Ethics consultation requests after implementation of an electronic health record order Journal Article
| Authors: | Marathe, P. H.; Zhang, H.; Blackler, L.; Stetson, P. D.; Voigt, L. P.; Friedman, D. N. |
| Article Title: | Ethics consultation requests after implementation of an electronic health record order |
| Abstract: | PURPOSE:As the role of clinical ethics consultation in health care advances, there are calls to standardize the process of consultation. The Ethics Committee at Memorial Sloan Kettering Cancer Center (MSK) hypothesized that the process of requesting an ethics consultation could be improved by instituting an electronic health record (EHR) order for consultation requests. This report summarizes the impact of adopting an EHR order for ethics consultation requests at MSK.METHODS:This retrospective review of all clinical ethics consultations requested at a tertiary cancer center from May 2017 to February 2020 spans 17 months before and after implementation of an electronic order for consultation requests. Summary statistics are presented using Pearson chi-square analyses with a significance level of 0.05.RESULTS:There was a significant increase in the total number of consultation requests placed after implementation of the EHR order (n = 165, 0.08% of total patients) compared with before (n = 108, 0.05% of total patients; P =.007). The number of consults requested by providers from inpatient (P =.02) and outpatient (P =.04) settings significantly increased. The proportion of consults placed by medical versus nonmedical providers remained unchanged (P =.32).CONCLUSION:In this large single-institution retrospective study, implementation of an EHR order for ethics consultation requests was associated with a significant increase in the number of consultation requests. Implementation of an electronic order may decrease barriers to ethics consultation in diverse practice settings. Further longitudinal, multicenter studies are needed to assess strategies to improve access to clinical ethics consultation for oncology patients. © American Society of Clinical Oncology. |
| Keywords: | adult; retrospective studies; major clinical study; retrospective study; cancer center; multicenter study; outpatient; consultation; medical ethics; health care delivery; delivery of health care; professional standard; ethics; electronic health records; ethics consultation; humans; human; male; female; article; electronic health record; ethics committees |
| Journal Title: | JCO Oncology Practice |
| Volume: | 18 |
| Issue: | 9 |
| ISSN: | 2688-1527 |
| Publisher: | American Society of Clinical Oncology |
| Date Published: | 2022-09-01 |
| Start Page: | e1505 |
| End Page: | e1512 |
| Language: | English |
| DOI: | 10.1200/op.22.00174 |
| PUBMED: | 35749678 |
| PROVIDER: | scopus |
| PMCID: | PMC9509102 |
| DOI/URL: | |
| Notes: | Article -- Export Date: 1 November 2022 -- Source: Scopus |
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