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Ethics Resources
The National Center for Ethics in Health Care (NCEHC) has identified a variety of educational resources about ethical practices in health care for individuals who are new to the field as well as those who are more experienced.
Click icon ( ,  or  ) to download files.
To find material produced by the National Center for Ethics in Health Care click here
Encyclopedia of Bioethics
The Encyclopedia of Bioethics provides valuable information on topics and issues in health care ethics. Please note that this resource is available only on the Intranet for exclusive use of VHA staff.
If you are VHA staff and require the password please send an email to vhaethics@va.gov.
ETHXWeb
ETHXWeb is a searchable database of journal articles, book chapters, bills, laws, court decisions, reports, books, audiovisuals, and news articles relating to bioethics and professional ethics. It is maintained by the National Reference Center for Bioethics Literature, Kennedy Institute of Ethics, Georgetown University.
EthicShare
EthicShare is a searchable database of articles, book chapters, US Government publications including Presidential Commission reports, dissertation records, e-books, and other scholarly resources relating to the field of bioethics. It is based at the University of Minnesota.
AMA Policy Finder
The American Medical Association maintains a searchable database of AMA policies as well as opinions interpreting the AMA Code of Medical Ethics.
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PubMed
PubMed is a service of the US National Library of Medicine that includes over 18 million citations from MEDLINE and other life science journals for biomedical articles dating back to the 1950s. PubMed includes links to full text articles and other related resources.
PubMed searches can be limited to only bioethics journals. For tutorials on how to conduct PubMed searches click here
For advanced PubMed users
Use the links below to search the National Library of Medicine's PubMed for ethics content on the relevant topics. Each link automatically generates a list of articles on the specified topic published within the last 12 months.
Shared decision making with patients
Ethical practices in end-of-life care
Privacy and confidentiality
Professionalism in patient care
Ethical practices in resource allocation
Ethical practices in business and management
Ethical practices in government service
Ethical practices in the everyday workplace
Ethical practices in research
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Publications, policies and other material produced by the National Center for Ethics in Health Care
Use the links below to find resources created by the National Center for Ethics in Health Care and others that explore ethical issues in the following domains:
Note: The information contained in NCEHC publications is current as of the date of publication. However, health care ethics is a dynamic field in which best practices and thinking are constantly evolving. Therefore, some information in our publications may become outdated or may be superseded. We note these instances when they occur, and we encourage users to consult additional authorities on these topics, including current VA policy and regulation.
Shared decision making with patients
Ethical practices in end-of-life care
Patient privacy and confidentiality
Professionalism in patient care
Ethical practices in resource allocation
Ethical practices in business and management
Ethical practices in government service
Ethical practices in the everyday workplace
Ethical practices in research
Material produced by the NCEHC is also indexed by subject and keyword.
IntegratedEthics materials
Follow this link to access IntegratedEthics materials organized by type of material.
Return to Ethics Resources
Shared Decision Making with Patients
Decision-making capacity
Informed consent process
Surrogate decision making
Advance care planning
Limits to patient choice
Other
Overview
IntegratedEthics Online Learning Module: Shared Decision Making with Patients
Goals of Care in the ICU: Palliative Care at the End of Life (IN fOCUS January 2005)
1.a Decision-making capacity [ability of the patient to make his/her own health care decisions]
NCEHC content
When Patients Refuse Treatment (IN fOCUS December 2005)
