The Development of a Clinical Ethics Consultation Service in a Community Hospital
Simpson, Kenneth H.
Journal of Clinical Ethics. 1992 Summer; 3(2): 124-130.
As a practicing physician who became a clinical ethicist and developed an active ethics consultation service at a university-affiliated community hospital, I faced various questions and challenges along the way that would be instructive for others who are considering such an undertaking. In this article, I will recount the various steps in the process -- such as the background and experience that prepared me to work as a clinical ethicist, the steps taken to gain the hospital administration's approval of an ethics consultation service, the choice of a consultation model that best suited our particular institution, and the method used in rendering consultations. Finally, I will summarize the response of the medical staff to the availability of an ethics consultation service, and I will describe the ethical issues raised and the clinical outcome of ethics consultations given during the initial two years of the activity.
Allowing to Die; Autonomy; Bioethical Issues; Clinical Ethics; Communication; Consensus; Consultation; Decision Making; Economics; Education; Ethical Review; Ethicists; Ethics; Ethics Committees; Ethics Consultation; Evaluation; Family Members; Hospitals; Interdisciplinary Communication; Interprofessional Relations; Lawyers; Legal Aspects; Life; Patient Care; Patient Care Team; Patients; Physicians; Program Descriptions; Prolongation of Life; Resuscitation; Resuscitation Orders; Review; Statistics; Treatment Refusal; Withholding Treatment;
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Cultivating Ethics Consultation: Commentary on "The Development of a Clinical Ethics Consultation Service in a Community Hospital" Anzia, Daniel J.; La Puma, John (1992)Conclusion: Simpson's article [in this issue, p. 124-130] provides us with needed data about the development and utilization of an ethics consultation service in a community hospital. It makes clear, however, how much ...