Frequency of Ethical Issues on a Hospitalist Teaching Service at an Urban, Tertiary Care Center. Academic Article uri icon

Overview

abstract

  • 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.

publication date

  • May 1, 2019

Research

keywords

  • Hospitalists
  • Hospitals, Teaching
  • Tertiary Care Centers

Identity

PubMed Central ID

  • PMC7343177

Scopus Document Identifier

  • 85065508004

Digital Object Identifier (DOI)

  • 10.12788/jhm.3179

PubMed ID

  • 30897052

Additional Document Info

volume

  • 14

issue

  • 5