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Related Experiment Video

Updated: Jul 24, 2025

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An ethical framework adapted for infection prevention and control.

Charlie Tan1,2, Marianna Ofner1,3, Heather L Candon1

  • 1Infection Prevention and Control, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

Infection Control and Hospital Epidemiology
|July 10, 2023
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Summary

A new Ethical Infection Prevention and Control (EIPAC) framework offers a systematic approach for fair decision-making in healthcare settings. This tool helps infection prevention and control professionals navigate complex ethical challenges effectively.

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Area of Science:

  • Healthcare Ethics
  • Infection Prevention and Control (IPAC)

Background:

  • Ethical implications in infection prevention and control (IPAC) are acknowledged but lack a guiding framework.
  • Existing literature identifies ethical principles in IPAC but does not offer a systematic decision-making structure.

Purpose of the Study:

  • To adapt an existing ethical framework for systematic, fair, and transparent decision-making in IPAC.
  • To develop practical guidance for applying ethical principles in IPAC contexts.

Main Methods:

  • Conducted a literature search for ethical frameworks relevant to IPAC.
  • Adapted an existing ethical framework with input from healthcare ethicists.
  • Developed practical application guidelines and refined the framework based on end-user feedback and real-world case studies.

Main Results:

  • Identified 7 articles on ethical principles in IPAC, none offering a systematic framework.
  • Developed the Ethical Infection Prevention and Control (EIPAC) framework with 4 actionable steps.
  • Application highlighted the importance of equitable benefit/burden distribution and proportional impact assessment in IPAC decision-making.

Conclusions:

  • The EIPAC framework provides an actionable, principles-based tool for IPAC professionals.
  • It supports reasoned and just decision-making in complex IPAC situations across all healthcare settings.