Ten Myths about Decision-Making Capacity (NEC Report September 2002)
Ten Myths About Decision-Making Capacity (NET Summary November 2002)
Source Patient HIV Testing in Patients who Lack Decision-Making Capacity (NET Summary October 2002) *SUPERSEDED OR OUTDATED
Common Pitfalls in Determining Decision-Making Capacity-Live from the National Ethics Committee Meeting (NET Summary March 2001)
VHA Handbook 1004.01 Informed Consent for Clinical Treatments & Procedures
Non-VA content
EPERC Fast Fact and Concept
#055 - Decision Making Capacity
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1.b Informed consent process [providing information to the patient/surrogate, ensuring that the decision is voluntary, documenting the decision]
NCEHC content
The Basics of Informed Consent: History, Ethics and Law (NET Summary September 2010)
VHA Handbook 1004.01: Informed Consent for Clinical Treatments and Procedures (NET Summary August 2009)
Informed Consent for Methicillin-Resistant Staphylococcus Aureus (MRSA) Testing (Ethics Rx February 2009)
Informed Consent Do's and Don'ts for Best Practice (IN fOCUS August 2006)
"Teach Back": A Tool for Improving Provider-Patient Communication (IN fOCUS April 2006)
When Must Clinicians Obtain a Separate Consent for Use of Blood Products in the Post-Operative Period? (Ethics Rx August 2006)
Who May Serve as Witness for Signature Consent for Clinical Treatments and Procedures? (Ethics Rx December 2005)
Consent for HIV Testing: Must the Patient's Signature on VA Form 10-0121 Be Witnessed? (Ethics Rx December 2004) *SUPERSEDED OR OUTDATED
Informed Consent for HIV Testing: Ethical Issues (NET Summary June 2004) *SUPERSEDED OR OUTDATED
Ethics Rounds: Substituted Judgment or Best Interests? (news@vhaethics Summer 2003)
Informed Consent Policy Revision (NET Summary January and February 2003) *SUPERSEDED OR OUTDATED
Informed Consent Policy Revision: Medical Decision Making in Patients Without Surrogates (NET Summary January 2002)
Informed Consent for IV Contrast Administration (NET Summary January 2001)
VHA Handbook 1004.01 Informed Consent for Clinical Treatments & Procedures
VHA Handbook 1004.05 iMedConsent
Non-VA content
EPERC Fast Fact and Concept
#056 - What to do when a patient refuses treatment
UW Ethics in Medicine
Informed Consent
Informed Consent in the Operating Room
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1.c Surrogate decision making [selection, role, and responsibilities of the person authorized to make health care decisions for the patient]
NCEHC content
Ethical Aspects of the Relationship Between Clinicians & Surrogate Decision Makers (NEC Report April 2007)
National Ethics Committee Report: Ethical Aspects of the Relationship between Clinicians & Surrogate Decision Makers (NET Summary April 2007)
May Clinicians Disclose Health Information Protected Under 38 U.S.C. §7332 to Surrogates? (Ethics Rx February 2006) *SUPERSEDED OR OUTDATED
Choosing Among Surrogates of the Same Priority (Ethics Rx April 2005)
Disclosing Patients' Protected Health Information to Surrogates (NEC Report February 2005)
Disclosing Patients' Protected Health Information (NET Summary February 2005) *SUPERSEDED OR OUTDATED
Non-VA content
AMA Code
E-8.081 - Surrogate Decision Making
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1.d Advance care planning [statements made by a patient with decision-making capacity regarding future health care decisions]
NCEHC content
Documenting Veterans' Mental Health Treatment Preferences in Advance Directives (Ethics Rx June 2009)
Advance Directives for Mental Health: An Ethical Analysis of State Laws & Implications for VHA Policy (NEC Report February 2008)
National Ethics Committee Report: Advance Directives for Mental Health: An Ethical Analysis of State Laws & Implications for VHA Policy (NET Summary March 26, 2008) *SUPERSEDED OR OUTDATED
Advance Care Planning and Management of Advance Directives (NET Summary March 2007) *SUPERSEDED OR OUTDATED
How Can Patients Communicate Their Wishes About Life-Sustaining Treatment? (Ethics Rx March 2005)
Must All Patients Be Asked About Mental Health Advance Directives? (Ethics Rx February 2005)
Strategies to Make Advance Care Planning More Effective: Best Practices (NET Summary March 2003) *SUPERSEDED OR OUTDATED
