ArticleHEC forum : an interdisciplinary journal on hospitals' ethical and legal issues2016
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.
Article in HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues, 2016. 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.
- Impacts of mandatory clinical ethics consultation on resource utilization and ethical conflicts in critically ill patients: a comparison between medical and surgical intensive care units.BMC medical ethics · 2025Trial
- Impact of Mandatory Clinical Ethics Consultation for Neurocritically Ill Patients.Journal of bioethical inquiry · 2026Article
- Clinical Ethicists and Medical Assistance in Dying (MAiD): Possible Roles and Challenges.Bioethics · 2026Article
- Article
- Identifying Ethical Issues Encountered in a Pediatric Postacute Care Setting.Journal of pediatrics. Clinical practice · 2025Article
- Values Frameworks as Ideal Types: Navigating Ethics Conflicts with Normative Minorities : Values Frameworks as Ideal Types: Response to Critics of "Surrogate Wars".HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2025Article
- Competing World Views, Professional Norms, and Conscience.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 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
- Ethical Issues Referred to Clinical Ethics Support at a University Hospital in Korea: Three-Year Experience After Enforcement of Life-Sustaining Treatment Decisions Act.Journal of Korean medical science · 2023Article
- Life-Sustaining Treatment Decision in Palliative Care Based on Electronic Health Records Analysis.Journal of clinical nursing · 2023Review
- 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
- Weekly Internal Ethical Case Discussions in an ICU-Results Based on 9 Years of Experience With a Highly Structured Approach.Critical care explorations · 2021Article
- Ethical Concerns in the Care of Patients with Advanced Kidney Disease: a National Retrospective Study, 2000-2011.Journal of general internal medicine · 2020Article
- Advance care planning and palliative care in ACHD: the healthcare providers' perspective.Cardiology in the young · 2020Article
- Ethical challenges in primary care: a focus group study with general practitioners, nurses and informal caregivers.Family practice · 2019Article
- Clinical ethics consultations in psychiatric compared to non-psychiatric medical settings: characteristics and outcomes.Heliyon · 2019Article
- 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
- Characteristics and Outcomes of Ethics Consultations on a Comprehensive Cancer Center's Gastrointestinal Medical Oncology Service.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2018Article
- Ethics competences in the undergraduate medical education curriculum: the Spanish experience.Croatian medical journal · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
As the field of clinical ethics consultation sets standards and moves forward with the Quality Attestation process, questions should be raised about what ethical issues really do arise in practice. There is limited data on the type and number of ethics consultations conducted across different settings. At Loyola University Medical Center, we conducted a retrospective review of our ethics consultations from 2008 through 2013. One hundred fifty-six cases met the eligibility criteria. We analyzed demographic data on these patients and conducted a content analysis of the ethics consultation write-ups coding both the frequency of ethical issues and most significant, or key, ethical issue per case. Patients for whom ethics consultation was requested were typically male (55.8 %), white (57.1 %), between 50 and 69 years old (38.5 %), of non-Hispanic origin (85.9 %), and of Roman Catholic faith (43.6 %). Nearly half (47.4 %) were in the intensive care unit and 44.2 % died in the hospital. The most frequent broad ethical categories were decision-making (93.6 %), goals of care/treatment (80.8 %), and end-of-life (73.1 %). More specifically, capacity (57.1 %), patient's wishes/autonomy (54.5 %), and surrogate decision maker (51.3 %) were the most frequent particular ethical issues. The most common key ethical issues were withdrawing/withholding treatment (12.8 %), patient wishes/autonomy (12.2 %), and capacity (11.5 %). Our findings provide additional data to inform the training of clinical ethics consultants regarding the ethical issues that arise in practice. A wider research agenda should be formed to collect and compare data across institutions to improve education and training in our field.
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Registered trials
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