Evidence map›Paper›PMID 37424230›Full record

ArticleInfection control and hospital epidemiology2023

An ethical framework adapted for infection prevention and control.

Charlie Tan, Marianna Ofner, Heather L Candon, Kevin Reel, Sally Bean, Adrienne K Chan, Jerome A Leis

Abstract read
In one paragraph

Article in Infection control and hospital epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

7 authors.

Charlie TanInfection Prevention and Control, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.ORCID 0000-0002-0763-4132
Marianna OfnerInfection Prevention and Control, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Heather L CandonInfection Prevention and Control, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Kevin ReelJoint Centre for Bioethics, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0001-9759-8667
Sally BeanDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Adrienne K ChanInfection Prevention and Control, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Jerome A LeisInfection Prevention and Control, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.ORCID 0000-0003-2250-4894

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe ethical implications of infection prevention and control (IPAC) are recognized, yet a framework to guide the application of ethical principles is lacking. We adapted an ethical framework to provide a systematic approach for fair and transparent IPAC decision making.

methodsWe conducted a literature search for existing ethical frameworks in IPAC. Working with practicing healthcare ethicists, an existing ethical framework was adapted for use in IPAC. Indications were developed for application to practice, with integration of ethical principles and process conditions specifically relevant to IPAC. Practical refinements were made to the framework based on end-user feedback and application to 2 real-world situations.

resultsIn total, 7 articles were identified that discussed ethical principles within IPAC, but none proposed a systematic framework to guide ethical decision making. The adapted framework, named the Ethical Infection Prevention and Control (EIPAC) framework, takes the user through 4 intuitive and actionable steps, centering key ethical principles that facilitate reasoned and just decision making. In applying the EIPAC framework to practice, weighing the predefined ethical principles in different scenarios was a challenge. Although no hierarchy of principles can apply to all contexts in IPAC, our experience highlighted that the equitable distribution of benefits and burdens, and the proportional impacts of options under review, are particularly important considerations for IPAC.

conclusionsThe EIPAC framework can serve as an actionable ethical principles-based decision-making tool for use by IPAC professionals encountering complex situations in any healthcare context.

Indexed as

Communicable Disease ControlCross InfectionDelivery of Health CareHumans

Identifiers

PMID37424230
PMCPMC10755160

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.