Legal Briefs: Advance Directives: VA vs. non-VA forms ( news@vhaethics Spring 2001) *SUPERSEDED OR OUTDATED
Best Practices: Advance Care Planning ( news@vhaethics Spring 2001) Ethical Issues in Advance Directives for Behavioral Health Care (NET Summary May 2003)
VHA Handbook 1004.02 Advance Care Planning and Management of Advance Directives
VA Form 10-0137 VA Advance Directive - Durable Power of Attorney for Health Care and Living Will
VA 10-0137A Your Rights Regarding Advance Directives
VA 10-0137B What You Should Know About Advance Directives
Advance care planning worksheets updated August 2011: Mental Health Treatment Preferences and Who to Contact
Non-VA content
EPERC Fast Fact and Concept
#012 - Myths about Advance Directives
UW Ethics in Medicine
Advance Care Planning
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1.e Limits to patient choice [e.g., choice of care setting, choice of provider, a demand for unconventional treatment]
NCEHC content
Ethical Considerations When Treating Erectile Dysfunction in Patients with Sexually Transmissible Diseases (NET Summary May 2004)
Should Patients be Able to Refuse Care by House Officers or Trainees? (NET Summary March 2004)
Ethics Rounds: Patient Refusal of Care by a Trainee (news@vhaethics Summer/Fall 2002)
Non-VA content
CMAJ Bioethics for Clinicians
Dealing with Demands for Inappropriate Treatment
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1.f Other
NCEHC content
Ethics and the Discharge Process: What to Consider When a Patient Prefers a Plan that the Team Believes is Unsafe (NET Summary May 28, 2008)
Strategies for Increasing Influenza Vaccination Rates in Health Care Workers: Ethical Considerations (NET Summary January 30, 2008)
National MRSA (Methicillin-Resistant Staphylococcus Aureus) Initiative: Ethical Considerations in Implementation (NET Summary October 2007)
Impaired Driving in Older Adults: Ethical Challenges for Health Care Professionals (NEC Report September 2007)
National Ethics Committee Report - Impaired Driving in Older Adults: Ethical Challenges for Health Care Professionals (NET Summary September 2007)
Informed Consent Practices: Lessons Learned from Implementing iMedConsent (NET Summary November 2006)
Non-VA content
EPERC Fast Fact and Concept
#052 - Quality of Life
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Ethical Practices in End-of-Life Care
Cardiopulmonary resuscitation (CPR)
Life-sustaining treatments
Medical futility
Hastening death
Death and postmortem issues
Other
Overview
IntegratedEthics Online Learning Module: Ethical Practices in End-of-Life Care
Goals of Care in the ICU: Palliative Care at the End of Life (IN fOCUS January 2005)
Weighed in the Balance: Ethical Decisions at the End of Life (news@vhaethics Spring 2001)
UW Ethics in Medicine
End of Life Issues
2.a Cardiopulmonary resuscitation (CPR) [withholding/stopping resuscitation in the event of cardiopulmonary arrest, including DNAR orders]
NCEHC content
Adverse Events and the Management of DNR Orders: Ethical Considerations (NET Summary September 2006) *SUPERSEDED OR OUTDATED
May Do-Not-Resuscitate (DNR) Orders Be Suspended for Surgery? (Ethics Rx January 2005)
What Does DNR Really Mean? (NET Summary June 2005) DNR FAQs *SUPERSEDED OR OUTDATED*
Clarification of VA Do Not Resuscitate (DNR) Policy—Orders Written by Residents (Ethics Rx May 2003)
Do Not Resuscitate Policy Revision: Controversial Topics (NET Summary March 2002)
Policy Perspectives: Should Residents be Allowed to Enter DNR Orders? (news@vhaethics Summer/Fall 2002)
Family Presence During Resuscitation (NET Summary August 2001)
Ethics Rounds: Wristbands for DNR? (news@vhaethics Fall 2000)
DNR Orders and Medical Futility (NEC Report December 2000)
DNR Orders and the Electronic Medical Record (NET Summary December 2000)
VHA Handbook 1004.3 Do Not Resuscitate (DNR) Protocols within the Department of Veterans Affairs
Non-VA content
EPERC Fast Fact and Concept
#023 - DNR Orders in the Hospital Setting - Part I
#024 - DNR Orders in the Hospital Setting - Part II
UW Ethics in Medicine
Do Not Resuscitate Orders
Do Not Resuscitate Orders during Anesthesia and Urgent Procedures
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2.b Life-sustaining treatments [withholding or stopping artificially administered fluid or nutrition, mechanical ventilation, dialysis, surgery, antibiotics, etc.]
