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  1. 1. Ethics in qualityimprovementCalle LindénEmily MooreThe Dinh Thi
  2. 2. Heart Failure• Ethics of readmission for elderly patients• 75-85 years• heart failure NYHA Class II-IV• telephone support and discharge education• The cost-effectiveness in healthcare
  3. 3. To help interveners havingsuitable decisions Respect for persons Addressing conflict of Justice interest patients Beneficence Diversity & non- maleficence Integrity
  4. 4. Values of medical ethics• Autonomy - the patient has the right to refuse or choose their treatment.• Beneficence - a practitioner should act in the best interest of the patient.• Non-maleficence - "first, do no harm".• Justice - concerns the distribution of scarce health resources, and the decision of who gets what treatment (fairness and equality).• Dignity - the patient (and the person treating the patient) have the right to dignity.• Truthfulness and honesty –
  5. 5. • To meet patient expectations• To address the health needs of the community• To enhance the quality care• To foster professionalism• To improve the organization s culture and practices
  6. 6. What components make upcost in healthcare?• Direct costs Medical: drugs, staff-time, equipment. Patient: transport, out-of pocket expenses. Cost in Productivity costs Intangibilities: healthcare Pain, suffering…
  7. 7. Ethics in healthcare• Ethical standards promote the aim of medical care to alleviate suffering.• Medical care is built on the communication between medical workers on one side and patients and/or patients’ families on another side.• Ethical standards will help to build public support for medical care.• Health and medical care typically involve different medical workers from a variety of disciplines.
  8. 8. Ethical Problems for HeartFailure Patients • Costs • Unnecessary medical services • Fees for medical services • Balancing practice economics with patient need- improving health along with financial realities of running ahospital or health service
  9. 9. References• Morgan, L., (2006). Hasting center report on Ethics of Quality Improvement.• Anne Mart Oostheizen, Silvia Pera, Dirk van der Wal. (2011). (3rd ed). Ethics in Healthcare.• Sheila, M., (2006). First do no harm: Law, Ethics & Healthcare.• Batter, K. (2001). Ethics issues in advanced nursing practice. Edinburgh: Elsevier science limited.• LAO. Providing Constitutional and Cost-Effective Inmate Medical Care. Taylor, M. Legislative Analyst. April 19, 2012.• Brent C. James, M.D. (1989). Quality Management for Health care delivery.• Aastha , D. (2012). Ethical Issues in Healthcare. ethics.html
  10. 10. References• AMA. (1994). Opinion 6.05 - Fees for medical services. Retrieved from resources/medical-ethics/code-medical- ethics/• WMA. (2006). WMA international code of medical ethics. Retrieved from• AMA. (1994).AMA’s code of medical ethics. Retrieved from resources/medical-ethics/• Medellin, G. (2011). Balancing practice economics with patient need. Retrieved from http://virtualmentor.ama-
  11. 11. Search Process• Established the common ethical values and principles in healthcare• Applied these values to our problem• Used academic data bases and government websites to direct our searches
  12. 12. Collaboration Process• Divided up ethical problems to research among group members• Met up and combined powerpoint slides