Hospital Ethics Committee.pptx

Clinical Ethics Committees​ - Some Local Health Districts and Specialty Networks within NSW Health have established local clinical ethics committees. These committees variously provide education, local policy advice regarding ethical issues arising in their facilities and ethics case consultation.

1. Hospital Ethics Committee Present by – Bulbul Kumari Mansi Dwivedi Harsha Bhardwaj Suryansh Agrawal

2. INTRODUCTION Most hospitals are now required to have an ethics committee, and many in the Seattle area provide an ethics consultation service. In the United States some ethics committees have expanded their functions and become more comprehensive ethics programs. 

3. Clinical Ethics committee Clinical Ethics Committees​ - Some Local Health Districts and Specialty Networks within NSW Health have established local clinical ethics committees. These committees variously provide education, local policy advice regarding ethical issues arising in their facilities and ethics case consultation. This Photo by Unknown Author is licensed under CC BY-SA

4. Clinical ethics Clinical ethics is a practical discipline that provides a structured approach to assist health professionals in identifying, analysing and resolving ethical issues that arise in clinical practice. Ongoing developments in medical technology, particularly at the beginning and end of life, may raise awareness of, or concerns about the ethical dimensions of clinical care. There are also changing social, cultural and public attitudes in Australia towards the professions, including medicine and a growing emphasis on patient choice. Occasionally, health professionals and patients may disagree about values or face choices that challenge their values. It is then that ethical problems may arise. This Photo by Unknown Author is licensed under CC BY-SA-NC

5. Goals of traditional ethics committees The underlying goals of traditional ethics committees are: to promote the rights of patients to promote shared decision making between patients (or their surrogates if decisionally incapacitated) and their clinicians to promote fair policies and procedures that maximize the likelihood of achieving good, patient-centered outcomes; andto enhance the ethical environment for health care professionals in health care institutions. This Photo by Unknown Author is licensed under CC BY

6. Goals of Ethics Consultation The goal of ethics consultation - is to support informed, deliberative decision making on the part of patients, families, physicians, and the health care team. By helping to clarify ethical issues and values, facilitating discussion, and providing expertise and educational resources, ethics consultants promote respect for the values, needs, and interests of all participants, especially when there is disagreement or uncertainty about treatment decisions. This Photo by Unknown Author is licensed under CC BY-ND

7. Ethics Consultation Services Physician who provide ethics consultation services should- Seek to balance the concerns of all stakeholders, focusing on protecting the patient's needs and values. Serve as advisors and educators rather than decision makers. Patients, physicians, and other members of the care team, health care administrators, and other stakeholders should not be required to accept the consultant's recommendations. Inform the patients when an ethics consultation has been requested (if the request was not made by the patient or family) and seek patients' agreement to participate. Ethics consultants should respect the decision of a patient or family not to participate, whether that decision is indicated formally through explicit refusal or informally by not taking part in discussions.

8. Ethics Consultation Services Respect the rights and privacy of all participants and ensure that appropriate steps are taken to protect the confidentiality of information disclosed in the consul. Have appropriate expertise or training for example, familiarity with the relevant professional literature, training in clinical/philosophical ethics, or competence in conflict resolution-and relevant experience to fulfill their role effectively.

9. Circumstances for ethical consultation Under what circumstances should I call the ethics consultant/service? You should consider asking for a case consultation when two conditions are met You perceive that there is an ethical problem in the care of patients, and Health care providers have not been able to establish a resolution that is agreed upon by the patient/surrogate and the clinicians caring for the patient This Photo by Unknown Author is licensed under CC BY-SA

10. Suggestion Suggestion for ethical community to expand: integrating ethics throughout the health care institution from the bedside to the boardroom ensuring that systems and processes contribute to/do not interfere with ethical practices, and promoting ethical leadership behaviors, such as explaining the values that underlie decisions, stressing the importance of ethics, and promoting transparency in decision making This Photo by Unknown Author is licensed under CC BY-SA

11. Responsibilities of Hospital Ethics Committee Education - facilitate educational opportunities for health care professionals, patients, and their families. Consultation - provide consultative services regarding ethical issues pertaining to a specific patient. Policies and Procedures - discussion and evaluation of policies and procedures having ethical implications.

12. Principle of Patient Care

13. Principle of Patient Care

14. Principle of Patient Care

15. CASE STUDY A 78-year-old woman presents to the emergency department (ED) late Sunday night with a complaint of lower abdominal pain. Her temperature is 39°C, pulse is 110 beats/min, and the rest of her vital signs are normal. Her clinic chart documents “early dementia” in her problem list. Her abdominal exam reveals bilateral lower quadrant tenderness without rebound. Her urinalysis is normal, and white blood cell count is 11,500 cells per liter. She becomes agitated because she has waited for 3 hours to be seen and does not want to wait for a computed tomography (CT) scan or evaluation by a consultant physician. She dresses haphazardly and demands to go home. She is estranged from her family but has a physician son in Hawaii who cannot be reached. You are a first-year attending physician caring for her and do not know whether to let her leave in this situation. What are your options? This Photo by Unknown Author is licensed under CC BY-SA

16. BIBLIOGRAPHY https://www.ama-assn.org/delivering-care/ethics/ethics-consultations#:~:text=The%20goal%20of%20ethics%20consultation,and%20the%20health%20care%20team.&text=Seek%20to%20balance%20the%20concerns,the%20patient's%20needs%20and%20values . https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5432947/ https://www.ama-assn.org/delivering-care/ethics/ethics-consultations#:~:text=The%20goal%20of%20ethics%20consultation,and%20the%20health%20care%20team.&text=Seek%20to%20balance%20the%20concerns,the%20patient's%20needs%20and%20values . https://depts.washington.edu/bhdept/ethics-medicine/bioethics-topics/detail/64

17. This Photo by Unknown Author is licensed under CC BY-SA-NC