NCEHC content
State-Authorized Portable Orders: Out of Hospital DNR Orders and Orders for Life-Sustaining Treatment (NET Summary July 2007)
Ethical Considerations of Cardiac Pacemakers and Implantable Defibrillators for End-of-Life Care (NET Summary April 2006)
Caring for Patients in Persistent Vegetative State (IN fOCUS March 2005)
Terminal Extubation: Ethics Perspectives (NET Summary March 2005)
Life Sustaining Treatments and Vegetative State: Implications of the March 2004 Papal Allocution for VHA Health Care (NET Summary October 2004) *SUPERSEDED OR OUTDATED
Catholic Teaching on Artificially Administered Nutrition & Hydration (IN fOCUS December 2004) *SUPERSEDED OR OUTDATED
Legal Briefs: Must Food and Fluids Always be Provided? (news@vhaethics Fall 2000)
VHA Handbook 1004.04 State-Authorized Portable Orders
VHA Handbook 1004.01 Informed Consent for Clinical Treatments & Procedures
Non-VA content
EPERC Fast Fact and Concept
#111 - Cardiac Pacemakers at End of Life
#112 - Implantable cardioverter Defibrillator (ICD) at End of Life
#133 - Non-Oral Hydration in Palliative Care
UW Ethics in Medicine
Termination of Treatment
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2.c Medical futility [a physician's judgment that a therapy will be of no benefit to a patient and that it should not be offered or should be withdrawn]
NCEHC content
DNR Orders and Medical Futility (NEC Report December 2000)
Non-VA content
UW Ethics in Medicine
Futility
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2.d Hastening death [intentionally or unintentionally, e.g., questions related to euthanasia, assisted suicide, or the doctrine of double effect]
NCEHC content
Non-VA content
EPERC Fast Fact and Concept
#008 - Morphine & Hastened Death
#156 - Evaluating Requests for Hastened Death
CMAJ Bioethics for Clinicians
Euthanasia and Assisted Suicide
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2.e Death and postmortem issues [determination of death, organ donation, autopsy, disposition of body or tissue, etc.]
NCEHC content
Practicing Medical Procedures on the Newly Dead (NET Summary November 2003)
Ethical Priority of Decedent's vs. Family's Wishes in Organ Donation (NET Summary July 2002)
Privacy Requirements During the Organ Donation Process (NET Summary January 2001)
Non-VA content
EPERC Fast Fact and Concept
#079 - Discussing organ donation with families
#004 - Death Pronouncement
#115 - Declaring Brain Death
AMA Virtual Mentor
Family Disagreement over Organ Donation
CMAJ Bioethics for Clinicians
Brain Death
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2.f Other
NCEHC content
Ethics Rounds: Appropriate Palliative Care? (news@vhaethics Spring 2001)
Palliative sedation -
The Ethics of Palliative Sedation (NEC Report March 2006)
National Ethics Committee Report: The Ethics of Palliative Sedation as a Therapy of Last Resort (NET Summary July 2006)
Terminal Sedation: An Open Discussion (NET Summary August 2002)
Non-VA content
EPERC Fast Fact and Concept
#106 - Controlled Sedation for Refractory Suffering - Part I
#152 - The Military History as a Vehicle for Exploring End of Life Care with Veterans
CMAJ Bioethics for Clinicians
Quality End of Life Care
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Patient Privacy and Confidentiality
Privacy
Confidentiality
Other
Overview
IntegratedEthics Online Learning Module: Patient Privacy and Confidentiality
3.a Privacy [protecting individuals' interests in maintaining personal space free of unwanted intrusions and in controlling data about themselves]
NCEHC content
Patients' Requests to Have Their Medical Records Amended (NET Summary May 2006)
The Ethical Challenges of Coordinating Mental Health Care Between VHA and DoD (NET Summary March 2006)
Privacy, Safety and Patient Social Security Numbers: Ethics Concerns (NET Summary July 2005)
Privacy, Safety, and Social Security Numbers (IN fOCUS February 2005)
Note: Since this IN fOCUS was published, VHA Directive 2005-029, Transfusion Verification and Identification Requirements for All Sites (July 1, 2005) has been issued. It requires that "all patients reporting for hospital admission or ambulatory procedure must be issued a patient identification wristband that contains the patient's full name, full social security number (SSN) and a bar code that displays the patient's full SSN."
