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Ethics

Mabel et al 2024 AJOB epub Reimagining Thriving Ethics Programs

Profile image of Thomas CunninghamThomas Cunningham

2024, Reimagining Thriving Ethics Programs without Ethics Committees

https://doi.org/10.1080/15265161.2023.2276172
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Abstract

With the increasing professionalization of clinical ethics, some hospitals and health systems utilize both ethics committees and professional clinical ethicists to address their ethics needs. Drawing upon historical critiques of ethics committees and their own experiences, the authors argue that, in ethics programs with one or more professional clinical ethicists, ethics committees should be dissolved when they fail to meet minimum standards of effectiveness. The authors outline several criteria for assessing effectiveness, describe the benefits of a model that places primary responsibility for ethics work with professional clinical ethicists—the PCE-primary model, and offer suggestions for alternative ethics program structures that empower healthcare professionals to contribute to ethics work in ways more tailored to their strengths and skills while minimizing the shortcomings of ethics committees.

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Steven Squires

2015

Is it working? That is the question Trinity Health sought to answer when it began a critical examination of competencies for its acute care ethics committee and consultation service members in the fall of 2008. With significant resources invested in strengthening the role and effectiveness of ethics committees and consultants, the organization listened when committee leaders expressed the desire to create a new standard for excellence — something to ensure that physicians navigating a challenging ethical terrain would continue to call on them for assistance. After considerable study and much thought, I began to develop PEERS, the “Programmatic Ethics Evaluation Reciprocity System, ” as one answer to the question. Still in development, PEERS is a theoretical approach for evaluating ethics programs and their effectiveness in a more objective manner than is typically the case. The first step in developing PEERS involved working with the committee to survey the literature, other health ...

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Hospital ethics committees: time to move beyond the obvious
Robyna Khan

Indian journal of medical ethics

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Successes and Failures of Hospital Ethics Committees: A National Survey of Ethics Committee Chairs
Arthur Caplan

Cambridge Quarterly of Healthcare Ethics, 2002

In 1992, the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) passed a mandate that all its approved hospitals put in place a means for addressing ethical concerns.Although the particular process the hospital uses to address such concerns—ethics consultant, ethics forum, ethics committee—may vary, the hospital or healthcare ethics committee (HEC) is used most often. In a companion study to that reported here, we found that in 1998 over 90% of U.S. hospitals had ethics committees, compared to just 1% in 1983, and that many have some and a few have sweeping clinical powers in hospitals.

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Related topics

  • Ethics
  • Applied Ethics
  • Bioethics
  • Medical Ethics
  • Clinical Ethics
  • Hospital administration
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