National Center for Ethics in Health Care

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Index of Publications Listed by Subject or Keyword

The National Center for Ethics in Health Care produces a variety of publications addressing a wide range of health care ethics topics. These publications are released in the form of national policy, National Ethics Committee Reports, National Ethics Teleconference summaries, periodic publications, and papers. Use this index to search for materials by subject or keyword.

Please note: The information contained in National Center for Ethics in Health Care publications is current as of the date of publication. However, health care ethics is a dynamic field in which best practices and thinking are constantly evolving. Therefore, some information in our publications may become outdated or may be superseded. We note these instances when they occur. We encourage users to consult additional authorities on these topics, including current VA policy and regulation.

Search Publications Listed by Health Care Ethics Domain

See Archive of Outdated and Superseded NCEHC Publications

For IntegratedEthics-specific materials, please go to the Index of IntegratedEthics Resources

Use the links below to find publications listed by subject or keyword:

Advance care planning

  • General
  • Mental health
  • Policies
  • Worksheets

Adverse events

Allocation of resources

  • Macroallocation
  • Microallocation

Business integrity

Capacity

Cardiac pacemakers/defibrillators

Cardiopulmonary resuscitation

Chronic pain

Confidentiality

Conflicts of interest

Consent

  • General
  • Informed
  • Informed consent - research
  • Patient-provider communication
  • Refusal of treatment
  • Signature

Culture

Death and post-mortem

Decision-making

  • Capacity
  • Shared

Difficult patients

Disclosure

DNR (Do not Resuscitate)

Elderly

Electronic communication

Electronic medical records/databases

End of life

  • General
  • Palliative care/sedation

Forms and worksheets

Futility

Genetics/genomics

Goals of care

Government ethics

Health care ethics consultation

Informed consent

  • General
  • Specific treatments, procedures, or situations
  • iMedConsent

Medical futility

Mental health

  • Advance directives
  • General

Moral distress

MRSA

Older adults

Opioids

  • General
  • Palliative care

Organ donation

Pain management

  • General
  • Palliative care

Palliative care

Pandemic influenza

Patient

  • Difficult
  • Limits to patient choice
  • Safety
  • Unsafe discharge

Persistent vegetative state

Policy

Post traumatic stress disorder

Privacy and confidentiality

  • General
  • Other

Professionalism

  • General
  • Conflicts of Interest

Quality improvement

Religion

Research

Resource allocation

  • General
  • Macroallocation
  • Microallocation

Shared/group medical appointments

Social security numbers

Suicide

Surrogates

Terminal sedation

Truth telling

VA/DoD

VA staff

  • General
  • Residents/trainees

Worksheets

Advance care planning

General

How Can Patients Communicate Their Wishes About Life-Sustaining Treatment? (Ethics Rx March 2005)

Best Practices: Advance Care Planning (news@vhaethics Spring 2001)

Mental health

Documenting Veterans' Mental Health Treatment Preferences in Advance Directives (Ethics Rx June 2009)

Advance Directives for Mental Health: An Ethical Analysis of State Laws & Implications for VHA Policy (NEC Report February 2008)

Must All Patients Be Asked About Mental Health Advance Directives? (Ethics Rx February 2005)

Ethical Issues in Advance Directives for Behavioral Health Care (NET Summary May 2003)

Policies

VHA Handbook 1004.02 Advance Care Planning and Management of Advance Directives

VA Form 10-0137 VA Advance Directive - Durable Power of Attorney for Health Care and Living Will

VA 10-0137A Your Rights Regarding Advance Directives

VA 10-0137B What You Should Know About Advance Directives

Worksheets

Advance care planning worksheets updated August 2011: Mental Health Treatment Preferences and Who to Contact

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Adverse events

Critical Thinking About Institutional Disclosure of Adverse Events to Patients (National Call August 2012)

Clinical and Institutional Disclosure of Adverse Events to Patients (National Call May 2012)

VHA Handbook 1004.08 Disclosure of Adverse Events to Patients

Disclosing Adverse Events to Patients (NEC Report March 2003)

National Ethics Committee Report: Disclosing Adverse Events to Patients (NET Summary April 2003)

Notification of Patients Potentially Exposed to Mad Cow Disease Through Prior Blood Transfusion: Testing the Limits of Full Disclosure (NET Summary April 2001)

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Allocation of resources

Macroallocation

Meeting the Challenge of Pandemic Influenza: Ethical Guidance for Leaders and Health Care Professionals in the Veterans Health Administration (VHA) (July 2010)

