TY - JOUR
T1 - Frequency of ethical issues on a hospitalist teaching service at an Urban, tertiary care center
AU - McCarthy, Matthew W.
AU - De Asua, Diego Real
AU - Gabbay, Ezra
AU - Christos, Paul J.
AU - Fins, Joseph J.
N1 - Funding Information:
Funding: This work was supported by a Weill Cornell General Internal Medicine Primary Care Innovations Initiative seed grant. Dr. Paul Christos was partially supported by the following grant: Clinical and Translational Science Center at Weill Cornell Medical College (1-UL1-TR002384-01).
Publisher Copyright:
© 2019 Society of Hospital Medicine.
PY - 2019/5
Y1 - 2019/5
N2 - Little is known about the daily ethical conflicts encountered by hospitalists that do not prompt a formal clinical ethics consultation. We describe the frequencies of ethical issues identified during daily rounds on hospitalist teaching services at a metropolitan, tertiary-care, teaching hospital. Data were collected from September 2017 through May 2018 by two attending hospitalists from the ethics committee who were embedded on rounds. A total of 270 patients were evaluated and 113 ethical issues were identified in 77 of those patients. These issues most frequently involved discussions about goals of care, treatment refusals, decision-making capacity, discharge planning, cardiopulmonary resuscitation status, and pain management. Only five formal consults were brought to the Hospital Ethics Committee for these 270 patients. Our data are the first prospective description of ethical issues arising on academic hospitalist teaching services and are an important step in the development of a targeted ethics curriculum for hospitalists.
AB - Little is known about the daily ethical conflicts encountered by hospitalists that do not prompt a formal clinical ethics consultation. We describe the frequencies of ethical issues identified during daily rounds on hospitalist teaching services at a metropolitan, tertiary-care, teaching hospital. Data were collected from September 2017 through May 2018 by two attending hospitalists from the ethics committee who were embedded on rounds. A total of 270 patients were evaluated and 113 ethical issues were identified in 77 of those patients. These issues most frequently involved discussions about goals of care, treatment refusals, decision-making capacity, discharge planning, cardiopulmonary resuscitation status, and pain management. Only five formal consults were brought to the Hospital Ethics Committee for these 270 patients. Our data are the first prospective description of ethical issues arising on academic hospitalist teaching services and are an important step in the development of a targeted ethics curriculum for hospitalists.
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U2 - 10.12788/jhm.3179
DO - 10.12788/jhm.3179
M3 - Article
C2 - 30897052
AN - SCOPUS:85065508004
SN - 1553-5592
VL - 14
SP - 290
JO - Journal of hospital medicine
JF - Journal of hospital medicine
IS - 5
ER -