Online Patient-Clinician Messaging: Fundamentals of Ethical Practice (NEC Report July 2004)
National Ethics Committee Report, Online Patient-Clinician Messaging: Fundamentals of Ethical Practice (NET Summary September 2004)
Ethics Rounds: Wristbands for DNR? (news@vhaethics Fall 2000)
Privacy Requirements During the Organ Donation Process (NET Summary January 2001)
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3.b Confidentiality [nondisclosure of information obtained as part of professional-patient relationship]
NCEHC content
May Clinicians Disclose Health Information Protected Under 38 U.S.C. §7332 to Surrogates? (Ethics Rx February 2006) *SUPERSEDED OR OUTDATED
The Ethical Challenges of Coordinating Mental Health Care Between VHA and DoD (NET Summary March 2006)
Shared Medical Appointments: Ethical Concerns (NET Summary October 2005)
The Ethical Duty to Protect Third Parties from Dangerous Patients (NET Summary April 2005)
Disclosing Patients' Protected Health Information to Surrogates (NEC Report February 2005)
Disclosing Patients' Protected Health Information (NET Summary February 2005) *SUPERSEDED OR OUTDATED
Consent for HIV Testing: Must the Patient's Signature on VA Form 10-0121 Be Witnessed? (Ethics Rx December 2004) *SUPERSEDED OR OUTDATED
Informed Consent for HIV Testing: Ethical Issues (NET Summary June 2004) *SUPERSEDED OR OUTDATED
Provider Reporting of Impaired or Potentially Impaired Drivers (NET Summary February 2002)
Non-VA content
UW Ethics in Medicine
Confidentiality
CMAJ Bioethics for Clinicians
Confidentiality
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3.c Other
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Professionalism in Patient Care
Conflicts of interest
Truth telling
Difficult patients
Cultural/religious sensitivity
Other
Overview
IntegratedEthics Online Learning Module, Professionalism in Patient Care
UW Ethics in Medicine
Professionalism
Physician-Patient Relationship
4.a Conflicts of interest [situations that may compromise the clinician's fiduciary duty to patients, including inappropriate business or personal relationships]
NCEHC content
VHA Handbook 1004.07 Financial Relationships Between VHA Health Care Professionals and Industry
VHA Handbook 1004.07: Financial Relationships Between VHA Health Care Professionals and the Pharmaceutical Industry (NET Summary November 24, 2009)
Compensation to Health Care Professionals from the Pharmaceutical Industry (NEC Report February 2006)
National Ethics Committee Report: Compensation to Health Care Professionals from the Pharmaceutical Industry (NET Summary February 2006)
Ethical Boundaries in the Patient-Clinician Relationship (NEC Report July 2003)
National Ethics Committee Report: Ethical Boundaries in the Patient Clinician Relationship (NET Summary September 2003)
Gifts to Health Care Professionals from the Pharmaceutical Industry (NEC Report October 2003)
National Ethics Committee Report: Gifts to Health Care Professionals from the Pharmaceutical Industry (NET Summary January 2004)
Ethics Rounds: Sale of House to a Patient? (news@vhaethics Winter 2001)
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4.b Truth telling [open and honest communication, including disclosing bad news, adverse events]
NCEHC content
Critical Thinking About Institutional Disclosure of Adverse Events to Patients (National Call August 2012)
Clinical and Institutional Disclosure of Adverse Events to Patients (National Call May 2012)
Audio file of Clinical and Institutional Disclosure of Adverse Events to Patients (National Call May 2012)
Disclosure of Adverse Events to Patients: Ethical and Policy Requirements (NET Summary February 2008)
Clinical Use of Placebo: An Ethics Analysis (NET Summary July 2004)
Disclosing Adverse Events to Patients (NEC Report March 2003)
National Ethics Committee Report: Disclosing Adverse Events to Patients (NET Summary April 2003)
Notification of Patients Potentially Exposed to Mad Cow Disease Through Prior Blood Transfusion: Testing the Limits of Full Disclosure (NET Summary April 2001)
VHA Handbook 1004.08 Disclosure of Adverse Events to Patients
Non-VA content
EPERC Fast Fact and Concept
#006 - Delivering Bad News, Part I
#011 - Delivering Bad News, Part II
#021 - Hope and Truth Telling
AMA Virtual Mentor
Medical Error Disclosure
UW Ethics in Medicine
Breaking Bad News
Truth Telling and Witholding Information
Mistakes
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4.c Difficult patients [clinician interactions with patients who are disruptive or who do not adhere to treatment plans/health care recommendations]
NCEHC content
Ethical Considerations That Arise When a Home Care Patient on Long Term Oxygen Therapy Continues to Smoke (March 2010)
