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Comparison Is Not a Zero-Sum Game: Exploring Advanced Measures of Healthcare Ethics Consultation.
Harris, Kelly W; Cunningham, Thomas V; Hester, D Micah; Armstrong, Kelly; Kim, Ahra; Harrell, Frank E; Fanning, Joseph B.
Afiliación
  • Harris KW; Center for Biomedical Ethics and Society, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
  • Cunningham TV; Kaiser Permanente Southern California Bioethics Program, Los Angeles, California, USA.
  • Hester DM; Medical Humanities and Bioethics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
  • Armstrong K; Clinical and Organizational Ethics, Inova Health System, Falls Church, Virginia, USA.
  • Kim A; Center for Biomedical Ethics and Society, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
  • Harrell FE; Center for Biomedical Ethics and Society, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
  • Fanning JB; Center for Biomedical Ethics and Society, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
AJOB Empir Bioeth ; 12(2): 123-136, 2021.
Article en En | MEDLINE | ID: mdl-33215975
BACKGROUND: Studies across the healthcare spectrum consistently show that sharing and comparing data across institutions improves the quality of patient care. Whether comparing data about healthcare ethics consultation (HCEC) would similarly improve quality is unknown due to the lack of research on HCEC data sharing and comparison. Methods: To explore this possibility, we analyzed data from two academic medical centers in the Central-Southern United States that both employ a shared, robust coding system for ethics consultations (N = 703 cases total over 2.5 years) using descriptive and chi-square statistics, correlation coefficients and logistic regressions. Results: Our findings relate to patient age, care location, requestor role, and ethical themes, which together contribute to an improved evidence base for explanatory analyses and quality improvement initiatives. Conclusions: We conclude it is possible to analyze and compare HCEC activities across separate institutions using a standardized approach to data gathering, that this approach is consistent with concurrent narrative case review and assessment, and that cross-institutional comparisons are meaningful. Our results suggest future comparative analyses will require additional standardization of advanced measures for describing and analyzing HCEC activities.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Bioética / Consultoría Ética Aspecto: Ethics Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: AJOB Empir Bioeth Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Bioética / Consultoría Ética Aspecto: Ethics Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: AJOB Empir Bioeth Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos