Planning for scarcity: Developing a hospital ventilator allocation policy for Covid-19
| Autor: | Katherine Drabiak, Douglas Ross, Shannon Robb, Alex Garcia-Gonzalez, Emily Ferrell, John Dietrick, Brad Bjornstad, Azzat Ali, Salman Ahmed, Mary Alfano-Torres, Mary M Foley |
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| Rok vydání: | 2021 |
| Předmět: |
2019-20 coronavirus outbreak
Coronavirus disease 2019 (COVID-19) Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) media_common.quotation_subject Medicine (miscellaneous) 030208 emergency & critical care medicine medicine.disease Scarcity 03 medical and health sciences Philosophy Issues ethics and legal aspects 0302 clinical medicine medicine 030212 general & internal medicine Business Medical emergency media_common Ethical code |
| Zdroj: | Clinical Ethics. 17:198-204 |
| ISSN: | 1758-101X 1477-7509 |
| DOI: | 10.1177/14777509211016287 |
| Popis: | Objective To develop an ethically, legally, and clinically appropriate ventilator allocation policy for AdventHealth Tampa and AdventHealth Carrollwood in Tampa, Florida, which could be enacted swiftly during the Covid-19 pandemic. Methods During Spring 2020, a subcommittee of the Medical Ethics Committee established consensus on the fundamental principles of the policy, then built on existing ethical, legal, and clinical guidance. Results The plan was finalized in May 2020. The plan triages patients based on exclusion criteria (imminent mortality), prognosis and expected benefit of ventilation (using the Sequential Organ Failure Assessment), and change in prognosis over time. Decisions are made by committee in order to minimize moral distress among individual patient care providers. Conclusions Due to international concerns about healthcare resource shortages during the Covid-19 pandemic, hospitals need allocation policies informed by the crisis standard of care, the hospital’s ethical duty to plan for an emergency, and federal civil rights laws Policy Implications: This type of policy can serve as a model for other institutions to develop crisis standards of care resource allocation policies, which are a necessary component of disaster planning. |
| Databáze: | OpenAIRE |
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