Ethical Considerations in the use of Home Oxygen for Patients and/or Third Parties Who Smoke (NET Summary July 30, 2008)
Ethics and the Discharge Process: What to Consider When a Patient Prefers a Plan that the Team Believes is Unsafe (NET Summary May 28, 2008)
When Patients Refuse Treatment (IN fOCUS December 2005)
Ethical Considerations in Opioid Therapy for Chronic Pain (IN fOCUS April 2005)
Ethical Considerations in Opioid Therapy for Chronic Pain Management (NET Summary November 2005)
The Ethical Duty to Protect Third Parties from Dangerous Patients (NET Summary April 2005)
Ethics Rounds: Patient Refusal of Care by a Trainee (news@vhaethics Summer/Fall 2002)
Home Oxygen for Patients Who Smoke: Prescription vs. Proscription (NET Summary October 2001)
Managing 'Difficult' or 'Non-Compliant' Patients: Ethical Challenges (NET Summary September 2001)
Non-VA content
AMA Virtual Mentor
Who is Being Difficult? Addressing the Determinants of Difficult Patient-Physician Relationships
When a Nonadherent Patient Needs Your Care
Stigmatized Patients' Right to Equal Treatment
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4.d Cultural/religious sensitivity [clinician interactions with people of different ethnicity, religion, sexual orientation, gender, age, etc.]
NCEHC content
Cultures and Persons, Patients and Caregivers: Ethical Obligations and Culturally Competent Care (NET Summary August 2003)
An Ethical Analysis of Ethnic Disparities in Health Care (NEC Report August 2001)
An Ethical Analysis of Ethnic Disparities in Health Care (NET Summary December 2002)
Conscience -
The Conscience Clause (NET Summary June 2002)
Duty to Treat -
Influenza Pandemic Preparedness Planning: Ethics Concerns (NET Summary June 2006)
Best Practices: A Duty to Treat (news@vhaethics Fall 2003)
Health Care Ethics Issues Raised by SARS (NET Summary June 2003)
Ethics Rounds: Taking Risks to Protect Patients (news@vhaethics Fall 2003)
Disaster Medicine: Unique Ethical Challenges (NET Summary April 2002)
Non-VA content
EPERC Fast Fact and Concept
#120 - Physicians and Prayer Requests
UW Ethics in Medicine
Spirituality and Medicine
AMA Virtual Mentor
Ethics and Multiculturalism
Physician Values
Professional Demands and Religious Observance
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4.e Other
NCEHC content
The Place of Codes of Ethics in Ethics Consultation (NET Summary May 26, 2010)
IL 10-2010-02 January 13, 2010 Intimidating and Disruptive Behaviors That Undermine a Culture of Patient Safety
Best Practices: Teaching Ethics and Professionalism (news@vhaethics Summer/Fall 2002)
Miscellaneous -
Core Competencies for Health Care Ethics Consultation (NET Summary March 24, 2010)
The Interplay Between Patient Advocacy and Health Care Ethics (NET Summary March 25, 2009)
Moral Distress: How Can Ethics Consultants Respond? (NET Summary November 25, 2008)
Patients' Requests to Have Their Medical Records Amended (NET Summary May 2006)
Online Patient-Clinician Messaging: Fundamentals of Ethical Practice (NEC Report July 2004)
National Ethics Committee Report, Online Patient-Clinician Messaging: Fundamentals of Ethical Practice (NET Summary September 2004)
Pain/suffering -
Non-VA content
AMA Virtual Mentor
Self-Regulation
Impaired Physicians
Peer Reporting
"Competent and Irrascible"
Protection for Conscientious Objection
Obligation to Provide Services
UW Ethics in Medicine
Student Issues
Interdisciplinary Team Issues
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Ethical Practices in Resource Allocation
Systems level (macroallocation)
Individual level (microallocation)
Other
Overview
IntegratedEthics Online Learning Module, Ethical Practices in Resource Allocation
5.a Systems level (macroallocation) [how well the facility demonstrates fairness in allocating resources across programs and services]
NCEHC content
Meeting the Challenge of Pandemic Influenza: Ethical Guidance for Leaders and Health Care Professionals in the Veterans Health Administration (VHA) (July 2010)
VA FACT SHEET FOR HEALTH CARE STAFF: Meeting the Ethical Challenges of a Severe Pandemic Influenza
Ethical Considerations for Resource Allocation in Health Care (NET Summary May 27, 2009 and June 30, 2009)
Influenza Pandemic Preparedness Planning: Ethics Concerns (NET Summary June 2006)
STAFF DISCUSSION FORUM MATERIALS: Ethical Issues in Pandemic Influenza Preparedness and Response – Material to Guide Staff Discussions
Tough Decisions: Preparing VA for the Ethical Challenges of Pandemic Influenza
Policy Perspectives: The Administrator's Dilemma (news@vhaethics Fall 2003)
Foglia MB, Pearlman RA, Bottrell MM, Altemose JA, Fox E. Priority Setting and the Ethics of Resource Allocation within VA Healthcare Facilities: Results of a Survey. Organizational Ethics. 2008 Fall-Winter;4(2):83-96. (based on research conducted as part of the IESS).
