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Ethics committees and due process.

John C Fletcher

    Law, Medicine & Health Care : a Publication of the American Society of Law & Medicine
    |January 1, 1992
    PubMed
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    Institutional Ethics Committees (IECs) must address due process in ethics consultations to uphold patient rights. A two-stage model is proposed, emphasizing early bedside involvement and meticulous conflict resolution.

    Area of Science:

    • Bioethics
    • Medical Ethics
    • Healthcare Law

    Background:

    • Ethics consultation is a key responsibility of Institutional Ethics Committees (IECs).
    • IECs may be ill-equipped to provide comprehensive ethics consultation as a whole group.
    • Inadequate early consultation can lead to due process issues and "failure to thrive" in patient care.

    Purpose of the Study:

    • To contextualize due process within the framework of IEC ethics consultation.
    • To propose a two-stage model for addressing due process issues in ethics consultations.
    • To emphasize the importance of respecting patient rights and decision-making priority.

    Main Methods:

    • Analysis of due process challenges in ethics consultation.
    • Proposal of a two-stage model for resolving due process issues.
    Keywords:
    Professional Patient Relationship

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  • Focus on early bedside consultation and a second level of conflict resolution.

    • Main Results:

    • Due process issues in ethics consultation require a structured, two-level approach.
    • Early engagement with patients, families, and healthcare providers is crucial.
    • A second level of conflict resolution involving the IEC is necessary when initial consultations fail.

    Conclusions:

    • IECs must implement a two-stage model to ensure due process in ethics consultations.
    • Meticulous attention to patient rights and decision-making is paramount, especially during conflict resolution.
    • Effective ethics consultation requires early, bedside involvement and robust conflict resolution mechanisms.