VA Fact Sheet forHealthCareStaff: Meeting the Ethical Challenges of a Severe Pandemic Influenza

Ethical Considerations for Resource Allocation in Health Care (NET Summary May 27, 2009 and June 30, 2009)

IntegratedEthics Online Learning Module, Ethical Practices in Resource Allocation

Influenza Pandemic Preparedness Planning: Ethics Concerns (NET Summary June 2006)

Staff Discussion Forum Materials: Ethical Issues in Pandemic Influenza Preparedness and Response – Material to Guide Staff Discussions

Tough Decisions: Preparing VA for the Ethical Challenges of Pandemic Influenza

Policy Perspectives: The Administrator's Dilemma (news@vhaethics Fall 2003)

Foglia MB, Pearlman RA, Bottrell MM, Altemose JA, Fox E. Priority Setting and the Ethics of Resource Allocation within VA Healthcare Facilities: Results of a Survey. Organizational Ethics. 2008 Fall-Winter;4(2):83-96. (based on research conducted as part of the IESS).

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Business integrity

The Relationship Between Ethics and Compliance and Business Integrity (NET Summary July 2001)

Legal Briefs: Integrating Documentation, Compliance, and Ethics (news@vhaethics Spring 2002)

Integrating Ethics with Compliance. Council of Ethical Organizations. Compliance Case Study Library 1999:60-76. Oak J.

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Capacity

Ten Myths about Decision-Making Capacity (NEC Report September 2002)

Ten Myths About Decision-Making Capacity (NET Summary November 2002)

Common Pitfalls in Determining Decision-Making Capacity-Live from the National Ethics Committee Meeting (NET Summary March 2001)

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Cardiac pacemakers/defibrillators

Ethical Considerations of Cardiac Pacemakers and Implantable Defibrillators for End-of-Life Care (NET Summary April 2006)

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Cardiopulmonary resuscitation

VHA Handbook 1004.3 Do Not Resuscitate (DNR) Protocols within the Department of Veterans Affairs

VHA Handbook 1004.04 State-Authorized Portable Orders

State-Authorized Portable Orders: Out of Hospital DNR Orders and Orders for Life-Sustaining Treatment (NET Summary July 2007)

May Do-Not-Resuscitate (DNR) Orders Be Suspended for Surgery? (Ethics Rx January 2005)

What Does DNR Really Mean? (NET Summary June 2005)

Clarification of VA Do Not Resuscitate (DNR) Policy—Orders Written by Residents (Ethics Rx May 2003)

Ethics Rounds: Wristbands for DNR? (news@vhaethics Fall 2000)

Policy Perspectives: Should Residents be Allowed to Enter DNR Orders? (news@vhaethics Summer/Fall 2002)

Do Not Resuscitate Policy Revision: Controversial Topics (NET Summary March 2002)

Family Presence During Resuscitation (NET Summary August 2001)

DNR Orders and Medical Futility (NEC Report December 2000)

DNR Orders and the Electronic Medical Record (NET Summary December 2000)

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Chronic pain

Ethical Considerations in Opioid Therapy for Chronic Pain (IN fOCUS April 2005)

Ethical Considerations in Opioid Therapy for Chronic Pain Management (NET Summary November 2005)

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Confidentiality

The Ethical Challenges of Coordinating Mental Health Care Between VHA and DoD (NET Summary March 2006)

Shared Medical Appointments: Ethical Concerns (NET Summary October 2005)

The Ethical Duty to Protect Third Parties from Dangerous Patients (NET Summary April 2005)

Disclosing Patients' Protected Health Information to Surrogates (NEC Report February 2005)

Provider Reporting of Impaired or Potentially Impaired Drivers (NET Summary February 2002)

Access to VA Databases for Research Purposes (NET Summary February 2001)

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Conflicts of interest

VHA Handbook 1004.07 Financial Relationships Between VHA Health Care Professionals and Industry

VHA Handbook 1004.07: Financial Relationships Between VHA Health Care Professionals and the Pharmaceutical Industry NET Summary November 24, 2009)

Compensation to Health Care Professionals from the Pharmaceutical Industry (NEC Report February 2006)

National Ethics Committee Report: Compensation to Health Care Professionals from the Pharmaceutical Industry (NET Summary February 2006)

Ethical Boundaries in the Patient-Clinician Relationship (NEC Report July 2003)

National Ethics Committee Report: Ethical Boundaries in the Patient Clinician Relationship (NET Summary September 2003)

