Patient safety and ethics are interrelated concepts. Clinical ethics is similar to other clinical practices and can be evaluated and improved using basic quality improvement principles. Distilling ethical issues clinically can be facilitated by identifying specific elements of safety and how they are affected by the ethical concerns. In addition, promoting patient safety rests on core ethical principles ubiquitous in medicine—the professional duties to provide benefit and prevent harm. Tying these ethical principles to quality and safety analysis has been a strong motivator in quality and safety improvement. Further, describing safety issues in terms of ethical responsibilities has the potential to motivate individual providers to improve quality and safety within their personal practice.
KeywordsPatient Safety Disruptive Behavior Advance Directive Clinical Ethic Safety Practice
- 1.Beachamp TL, Childress JF. Principles of biomedical ethics. 4th ed. New York, NY: Oxford University Press; 1994.Google Scholar
- 2.Cruzan v. Director, Missouri Department of Health. 1990; 497 U.S. 261.Google Scholar
- 4.Institute of Medicine. Crossing the quality chasm: a New Health System for the 21st century. Washington, DC: National Academy Press; 2001.Google Scholar
- 7.Greer, GW. Circuit Judge (2000-02-11). “In re: the guardianship of Theresa Marie Schiavo, Incapacitated, File No. 90-2908GD-003”. Florida Sixth Judicial Circuit. Retrieved 2006-01-08. p. 9–10.Google Scholar
- 10.ACGME Core Competencies Definitions. Available at http://www.gahec.org/cme/Liasions/0)ACGME%20Core%20Competencies%20Definitions.htm. Accessed 13 Jul 2013.
- 11.American Medical Association, Code of Medical Ethics, Opinion 9.045 Physicians with Disruptive Behavior. Available at http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/opinion9045.page. Accessed 22 Apr 2012.
- 12.American medical Association, Code of Medical Ethics, Principles of Medical Ethics. Available at http://www.ama-assn.org/ama/pub/physician-resources/medical-ethics/code-medical-ethics/principles-medical-ethics.page? Accessed 1 July 2012.
- 13.The Joint Commission. Core Measure Sets. Available at http://www.jointcommission.org/core_measure_sets.aspx. Accessed 13 Jul 2013.
- 14.Medicare process of Care Measures see http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalProcessOfCareMeasures.html (last accessed 22 Apr 2012) and for Medicare Outcome Measures see http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/OutcomeMeasures.html. Last accessed 22 Apr 2012.
- 15.Guideline for hand hygiene in health-care settings. Available at http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5116a1.htm. Accessed 13 Jul 2013.
- 16.Center for Innovation in Quality Patient Care, Johns Hopkins Medicine. Available at http://www.hopkinsmedicine.org/innovation_quality_patient_care/areas_expertise/infections_complications/hand_hygiene/. Accessed 13 Jul 2013.
- 18.McDonald O. Disruptive physician behavior. QuantiaMD and American College of Physician Executives; 2011. Available at https://www.quantiamd.com/home/qrc_disruptive. Accessed 22 Apr 2012.
- 19.Institute of Medicine. To err is human. Washington, DC: National Academy Press; 2000.Google Scholar