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Qualitative and Quantitative Validation of Tools with Rating Scales Aimed at Assessing the Quality of University Service-Learning
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Measuring Quality in Ethics Consultation.

Sally E Bliss1, Jane Oppenlander2, Jacob M Dahlke3

  • 1University of Vermont College of Medicine, 111 Colchester Avenue, Smith 266, Burlington, Vermont 05401 USA. Sally.Bliss@uvmhealth.org.

The Journal of Clinical Ethics
|June 23, 2016
PubMed
Summary
This summary is machine-generated.

This study introduces the first direct measurement of clinical ethics consultation quality across four key domains. Developed tools and processes at an academic medical center aim to enhance ethics consultation services and quality assurance.

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Area of Science:

  • Medical Ethics
  • Healthcare Quality Improvement
  • Clinical Consultation

Background:

  • Quality improvement initiatives in healthcare often overlook the empirical measurement of clinical ethics consultation quality.
  • Despite the overlap between healthcare quality assessment and clinical ethics, specific metrics for ethics consultation are lacking.
  • The Core Competencies for Health Care Ethics Consultation identified four critical domains for evaluating ethics quality.

Purpose of the Study:

  • To describe a quality improvement process for clinical ethics consultation at a tertiary care academic medical center.
  • To introduce novel tools for the direct, empirical measurement of ethics consultation quality across defined domains.
  • To establish a framework for enhancing the measurement and assurance of clinical ethics consultation quality.

Main Methods:

  • Implementation of a quality improvement initiative focused on clinical ethics consultation.
  • Development and utilization of post-consultation satisfaction surveys for stakeholders.
  • Establishment of weekly case conferences for ongoing review and feedback.

Main Results:

  • The study presents the first known direct measurement of all four identified domains of ethics quality: ethicality, stakeholder satisfaction, conflict resolution, and educational impact.
  • The developed tools provide actionable data for improving the clinical ethics consultation process.
  • The quality improvement process facilitated better measurement and assurance of ethics consultation quality.

Conclusions:

  • Direct measurement of clinical ethics consultation quality is feasible and essential for service improvement.
  • The implemented tools and processes contribute to enhancing both the delivery and evaluation of ethics consultations.
  • This work provides a model for academic medical centers to systematically assess and improve the quality of their ethics consultation services.