Gifts to Health Care Professionals from the Pharmaceutical Industry (NEC Report October 2003)

National Ethics Committee Report: Gifts to Health Care Professionals from the Pharmaceutical Industry NET Summary January 2004)

Ethics Rounds: Sale of House to a Patient? (news@vhaethics Winter 2001)

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Consent

General

When Must Clinicians Obtain a Separate Consent for Use of Blood Products in the Post-Operative Period? (Ethics Rx August 2006)

Practicing Medical Procedures on the Newly Dead (NET Summary November 2003)

Ethics Rounds: Substituted Judgment or Best Interests? (news@vhaethics Summer 2003)

Informed

VHA Handbook 1004.01 Informed Consent for Clinical Treatments & Procedures

VHA Handbook 1004.05 iMedConsent

VHA Handbook 1004.01: Informed Consent for Clinical Treatments and Procedures (NET Summary August 2009)

Informed Consent for Methicillin-Resistant Staphylococcus Aureus (MRSA) Testing (Ethics Rx February 2009)

Informed Consent Do's and Don'ts for Best Practice (IN fOCUS August 2006)

Informed Consent Policy Revision: Medical Decision Making in Patients Without Surrogates (NET Summary January 2002)

Informed Consent Practices: Lessons Learned from Implementing iMedConsent (NET Summary November 2006)

Informed consent - research

Sharing Aggregate Research Results with Participants (IN fOCUS March 2009) Best Practices: Informed Consent for Research (news@vhaethics Winter 2002)

Patient-provider communication

"Teach Back": A Tool for Improving Provider-Patient Communication (IN fOCUS April 2006)

How Can Patients Communicate Their Wishes About Life-Sustaining Treatment? (Ethics Rx March 2005)

Refusal of treatment

When Patients Refuse Treatment (IN fOCUS December 2005)

Signature

Who May Serve as Witness for Signature Consent for Clinical Treatments and Procedures? (Ethics Rx December 2005)

Informed Consent for IV Contrast Administration(NET Summary January 2001)

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Culture

Cultures and Persons, Patients and Caregivers: Ethical Obligations and Culturally Competent Care (NET Summary August 2003)

The Conscience Clause (NET Summary June 2002)

An Ethical Analysis of Ethnic Disparities in Health Care (NEC Report August 2001)

An Ethical Analysis of Ethnic Disparities in Health Care (NET Summary December 2002)

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Death and post-mortem

Practicing Medical Procedures on the Newly Dead (NET Summary November 2003)

Ethical Priority of Decedent's vs. Family's Wishes in Organ Donation (NET Summary July 2002)

Privacy Requirements During the Organ Donation Process (NET Summary January 2001)

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Decision-making

Capacity

Ten Myths about Decision-Making Capacity (NEC Report September 2002)

Ten Myths About Decision-Making Capacity (NET Summary November 2002)

Common Pitfalls in Determining Decision-Making Capacity-Live from the National Ethics Committee Meeting (NET Summary March 2001)

Shared Decision-making

IntegratedEthics Online Learning Module: Shared Decision Making with Patients

Ethics Rounds: Substituted Judgment or Best Interests?( news@vhaethics Summer 2003)

Informed Consent Policy Revision: Medical Decision Making in Patients Without Surrogates (NET Summary January 2002)

Ethical Aspects of the Relationship Between Clinicians & Surrogate Decision Makers (NEC Report April 2007)

National Ethics Committee Report: Ethical Aspects of the Relationship Between Clinicians & Surrogate Decision Makers (NET Summary April 2007)

Choosing Among Surrogates of the Same Priority (Ethics Rx April 2005)

Disclosing Patients' Protected Health Information to Surrogates (NEC Report February 2005)

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Difficult patients

Ethics and the Discharge Process: What to Consider When a Patient Prefers a Plan that the Team Believes is Unsafe (NET Summary May2008)

Impaired Driving in Older Adults: Ethical Challenges for Health Care Professionals (NEC Report September 2007)

National Ethics Committee Report - Impaired Driving in Older Adults: Ethical Challenges for Health Care Professionals (NET Summary September 2007)

When Patients Refuse Treatment (IN fOCUS December 2005)

Ethical Considerations When Treating Erectile Dysfunction in Patients with Sexually Transmissible Diseases (NET Summary May 2004)

Should Patients be Able to Refuse Care by House Officers or Trainees?(NET Summary March 2004)

