Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2025-01-02T03:28:44.741Z Has data issue: false hasContentIssue false
  • English
  • Français

The Ethics Consultant and Ethics Committees, and their Acronyms: IRBs, HECs, RM, QA, UM, PROs, IPCs, and HREAPs

Published online by Cambridge University Press:  29 July 2009

David Schiedermayer  and
John La Puma
David Schiedermayer
Affiliation:
Department of Medicine at the Medical College of Wisconsin, Milwaukee
John La Puma
Affiliation:
Medicine at the University of Chicago Pritzker School of Medicine and Director of the Center for Clinical Ethics at Lutheran General Hospital, Park Ridge, Illinois
Get access Rights & Permissions [Opens in a new window]

Extract

Much has been written about the role of hospital ethics committees. Ethics committees may have begun in Seattle in the early 1960s, but they were reified in. New Jersey by the Quinlan Court in the 1970s and thrived in the national bioethics movement of the 1980s.

In this flurry of ethics activity, several new forms of ethics committees have evolved. New forms of ethics committees include patient care-oriented ethics committees (RM, QM, & QA). Many ethicists are familiar with mission-oriented ethics committees (IRBs & HECs). Such committees have taken on new roles, and Include PROs, IPCs, and HREAPs. In general, these committees are regulatory in nature and may often rely on rules and regulations to assess patient cases, research protocols, and health professional practices.

Type
Special Section: Ethics Consultants and Ethics Consultations
Information
Cambridge Quarterly of Healthcare Ethics , Volume 2 , Issue 4 , Fall 1993 , pp. 469 - 475
Copyright
Copyright © Cambridge University Press 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. AMA/Specialty Society Medical Liability Project. Risk Management Principles and Commentaries for the Medical Office. Chicago: The American Medical Association, 1990.Google Scholar

2. Kapp, M. Are risk management and health care ethics compatible? Perspectives in Healthcare Risk Management 1991(Winter): 2–7.Google Scholar

3. West, MB, Gibson, JM. Facilitating medical ethics case review: what ethics committees can learn from mediation and facilitation techniques. Cambridge Quarterly of Healthcare Ethics 1992; 1: 63–74.CrossRefGoogle ScholarPubMed

4. The National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research. Washington, D.C.: U.S. Government Printing Office, 1978; DHEW publication no. (OS) 78–0013, 78–0014.Google Scholar

5. Wolf, SM. Ethics committees and due process: nesting rights in a community of caring. Maryland Law Review 1991; 50: 798–858.Google Scholar

6. Brennan, TA. Ethics committees and decisions to limit care: the experience at the Massachusetts General Hospital. Journal of the American Medical Association 1988; 260: 803–7.CrossRefGoogle ScholarPubMed

7. La Puma, J, Schiedermayer, DL. Ethics consultation: skills, roles, and training. Annals of Internal Medicine 1991; 114: 155–60.CrossRefGoogle ScholarPubMed

8. Caws, P. Committees and consensus: how many heads are better than one? Journal of Medicine and Philosophy 1991; 16: 375–91.CrossRefGoogle Scholar

9. Fleetwood, J, Arnold, RM, Baron, RJ. Giving answers or raising questions? The problematic role of institutional ethics committees. Journal of Medical Ethics 1989; 15: 137–42.CrossRefGoogle ScholarPubMed

10. Agich, GJ, Youngner, SJ. For experts only? Access to hospital ethics committees. Hastings Center Report 1991; 21(5): 17–25.CrossRefGoogle Scholar

11. La Puma, J, Schiedermayer, DL. The clinical ethicist at the bedside. Theoretical Medicine 1991; 12: 141–9.CrossRefGoogle ScholarPubMed

12. Annas, GJ. Ethics committees: from ethical comfort to ethical cover. Hastings Center Report 1991; 21(3): 18–21.CrossRefGoogle ScholarPubMed

13. La Puma, J, Toulmin, SE. Ethics consultants and ethics committees. Archives of Internal Medicine 1989; 149: 1109–12.CrossRefGoogle ScholarPubMed

14. Blake, DC. The hospital ethics committee—health care's moral conscience or white elephant? Hastings Center Report 1992; 22(1): 6–11.CrossRefGoogle ScholarPubMed

15. Miles, SH. New business for ethics committees. HEC Forum 1992; 4: 97–102.Google ScholarPubMed

16. Joint Commission on Accreditation for Healthcare Organizations. 1992 Accreditation Manual for Hospitals, Volume 1, Standards. Oakbrook Terrace, Illinois: Joint Commission on the Accreditation of Healthcare Organizations, 1991.Google Scholar