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  1.  22
    Ethics Consultation Quality Assessment Tool: A Novel Method for Assessing the Quality of Ethics Case Consultations Based on Written Records.Robert A. Pearlman, Mary Beth Foglia, Ellen Fox, Jennifer H. Cohen, Barbara L. Chanko & Kenneth A. Berkowitz - 2016 - American Journal of Bioethics 16 (3):3-14.
    Although ethics consultation is offered as a clinical service in most hospitals in the United States, few valid and practical tools are available to evaluate, ensure, and improve ethics consultation quality. The quality of ethics consultation is important because poor quality ethics consultation can result in ethically inappropriate outcomes for patients, other stakeholders, or the health care system. To promote accountability for the quality of ethics consultation, we developed the Ethics Consultation Quality Assessment Tool. ECQAT enables raters to assess the (...)
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  2.  4
    Between Usual and Crisis Phases of a Public Health Emergency: The Mediating Role of Contingency Measures.David Alfandre, Virginia Ashby Sharpe, Cynthia Geppert, Mary Beth Foglia, Kenneth Berkowitz, Barbara Chanko & Toby Schonfeld - 2021 - American Journal of Bioethics 21 (8):4-16.
    Much of the sustained attention on pandemic preparedness has focused on the ethical justification for plans for the “crisis” phase of a surge when, despite augmentation efforts, the demand for life...
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  3.  43
    Ethical Challenges Within Veterans Administration Healthcare Facilities: Perspectives of Managers, Clinicians, Patients, and Ethics Committee Chairpersons.Mary Beth Foglia, Robert A. Pearlman, Melissa Bottrell, Jane K. Altemose & Ellen Fox - 2009 - American Journal of Bioethics 9 (4):28-36.
    To promote ethical practices, healthcare managers must understand the ethical challenges encountered by key stakeholders. To characterize ethical challenges in Veterans Administration (VA) facilities from the perspectives of managers, clinicians, patients, and ethics consultants. We conducted focus groups with patients (n = 32) and managers (n = 38); semi-structured interviews with managers (n = 31), clinicians (n = 55), and ethics committee chairpersons (n = 21). Data were analyzed using content analysis. Managers reported that the greatest ethical challenge was fairly (...)
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  4.  13
    Health Disparities among LGBT Older Adults and the Role of Nonconscious Bias.Mary Beth Foglia & Karen I. Fredriksen-Goldsen - 2014 - Hastings Center Report 44 (s4):40-44.
    This paper describes the significance of key empirical findings from the recent and landmark study Caring and Aging with Pride: The National Health, Aging and Sexuality Study (with Karen I. Fredriksen‐Goldsen as the principal investigator), on lesbian, gay, bisexual, and transgender aging and health disparities. We will illustrate these findings with select quotations from study participants and show how nonconscious bias (i.e., activation of negative stereotypes outside conscious awareness) in the clinical encounter and health care setting can threaten shared decision‐making (...)
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  5.  15
    The Time Is Now: Bioethics and LGBT Issues.Tia Powell & Mary Beth Foglia - 2014 - Hastings Center Report 44 (s4):2-3.
    Our goal in producing this special issue is to encourage our colleagues to incorporate topics related to LGBT populations into bioethics curricula and scholarship. Bioethics has only rarely examined the ways in which law and medicine have defined, regulated, and often oppressed sexual minorities. This is an error on the part of bioethics. Medicine and law have served in the past as society's enforcement arm toward sexual minorities, in ways that robbed many people of their dignity. We feel that bioethics (...)
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  6. Training to Increase Rater Reliability When Assessing the Quality of Ethics Consultation Records with the Ethics Consultation Quality Assessment Tool (ECQAT).Kenneth A. Berkowitz, Mary Beth Foglia, Barbara L. Chanko, David Alfandre & Robert Allan Pearlman - 2018 - Journal of Clinical Ethics 29 (4):276-284.
    The Ethics Consultation Quality Assessment Tool (ECQAT) establishes standards by which the quality of ethics consultation records (ECRs) can be assessed. These standards relate to the ethics question, consultation-specific information, ethical analysis, and recommendations and/or conclusions, and result in a score associated with one of four levels of ethics consultation quality. For the ECQAT to be useful in assessing and improving the quality of healthcare ethics consultations, individuals who rate the quality of ECRs need to be able to reliably use (...)
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  7.  19
    Response to Open Peer Commentaries on “Ethics Consultation Quality Assessment Tool: A Novel Method for Assessing the Quality of Ethics Case Consultations Based on Written Records”.Robert A. Pearlman, Mary Beth Foglia, Jennifer H. Cohen, Barbara L. Chanko & Kenneth A. Berkowitz - 2016 - American Journal of Bioethics 16 (3):1-2.
  8.  10
    Ethical Leadership and Employees’ Perceptions About Raising Ethical Concerns to Managers in the Veterans Health Administration.Mary Beth Foglia & Jennifer Hadary Cohen - 2019 - AJOB Empirical Bioethics 10 (3):155-163.
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  9.  22
    Response to Open Peer Commentaries for “Ethical Challenges Within Veterans Administration Healthcare Facilities: Perspectives of Managers, Clinicians, Patients, and Ethics Committee Chairpersons”.Mary Beth Foglia, Robert A. Pearlman, Melissa Bottrell, Jane K. Altemose & Ellen Fox - 2009 - American Journal of Bioethics 9 (4):3-4.
    To promote ethical practices, healthcare managers must understand the ethical challenges encountered by key stakeholders. To characterize ethical challenges in Veterans Administration facilities from the perspectives of managers, clinicians, patients, and ethics consultants. We conducted focus groups with patients and managers ; semi-structured interviews with managers, clinicians, and ethics committee chairpersons. Data were analyzed using content analysis. Managers reported that the greatest ethical challenge was fairly distributing resources across programs and services, whereas clinicians identified the effect of resource constraints on (...)
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  10.  4
    Implementing VA’s Authoritative Ethical Guidance in a Pandemic.Toby Schonfeld, David Alfandre, Kenneth Berkowitz, Barbara Chanko, Mary Beth Foglia & Cynthia Geppert - 2020 - American Journal of Bioethics 20 (7):145-147.
    Volume 20, Issue 7, July 2020, Page 145-147.
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  11.  7
    A Quality Improvement Approach to Improving Informed Consent Practices in Pediatric Research.Mary Beth Foglia, Halle Showalter Salas & Douglas S. Diekema - 2009 - Journal of Clinical Ethics 20 (4):343-352.
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