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How Hospital Leaders and Risk Managers Can Nurture Ethics-Driven Lawyering.
Norine A McGrath1, Evan G DeRenzo2, John K Kilcullen3
1Director of the John J. Lynch, MD Center for Ethics at MedStar Washington Hospital Center and an assistant professor at Georgetown University School of Medicine in Washington, DC.
AMA Journal of Ethics
|December 4, 2020
Summary
Hospital lawyers
Area of Science:
- Medical Law and Ethics
- Healthcare Risk Management
- Clinical Decision-Making
Background:
- Assessing legal risk in complex medical cases impacts patient care and clinician morale.
- Disagreements in patient care often stem from ethical and legal questions.
Purpose of the Study:
- To suggest a process for managing disagreements in complex clinical and ethical cases.
- To inform hospital executives and risk managers on fostering better legal advice.
Main Methods:
- Proposes a process involving family meetings, palliative care, and ethics consultations.
- Advocates for exploring perspectives of clinical teams and patient surrogates.
Main Results:
- Understanding diverse perspectives can resolve clinical and ethical disagreements.
- Informed legal advice can be developed by exploring these viewpoints.
Conclusions:
- A structured process including multidisciplinary input can mitigate legal risks.
- Fostering open communication and ethical review improves patient care and risk management.
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