Non-VA content
The Hastings Center
" The Five People You Meet in a Pandemic - and What They Need from You Today"
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5.b Individual level (microallocation) [how well the facility demonstrates fairness in allocating resources to individual patients or staff]
NCEHC content
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5.c Other
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Ethical Practices in Business and Management
Leadership
Human resources
Business integrity
Other
Overview
6.a Leadership [behaviors of leaders in support of an ethical environment and culture]
NCEHC content
Non-VA content
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6.b Human resources [supervisory support for an ethical environment and culture through the high performance management system]
NCEHC content
Non-VA content
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6.c Business integrity [practices that support oversight of business practices, compliance with legal and ethical standards, and promotion of business quality and integrity]
NCEHC content
Copying, Pasting, and Duplicating in the Electronic Medical Record: An Ethical Analysis (NET Summary February 2004)
The Relationship Between Ethics and Compliance and Business Integrity (NET Summary July 2001)
Legal Briefs: Integrating Documentation, Compliance, and Ethics (news@vhaethics Spring 2002)
Integrating Ethics with Compliance. Council of Ethical Organizations. Compliance Case Study Library 1999:60-76. Oak J.
Non-VA content
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6.d Other
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Ethical Practices in Government Service
Government ethics rules and laws
Other
Overview
7.a Government ethics rules and laws [ethics rules, policies or standards of conduct that apply to federal government employees (e.g., bribery, nepotism, gift and travel rules)]
Legal Briefs: Health Care Ethics vs. Government Ethics (news@vhaethics Winter 2001)
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7.b Other
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Ethical Practices in the Everyday Workplace
Respect and dignity
Ethical climate
Other
Overview
8.a Respect and dignity [e.g., employee privacy, personal safety, respect for diversity]
NCEHC content
Non-VA content
AMA Virtual Mentor
Problem Peers
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8.b Ethical climate [e.g., openness of ethics discussion, perceived pressure to engage in unethical conduct]
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8.c Other
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Ethical Practices in Research
Informed consent
Other
Overview
9.a Informed consent [providing information to the research subject or surrogate, ensuring that the decision is voluntary, and documenting the decision]
NCEHC content
Sharing Aggregate Research Results with Participants (IN fOCUS March 2009)
Best Practices: Informed Consent for Research (news@vhaethics Winter 2002)
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9.b Other
NCEHC content
Genetics/genomics -
The Ethics of Tissue Banking for Future Genetic Research (NET Summary July 2003)
Quality Improvement -
Recommendations for the Ethical Conduct of Quality Improvement (NEC Report May 2002)
Recommendations for the Ethical Conduct of Quality Improvement (NET Summary September 2002)
Ethics Rounds: A Case of Quality Improvement (news@vhaethics Winter 2002)
Miscellaneous-
Ethical Considerations in the Report of a Work Group on Post Traumatic Stress Disorder (PTSD) and Vulnerable Populations in Research (NET Summary February 2009) Final Report from the PTSD work group
Access to VA Databases for Research Purposes (NET Summary February 2001)
Legal Briefs: The HIPAA Privacy Rule and its Impact on Research (news@vhaethics Winter 2002)
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