PMID- 32585662
OWN - NLM
STAT- MEDLINE
DCOM- 20200914
LR  - 20200914
IS  - 1046-7890 (Print)
IS  - 1046-7890 (Linking)
VI  - 31
IP  - 2
DP  - 2020 Summer
TI  - Answering the Call for Standardized Reporting of Clinical Ethics Consultation 
      Data.
PG  - 173-177
LID - 2020312173 [pii]
AB  - Benchmarks against which healthcare ethics consultation (HCEC) services can 
      assess their performance are needed. As first-generation benchmarks continue to 
      be developed, it is the obligation of the field to continually evaluate how these 
      measures reflect the performance of any single HCEC service. This will be 
      possible only with widespread reporting of standardized data points. In their 
      article in this issue of The Journal of Clinical Ethics, Glover and colleagues 
      provide a valuable preliminary approach for assessing appropriate consult volumes 
      for a HCEC service. The limitations of their study read as a call to action for 
      the field of clinical ethics to expand and standardize data reporting so that 
      more robust metrics can be developed. In response to this call by Glover and 
      colleagues, the Cleveland Clinic HCEC service provides consult data from 2015 
      through 2019 for one of its medical centers, and offers an additional 
      volume-based metric, consult-to-ICU-to-bed ratio (CiBR), that may add nuance to 
      any normative assessment of HCEC service consult volume. Given that volume-based 
      metrics are the native language of the clinical environment, efforts to improve 
      such metrics in the field through transparency and standardization are warranted. 
      However, the expositive power of volume- based metrics is limited; additional 
      domains related to quality and outcomes are needed.
CI  - Copyright 2020 The Journal of Clinical Ethics. All rights reserved.
FAU - Feldman, Sharon L
AU  - Feldman SL
AD  - Bioethics Fellow, Cleveland Clinic Center for Bioethics, Cleveland, Ohio USA. 
      feldmas@ccf.org.
FAU - Rias, Sundus H
AU  - Rias SH
AD  - Administrative Program Coordinator, Cleveland Clinic, Cleveland, Ohio USA. 
      riazs2@ccf.org.
FAU - Crites, Joshua S
AU  - Crites JS
AD  - Co-Director, Cleveland Fellowship in Advanced Bioethics; Staff, Center for 
      Bioethics; Regional Ethicist (West), Cleveland Clinic, Cleveland, Ohio USA. 
      critesj@ccf.org.
FAU - Jankowski, Jane
AU  - Jankowski J
AD  - Interim Director, Center for Bioethics, Cleveland Clinic, Cleveland, Ohio USA. 
      jankow@ccf.org.
FAU - Ford, Paul J
AU  - Ford PJ
AD  - Staff, Center for Bioethics and Department of Neurology; Associate Professor, 
      Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio USA. Fordp@ccf.org.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Clin Ethics
JT  - The Journal of clinical ethics
JID - 9114645
SB  - IM
MH  - Delivery of Health Care
MH  - *Ethics Consultation/standards
MH  - Ethics, Clinical
MH  - Humans
MH  - Research Design
EDAT- 2020/06/26 06:00
MHDA- 2020/09/15 06:00
CRDT- 2020/06/26 06:00
PHST- 2020/06/26 06:00 [entrez]
PHST- 2020/06/26 06:00 [pubmed]
PHST- 2020/09/15 06:00 [medline]
AID - 2020312173 [pii]
PST - ppublish
SO  - J Clin Ethics. 2020 Summer;31(2):173-177.