Ethics Rounds: Patient Refusal of Care by a Trainee (news@vhaethics Summer/Fall 2002)

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Disclosure

Sharing Aggregate Research Results with Participants (IN fOCUS March 2009)

VHA Directive 2008-002 Disclosure of Adverse Events to Patients

Disclosing Patients' Protected Health Information to Surrogates (NEC Report February 2005)

Disclosure of Adverse Events to Patients: Ethical and Policy Requirements (NET Summary February2008)

Clinical Use of Placebo: An Ethics Analysis (NET Summary July 2004)

Disclosing Adverse Events to Patients (NEC Report March 2003)

National Ethics Committee Report: Disclosing Adverse Events to Patients (NET Summary April 2003)

Notification of Patients Potentially Exposed to Mad Cow Disease Through Prior Blood Transfusion: Testing the Limits of Full Disclosure (NET Summary April 2001)

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DNR (Do not Resuscitate)

VHA Handbook 1004.3 Do Not Resuscitate (DNR) Protocols within the Department of Veterans Affairs

VHA Handbook 1004.04 State-Authorized Portable Orders

State-Authorized Portable Orders: Out of Hospital DNR Orders and Orders for Life-Sustaining Treatment (NET Summary July 2007)

May Do-Not-Resuscitate (DNR) Orders Be Suspended for Surgery? (Ethics Rx January 2005)

What Does DNR Really Mean? (NET Summary June 2005)DNR FAQs

Clarification of VA Do Not Resuscitate (DNR) Policy—Orders Written by Residents (Ethics Rx May 2003)

Do Not Resuscitate Policy Revision: Controversial Topics (NET Summary March 2002)

Policy Perspectives: Should Residents be Allowed to Enter DNR Orders? (news@vhaethics Summer/Fall 2002)

Policy Perspectives: Should Residents be Allowed to Enter DNR Orders? (news@vhaethics Summer/Fall 2002)

Family Presence During Resuscitation (NET Summary August 2001)

Ethics Rounds: Wristbands for DNR? (news@vhaethics Fall 2000)

DNR Orders and Medical Futility (NEC Report December 2000)

DNR Orders and the Electronic Medical Record (NET Summary December 2000)

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Elderly

Impaired Driving in Older Adults: Ethical Challenges for Health Care Professionals (NEC Report September 2007)

National Ethics Committee Report - Impaired Driving in Older Adults: Ethical Challenges for Health Care Professionals (NET Summary September 2007)

Provider Reporting of Impaired or Potentially Impaired Drivers (NET Summary February 2002)

Ethics and the Discharge Process: What to Consider When a Patient Prefers a Plan that the Team Believes is Unsafe (NET Summary May 28, 2008)

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Electronic communication

Online Patient-Clinician Messaging: Fundamentals of Ethical Practice (NEC Report July 2004)

National Ethics Committee Report, Online Patient-Clinician Messaging: Fundamentals of Ethical Practice (NET Summary September 2004)

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Electronic medical records/databases

The Ethical Challenges of Coordinating Mental Health Care Between VHA and DoD (NET Summary March 2006)

Patients' Requests to Have Their Medical Records Amended (NET Summary May 2006)

Copying, Pasting, and Duplicating in the Electronic Medical Record: An Ethical Analysis (NET Summary February 2004)

Access to VA Databases for Research Purposes (NET Summary February 2001)

DNR Orders and the Electronic Medical Record (NET Summary December 2000)

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End of life

General

IntegratedEthics Online Learning Module: Ethical Practices in End-of-Life Care

Weighed in the Balance: Ethical Decisions at the End of Life (news@vhaethics Spring 2001)

Ethics Rounds: Substituted Judgment or Best Interests? (news@vhaethics Summer 2003)

Informed Consent Policy Revision: Medical Decision Making in Patients Without Surrogates (NET Summary January 2002)

DNR Orders and Medical Futility (NEC Report December 2000)

Terminal Extubation: Ethics Perspectives (NET Summary March 2005)

Legal Briefs: Must Food and Fluids Always be Provided? (news@vhaethics Fall 2000)

Goals of Care in the ICU: Palliative Care at the End of Life (IN fOCUS January 2005)

Palliative care/sedation

The Ethics of Palliative Sedation (NEC Report March 2006)

National Ethics Committee Report: The Ethics of Palliative Sedation as a Therapy of Last Resort (NET Summary July 2006)

Terminal Sedation: An Open Discussion (NET Summary August 2002)

