Resources for clinical ethics consultation

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Clinical ethics support services initially developed in the United States of America, following court cases such as the Karen Ann Quinlan case, which stressed the need for mechanisms to resolve ethical disputes within health care. The Joint Commission on Accreditation of Healthcare Organizations requirement for hospitals, nursing homes, and home care agencies to have a standing mechanism to address ethical issues has also fostered this development (this requirement no longer appears in the Joint Commission regulations, however).

Despite initial doubts as the possibility of importing what was initially felt to be a specificity of the US system, ethics support services have developed in many other countries, including Canada[1] but also various countries in Europe[2] and Asia.[3]

In order to share experience and resources among these clinical research ethics consultation and support services, networks and platforms have increasingly developed.[4] This page is intended to summarise existing online resources aimed at assisting new and developing clinical ethics support services. Its goal is to make these resources more easily accessible. Listing in this page does not constitute endorsement of the various contents: users will still need to judge the value of these resources for themselves.

It is reasonable to suppose that these resources will increasingly be international. Because of the role of the English language in international communication, multi-lingual resources whose languages include English are given in their English title. Those not available in English are given in their original language.

Canada

National and international guidelines on clinical ethics

Clinical ethics committee guidelines

Many clinical ethics support services develop guidelines and advise policy within the health care setting. While the conclusions of consultations regarding individual patients are, of course, confidential, general ethical guidelines and policy advice regarding ethical difficulties which come up repeatedly in clinical care are not. Some ethics support services make these guidelines available online. Adding yours will make these resources more useful!

Listed by country

Switzerland

Recommandations du Conseil d'éthique clinique de Genève

United States

Center for Practical Bioethics

Methodological resources

Some networks and consultation services have developed tools and guidelines for the practice of clinical ethics consultation, and made them available online. The following sites provide tools, documents, and advice for new or developing clinical ethics support services:

Switzerland

Recommandations on "Ethics Support in medicine" from the Swiss Academy of Medical Sciences

United Kingdom

UK Clinical Ethics Network practical guide for clinical ethics support

United States

University of Washington guide on clinical ethics committees and consultation

Veterans' Administration (US) IntegratedEthics Tools and Materials

Online books

Selected articles

Online tutorials

International and national conferences

See also

References

Further reading

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