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Preventive Ethics



Addressing Ethics Quality Gaps on a Systems Level

The Preventive Ethics component of IntegratedEthics®(IE) tackles recurring ethical concerns by applying quality improvement methods to identify and address ethics gaps on a systems level.

The IE model address chronic and recurrent ethical issues systemically, using a step-by-step quality improvement approach called ISSUES that includes the following:

Social worker and patient

Identify an Issue 
Study the Issue
Select a Strategy
Undertake a Plan
Evaluate and Adjust
Sustain and Spread  



Preventive Ethics: Addressing Ethics Quality Gaps on a Systems Level - The primer provides an introduction to preventive ethics and outlines a step-by-step approach to improving systems and processes that influence ethics practices in a health care organization

Foglia MB, Fox E, Chanko B, Bottrell MM. Preventive Ethics: Addressing Ethics Quality Gaps on a Systems Level. Joint Commission Journal on Quality and Patient Safety. 2012;38(3):103-11. Epub 2012/03/23.

IntegratedEthics Policy (VHA Handbook 1004.06


Preventive Ethics: Addressing Ethics Quality Gaps on a Systems Level Video - 45-minute, interactive video to teach viewers how to apply principles of quality improvement to proactively address ethics issues on a systems level.


Preventive Ethics core tools:

Document a completed improvement cycle:

Six advanced training modules on key PE concepts for Preventive Ethics Coordinators and team members:

Tools to explain the role and responsibilities of the Preventive Ethics Coordinator:


IE Archive: Materials used in the initial launch of the VA IE program


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