PMID- 33215975
OWN - NLM
STAT- MEDLINE
DCOM- 20211025
LR  - 20211025
IS  - 2329-4523 (Electronic)
IS  - 2329-4515 (Linking)
VI  - 12
IP  - 2
DP  - 2021 Apr-Jun
TI  - Comparison Is Not a Zero-Sum Game: Exploring Advanced Measures of Healthcare 
      Ethics Consultation.
PG  - 123-136
LID - 10.1080/23294515.2020.1844820 [doi]
AB  - 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.
FAU - Harris, Kelly W
AU  - Harris KW
AD  - Center for Biomedical Ethics and Society, Vanderbilt University Medical Center, 
      Nashville, Tennessee, USA.
FAU - Cunningham, Thomas V
AU  - Cunningham TV
AD  - Kaiser Permanente Southern California Bioethics Program, Los Angeles, California, 
      USA.
FAU - Hester, D Micah
AU  - Hester DM
AD  - Medical Humanities and Bioethics, University of Arkansas for Medical Sciences, 
      Little Rock, Arkansas, USA.
FAU - Armstrong, Kelly
AU  - Armstrong K
AD  - Clinical and Organizational Ethics, Inova Health System, Falls Church, Virginia, 
      USA.
FAU - Kim, Ahra
AU  - Kim A
AD  - Center for Biomedical Ethics and Society, Vanderbilt University Medical Center, 
      Nashville, Tennessee, USA.
FAU - Harrell, Frank E Jr
AU  - Harrell FE Jr
AD  - Center for Biomedical Ethics and Society, Vanderbilt University Medical Center, 
      Nashville, Tennessee, USA.
FAU - Fanning, Joseph B
AU  - Fanning JB
AD  - Center for Biomedical Ethics and Society, Vanderbilt University Medical Center, 
      Nashville, Tennessee, USA.
LA  - eng
PT  - Journal Article
DEP - 20201120
PL  - United States
TA  - AJOB Empir Bioeth
JT  - AJOB empirical bioethics
JID - 101631047
SB  - IM
MH  - Academic Medical Centers
MH  - *Bioethics
MH  - Delivery of Health Care
MH  - *Ethics Consultation
MH  - Humans
MH  - Morals
MH  - United States
OTO - NOTNLM
OT  - Ethics committees
OT  - ethics consultation
OT  - health services research
OT  - healthcare ethics
EDAT- 2020/11/21 06:00
MHDA- 2021/10/26 06:00
CRDT- 2020/11/20 12:13
PHST- 2020/11/21 06:00 [pubmed]
PHST- 2021/10/26 06:00 [medline]
PHST- 2020/11/20 12:13 [entrez]
AID - 10.1080/23294515.2020.1844820 [doi]
PST - ppublish
SO  - AJOB Empir Bioeth. 2021 Apr-Jun;12(2):123-136. doi: 
      10.1080/23294515.2020.1844820. Epub 2020 Nov 20.