Analysis of 20 Years of Ethics Consultations at a U.S. Children's Hospital.
Publication/Presentation Date
1-1-2024
Abstract
AbstractEmpirical studies of pediatric clinical ethics cases are scant in the biomedical and bioethics literature. In this study, more than 100 detailed records of clinical ethics consultations spanning from 2000 to 2020 at a moderately sized U.S. Mid-Atlantic children's hospital were abstracted and analyzed. Findings of the analysis were generally consistent with other studies in pediatric clinical ethics, with additional insight into aspects of moral distress associated with cases, family engagement with consultations, and other characteristics of interest also documented. Over the 20-year time frame, ethics consults were completed on average twice a year, with a detectable upward trend. Consultations were requested across the spectrum of services and units within the hospital, with critical care environments represented most frequently and genetic and neurological conditions being the most common primary diagnoses. Ethical analysis most commonly related to questions around the principles of autonomy and beneficence.
Volume
35
Issue
2
First Page
107
Last Page
118
ISSN
1046-7890
Published In/Presented At
James, R., Carroll, R. S., & Miller, J. M. (2024). Analysis of 20 Years of Ethics Consultations at a U.S. Children's Hospital. The Journal of clinical ethics, 35(2), 107–118. https://doi.org/10.1086/729417
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
38728694
Department(s)
Administration and Leadership
Document Type
Article