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  1.  12
    Developing and Testing a Checklist to Enhance Quality in Clinical Ethics Consultation.Martin L. Smith, Ruchi Sanghani, Anne Lederman Flamm, Margot M. Eves, Susannah L. Rose & Lauren Sydney Flicker - 2014 - Journal of Clinical Ethics 25 (4):281-290.
    Checklists have been used to improve quality in many industries, including healthcare. The use of checklists, however, has not been extensively evaluated in clinical ethics consultation. This article seeks to fill this gap by exploring the efficacy of using a checklist in ethics consultation, as tested by an empirical investigation of the use of the checklist at a large academic medical system (Cleveland Clinic). The specific aims of this project are as follows: (1) to improve the quality of ethics consultations (...)
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  2.  10
    Emerging Roles of Clinical Ethicists.Margot M. Eves, David M. Chooljian, Susan McCammon, Debjani Mukherjee, Emma Tumilty & Jeffrey S. Farroni - 2019 - Journal of Clinical Ethics 30 (3):262-269.
    Debates regarding clinical ethicists’ scope of practice are not novel and will continue to evolve. Rapid changes in healthcare delivery, outcomes, and expectations have necessitated flexibility in clinical ethicists’ roles whereby hospital-based clinical ethicists are expected to be woven into the institutional fabric in a way that did not exist in more traditional relationships. In this article we discuss three emerging roles: the ethicist embedded in the interdisciplinary team, the ethicist with an expanded educational mandate, and the ethicist as a (...)
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  3.  51
    “Systematizing” Ethics Consultation Services.Courtenay R. Bruce, Margot M. Eves, Nathan G. Allen, Martin L. Smith, Adam M. Peña, John R. Cheney & Mary A. Majumder - 2015 - HEC Forum 27 (1):35-45.
    While valuable work has been done addressing clinical ethics within established healthcare systems, we anticipate that the projected growth in acquisitions of community hospitals and facilities by large tertiary hospitals will impact the field of clinical ethics and the day-to-day responsibilities of clinical ethicists in ways that have yet to be explored. Toward the goal of providing clinical ethicists guidance on a range of issues that they may encounter in the systematization process, we discuss key considerations and potential challenges in (...)
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  4.  21
    Incarcerated Patients and Equitability: The Ethical Obligation to Treat Them Differently.Margot M. Eves & Lisa Fuller - 2017 - Journal of Clinical Ethics 28 (4):308-313.
    Prisoners are legally categorized as a vulnerable group for the purposes of medical research, but their vulnerability is not limited to the research context. Prisoner-patients may experience lower standards of care, fewer options for treatment, violations of privacy, and the use of inappropriate surrogates as a result of their status. This case study highlights some of the ways in which a prisoner-patient’s vulnerable status impacted the care he received. The article argues the following: (1) Prisoner-patients are entitled to the same (...)
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  5.  6
    “She Just Doesn’t Know Him Like We Do”: Illuminating Complexities in Surrogate Decision Making.Bryn S. Esplin & Margot M. Eves - 2015 - Journal of Clinical Ethics 26 (4):350-354.
    When patients are not able to speak for themselves, surrogate decision makers are asked to guide treatment decisions and formulate a plan of care in accordance with what the patients would have wanted. This necessitates an exploration into the patients’ views about life and how it should be lived, how the patients constructed their identity or life story, and their attitudes towards sickness and suffering. When an individual appoints a surrogate, such as a healthcare power of attorney, a common presumption (...)
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  6.  44
    Conflicting Values: A Case Study in Patient Choice and Caregiver Perspectives.Margot M. Eves, Phoebe Day Danziger, Ruth M. Farrell & Cristie M. Cole - 2015 - Narrative Inquiry in Bioethics 5 (2):167-178.
    Decisions related to births in the “gray zone” of periviability are particularly challenging. Despite published management guidelines, clinicians and families struggle to negotiate care management plans. Stakeholders must reconcile conflicting values in the context of evolving circumstances with a high degree of uncertainty within a short time period. Even skilled clinicians may struggle to guide the patient in making value–laden decisions without imposing their own values. Exploring the experiences of one pregnant woman and her caregivers, this case study highlights how (...)
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  7.  9
    Discomfort as a Catalyst: An Ethical Analysis of Donation after Cardiac Death in a Patient with Locked-In Syndrome.Margot M. Eves & Bethany Bruno - 2018 - Journal of Clinical Ethics 29 (4):313-318.
    Donation after cardiac death (DCD) traditionally occurs in two patient populations: (1) those who do not meet neurological death criteria but who have suffered severe neurological damage, and (2) those who are fully alert and awake but are dependent on machines. This case highlights the unique dilemma when a patient falls between these two populations—conscious and cognitively intact, but completely paralyzed except for limited eye movement, afflicted by what the medical community refers to as locked-in syndrome. Prompted by the treatment (...)
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  8.  5
    Improving Real-World Innovation and Problem Solving in Clinical Ethics: Insights from the First Clinical Ethics Un-Conference.Paul J. Ford, Margot M. Eves, Jane Jankowski, Bethany Bruno & Hilary Mabel - 2021 - Journal of Clinical Ethics 32 (4):331-342.
    Despite an abundance of academic conferences, clinical ethicists lacked a forum to share innovative practices with peers and to generate solutions to common challenges. Organizers of the first Clinical Ethics Un-Conference developed a working event centered on active participation and problem solving through peer learning, with the goal of improving realworld practice. Registrants included 95 individuals from 64 institutions. Attendees were surveyed immediately after the Un-Conference, and again eight months later. After eight months, 85 percent (n = 33/39) of the (...)
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  9.  3
    Developing a Standardized Ethics Consultation Note Template Based on the Formatting Preferences of Stakeholders.Hilary Mabel, Patricia A. Mayer, Laura J. Hoeksema & Margot M. Eves - 2021 - Journal of Clinical Ethics 32 (4):322-330.
    Effective documentation is considered a core competency for clinical ethics consultation. Ethics consultants within the Cleveland Clinic in Cleveland, Ohio, observed variation in the formatting of ethics chart notes across consultants and realized that this formatting was based on their own views of effectiveness. To minimize variation and optimize the readability and understandability of ethics chart notes for end users, a team undertook a quality improvement project to assess the formatting preferences of healthcare professionals who rely on ethics consultation notes. (...)
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