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Robert A. Pearlman [22]Robert Allan Pearlman [3]
  1. Ethics consultation in united states hospitals: A national survey.Ellen Fox, Sarah Myers & Robert A. Pearlman - 2007 - American Journal of Bioethics 7 (2):13 – 25.
    Context: Although ethics consultation is commonplace in United States (U.S.) hospitals, descriptive data about this health service are lacking. Objective: To describe the prevalence, practitioners, and processes of ethics consultation in U.S. hospitals. Design: A 56-item phone or questionnaire survey of the "best informant" within each hospital. Participants: Random sample of 600 U.S. general hospitals, stratified by bed size. Results: The response rate was 87.4%. Ethics consultation services (ECSs) were found in 81% of all general hospitals in the U.S., and (...)
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  2.  37
    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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  3.  73
    Quality Attestation for Clinical Ethics Consultants: A Two‐Step Model from the American Society for Bioethics and Humanities.Eric Kodish, Joseph J. Fins, Clarence Braddock, Felicia Cohn, Nancy Neveloff Dubler, Marion Danis, Arthur R. Derse, Robert A. Pearlman, Martin Smith, Anita Tarzian, Stuart Youngner & Mark G. Kuczewski - 2013 - Hastings Center Report 43 (5):26-36.
    Clinical ethics consultation is largely outside the scope of regulation and oversight, despite its importance. For decades, the bioethics community has been unable to reach a consensus on whether there should be accountability in this work, as there is for other clinical activities that influence the care of patients. The American Society for Bioethics and Humanities, the primary society of bioethicists and scholars in the medical humanities and the organizational home for individuals who perform CEC in the United States, has (...)
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  4.  67
    A Pilot Evaluation of Portfolios for Quality Attestation of Clinical Ethics Consultants.Joseph J. Fins, Eric Kodish, Felicia Cohn, Marion Danis, Arthur R. Derse, Nancy Neveloff Dubler, Barbara Goulden, Mark Kuczewski, Mary Beth Mercer, Robert A. Pearlman, Martin L. Smith, Anita Tarzian & Stuart J. Youngner - 2016 - American Journal of Bioethics 16 (3):15-24.
    Although clinical ethics consultation is a high-stakes endeavor with an increasing prominence in health care systems, progress in developing standards for quality is challenging. In this article, we describe the results of a pilot project utilizing portfolios as an evaluation tool. We found that this approach is feasible and resulted in a reasonably wide distribution of scores among the 23 submitted portfolios that we evaluated. We discuss limitations and implications of these results, and suggest that this is a significant step (...)
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  5.  22
    Military Metaphors in Health Care: Who Are We Actually Trying to Help?Tyler P. Tate & Robert A. Pearlman - 2016 - American Journal of Bioethics 16 (10):15-17.
  6.  56
    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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  7.  76
    Caring for Patients in Cross‐Cultural Settings.Nancy S. Jecker, Joseph A. Carrese & Robert A. Pearlman - 1995 - Hastings Center Report 25 (1):6-14.
    A caregiver from the dominant U.S. culture and a patient from a very different culture can resolve cross‐cultural disputes about treatment, not by compromising important values, but by focusing on the patient's goals.
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  8.  25
    Do Physicians’ Own Preferences for Life-Sustaining Treatment Influence Their Perceptions of Patients’ Preferences?Lawrence J. Schneiderman, Robert M. Kaplan, Robert A. Pearlman & Holly Teetzel - 1993 - Journal of Clinical Ethics 4 (1):28-33.
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  9. Contributions of empirical research to medical ethics.Robert A. Pearlman, Steven H. Miles & Robert M. Arnold - 1993 - Theoretical Medicine and Bioethics 14 (3).
    Empirical research pertaining to cardiopulmonary resuscitation (CPR), clinician behaviors related to do-not-resuscitate (DNR) orders and substituted judgment suggests potential contributions to medical ethics. Research quantifying the likelihood of surviving CPR points to the need for further philosophical analysis of the limitations of the patient autonomy in decision making, the nature and definition of medical futility, and the relationship between futility and professional standards. Research on DNR orders has identified barriers to the goal of patient involvement in these life and death (...)
