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Answering the Call for Standardized Reporting of Clinical Ethics Consultation Data.
J Clin Ethics. 2020 Summer; 31(2):173-177.JC

Abstract

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.

Authors+Show Affiliations

Bioethics Fellow, Cleveland Clinic Center for Bioethics, Cleveland, Ohio USA. feldmas@ccf.org.Administrative Program Coordinator, Cleveland Clinic, Cleveland, Ohio USA. riazs2@ccf.org.Co-Director, Cleveland Fellowship in Advanced Bioethics; Staff, Center for Bioethics; Regional Ethicist (West), Cleveland Clinic, Cleveland, Ohio USA. critesj@ccf.org.Interim Director, Center for Bioethics, Cleveland Clinic, Cleveland, Ohio USA. jankow@ccf.org.Staff, Center for Bioethics and Department of Neurology; Associate Professor, Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio USA. Fordp@ccf.org.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32585662

Citation

Feldman, Sharon L., et al. "Answering the Call for Standardized Reporting of Clinical Ethics Consultation Data." The Journal of Clinical Ethics, vol. 31, no. 2, 2020, pp. 173-177.
Feldman SL, Rias SH, Crites JS, et al. Answering the Call for Standardized Reporting of Clinical Ethics Consultation Data. J Clin Ethics. 2020;31(2):173-177.
Feldman, S. L., Rias, S. H., Crites, J. S., Jankowski, J., & Ford, P. J. (2020). Answering the Call for Standardized Reporting of Clinical Ethics Consultation Data. The Journal of Clinical Ethics, 31(2), 173-177.
Feldman SL, et al. Answering the Call for Standardized Reporting of Clinical Ethics Consultation Data. J Clin Ethics. 2020;31(2):173-177. PubMed PMID: 32585662.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Answering the Call for Standardized Reporting of Clinical Ethics Consultation Data. AU - Feldman,Sharon L, AU - Rias,Sundus H, AU - Crites,Joshua S, AU - Jankowski,Jane, AU - Ford,Paul J, PY - 2020/6/26/entrez PY - 2020/6/26/pubmed PY - 2020/6/26/medline SP - 173 EP - 177 JF - The Journal of clinical ethics JO - J Clin Ethics VL - 31 IS - 2 N2 - 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. SN - 1046-7890 UR - https://www.unboundmedicine.com/medline/citation/32585662/Answering_the_Call_for_Standardized_Reporting_of_Clinical_Ethics_Consultation_Data DB - PRIME DP - Unbound Medicine ER -
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