An Ethics Consultation Service in a Teaching Hospital: Utilization and Evaluation
La Puma, John
Stocking, Carol B.
Silverstein, Marc D.
JAMA. 1988 Aug 12; 260(6): 808-811.
The Center for Clinical Medical Ethics at the University of Chicago Hospitals and Clinics established a formal ethics consultation service in July 1986. Fifty-one subsequent requests for consultations by attending physicians were studied by La Puma, et al., to determine the actual clinical role of the new service. The authors sought to describe (1) the characteristics of the patients whose physicians requested consultation, (2) the reasons physicians sought consultation, from the point of view of the physician and the ethics consultant, and (3) if and how physicians found ethics consultation helpful. Three cases illustrating the role of the ethics consultants in patient care are presented. The authors conclude that by functioning as an objective clinical voice in nonurgent but very difficult cases, an ethics consultation service can help physicians "identify, analyze, and resolve ethical issues in patient care." (KIE abstract)
Allowing to Die; Bioethical Issues; Bioethics; Case Studies; Competence; Critically Ill; Consultation; Decision Making; Drug Abuse; Economics; Ethicists; Ethics; Ethics Committees; Ethics Consultation; Evaluation; Family Members; Hospitals; Institutional Policies; Medical Ethics; Organ Transplantation; Patient Care; Patients; Physicians; Program Descriptions; Resuscitation; Resuscitation Orders; Selection for Treatment; Social worth; Terminally Ill; Transplantation; Withholding Treatment;
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La Puma, John; Silverstein, Marc D.; Stocking, Carol Bowman; Roland, Dianne; Siegler, Mark (1988-10)