     
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  10.  8
    Integrating Ethics and Patient Safety: The Role of Clinical Ethics Consultants in Quality Improvement.Robert A. Pearlman, Benjamin S. Wilfond, Douglas S. Diekema, Dena Brownstein & Douglas J. Opel - 2009 - Journal of Clinical Ethics 20 (3):221-227.
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  11.  25
    Ethics consultation in US hospitals: A national survey.Ellen Fox, Sarah Myers & Robert A. Pearlman - forthcoming - Bioethics.
  12.  31
    Insights Pertaining to Patient Assessments of States Worse than Death.Robert A. Pearlman, Kevin C. Cain, Donald L. Patrick, M. Appelbaum-Maizel, H. E. Starks, N. S. Jecker & R. F. Uhlmann - 1993 - Journal of Clinical Ethics 4 (1):33-41.
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  13.  26
    Response to Open Peer Commentaries on "Ethics Consultation in U.S. Hospitals: A National Survey".Ellen Fox, Sarah Myers & Robert A. Pearlman - 2007 - American Journal of Bioethics 7 (2):1-3.
    Context: Although ethics consultation is commonplace in United States hospitals, descriptive data about this health service are lacking. Objective: To describe the prevalence, practitioners, and processes of ethics consultation in U.S. hospitals. Design: A 56-item phone or questionnaire survey of the “best informant” within each hospital. Participants: Random sample of 600 U.S. general hospitals, stratified by bed size. Results: The response rate was 87.4%. Ethics consultation services were found in 81% of all general hospitals in the U.S., and in 100% (...)
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  14.  20
    Integrating Ethics and Patient Safety: The Role of Clinical Ethics in Quality Improvment (vol 20, pg 220, 2009).Douglas J. Opel, Dena Brownstein, Douglas S. Diekema, Benjamin S. Wilfond & Robert A. Pearlman - 2009 - Journal of Clinical Ethics 20 (4):370-370.
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  15.  25
    Spousal Understanding of Patient Quality of Life: Implications for Surrogate Decisions.Robert A. Pearlman, Richard F. Uhlmann & Nancy S. Jecker - 1992 - Journal of Clinical Ethics 3 (2):114-121.
  16.  3
    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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  17.  2
    Insights Pertaining to Patient Assessments of States Worse than Death.Robert A. Pearlman, K. C. Cain, D. L. Patrick, H. E. Starks, M. Appelbaum-Maezel, N. S. Jecker & R. F. Uhlmann - 1993 - Journal of Clinical Ethics 4 (1):33-41.
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  18.  23
    Provoking Nonepileptic Seizures: The Ethics of Deceptive Diagnostic Testing.Jeffrey H. Burack, Anthony L. Back & Robert A. Pearlman - 1997 - Hastings Center Report 27 (4):24-33.
    The use of deception in medical care is highly suspect in this country. Yet there is one condition for which deception is often used as a diagnostic tool. Nonepileptic seizures, a psychiatric condition in which emotional or psychological conflicts manifest themselves unconsciously through bodily symptoms, are currently diagnosed by a procedure called “provocative saline infusion.” The test is fundamentally deceptive, requiring the physician to intentionally and directly lie to the patient, causing the patient to believe that the administered solution caused (...)
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  19.  34
    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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  20.  11
    Bioethics: an introduction to the history, methods, and practice.Nancy Ann Silbergeld Jecker, Albert R. Jonsen & Robert A. Pearlman (eds.) - 2012 - Sudbury, MA: Jones and Bartlett Publishers.
    Part III: Now presents solely, clinical ethics. --.
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  21.  26
    Are We Asking the Right Questions?Robert Allan Pearlman - 1994 - Hastings Center Report 24 (6):24-27.
  22.  16
    Introduction to the Practice of Bioethics.Robert A. Pearlman - forthcoming - Bioethics.
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  23.  25
    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.
  24. Substitute decision making.Robert A. Pearlman - 2008 - In Peter A. Singer & A. M. Viens (eds.), The Cambridge textbook of bioethics. New York: Cambridge University Press. pp. 155--58.
     
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  25.  11
    The Value of an Oath of Professional Conduct: Process, Content, or Both?Robert Allan Pearlman - 1990 - Journal of Clinical Ethics 1 (4):292-293.
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