should CECs be independent bodies with a critical role towards institutional management, or should they be an integral part of the hospital organization? In this paper, we discuss the organizational context in which CECs function in Europe focusing on five aspects. We conclude that in Europe clinical ethics committees need to maintain a critical independence while generating acceptance of the CEC and its potential benefit to both individuals and the organization. CECs, perhaps particularly in transitional countries, must counter the charge of "alibi ethics". CECs must define their contribution to in-house quality management in their respective health care organization, clarifying how ethical reflection on various levels serves the hospital and patient care in general. This last challenge is made more difficult by lack of consensus about appropriate quality outcomes for CECs internationally. These are daunting challenges, but the fact that CECs continue to develop suggests that we should make the effort to overcome them. We believe there is a need for further research that specifically addresses some of the institutional challenges facing CECs.

Indexed as

Ethics, InstitutionalProfessional AutonomyEthics Committees, ClinicalEuropeHumansInterprofessional RelationsProfessional RoleQuality Assurance, Health Care

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.