Goals of Care in the ICU: Palliative Care at the End of Life (IN fOCUS January 2005)

Ethics Rounds: Appropriate Palliative Care? (news@vhaethics Spring 2001)

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Forms and worksheets

VA Form 10-0137 VA Advance Directive - Durable Power of Attorney for Health Care and Living Will

VA 10-0137A Your Rights Regarding Advance Directives

VA 10-0137B What You Should Know About Advance Directives

Worksheets

Advance care planning worksheets updated August 2011: Mental Health Treatment Preferences and Who to Contact

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Futility

DNR Orders and Medical Futility (NEC Report December 2000)

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Genetics/genomics

The Ethics of Tissue Banking for Future Genetic Research (NET Summary July 2003)

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Goals of care

Goals of Care in the ICU: Palliative Care at the End of Life (IN fOCUS January 2005)

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Government ethics

Legal Briefs: Health Care Ethics vs. Government Ethics (news@vhaethics Winter 2001)

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Health care ethics consultation

Tarzian, A. J. and A. C. C. U. T. Force (2013). "Health Care Ethics Consultation: An Update on Core Competencies and Emerging Standards from the American Society for Bioethics and Humanities Core Competencies Update Task Force." The American Journal of Bioethics 13(2): 3-13.

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Informed consent

General

VHA Handbook 1004.01 Informed Consent for Clinical Treatments & Procedures

The Basics of Informed Consent: History, Ethics and Law (NET Summary September2010)

VHA Handbook 1004.01: Informed Consent for Clinical Treatments and Procedures (NET Summary August 2009)

Informed Consent Do's and Don'ts for Best Practice (IN fOCUS August 2006)

Who May Serve as Witness for Signature Consent for Clinical Treatments and Procedures? (Ethics Rx December 2005)

Ethics Rounds: Substituted Judgment or Best Interests? (news@vhaethics Summer 2003)

Informed Consent Policy Revision: Medical Decision Making in Patients Without Surrogates (NET Summary January 2002)

Specific treatments, procedures or situations

Sharing Aggregate Research Results with Participants (IN fOCUS March 2009)

Informed Consent for Methicillin-Resistant Staphylococcus Aureus (MRSA) Testing (Ethics Rx February 2009)

When Must Clinicians Obtain a Separate Consent for Use of Blood Products in the Post-Operative Period? (Ethics Rx August 2006)

Informed Consent for IV Contrast Administration (NET Summary January 2001)

"Teach Back": A Tool for Improving Provider-Patient Communication( IN fOCUS April 2006)

Best Practices: Informed Consent for Research (news@vhaethics Winter 2002)

iMedConsent

VHA Handbook 1004.05 iMedConsent

Informed Consent Practices: Lessons Learned from Implementing iMedConsent (NET Summary November 2006)

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Medical futility

DNR Orders and Medical Futility (NEC Report December 2000)

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Mental health

Advance Directives

Documenting Veterans' Mental Health Treatment Preferences in Advance Directives (Ethics Rx June 2009)

Advance Directives for Mental Health: An Ethical Analysis of State Laws & Implications for VHA Policy (NEC Report February 2008)

Advance care planning worksheet updated August 2011: Mental Health Treatment Preferences

Must All Patients Be Asked About Mental Health Advance Directives? (Ethics Rx February 2005)

Ethical Issues in Advance Directives for Behavioral Health Care (NET Summary May 2003)

General

Ethical Considerations in the Report of a Work Group on Post Traumatic Stress Disorder (PTSD) and Vulnerable Populations in Research (NET Summary February2009)

The Ethical Duty to Protect Third Parties from Dangerous Patients (NET Summary April 2005)

The Ethical Challenges of Coordinating Mental Health Care Between VHA and DoD (NET Summary March 2006)

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Moral distress

Moral Distress: How Can Ethics Consultants Respond? (NET Summary November 25, 2008)

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MRSA

Informed Consent for Methicillin-Resistant Staphylococcus Aureus (MRSA) Testing (Ethics Rx February 2009)

National MRSA (Methicillin-Resistant Staphylococcus Aureus) Initiative: Ethical Considerations in Implementation (NET Summary October 2007)

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Older adults

Ethics and the Discharge Process: What to Consider When a Patient Prefers a Plan that the Team Believes is Unsafe (NET Summary May 28, 2008)

Impaired Driving in Older Adults: Ethical Challenges for Health Care Professionals (NEC Report September 2007)

National Ethics Committee Report - Impaired Driving in Older Adults: Ethical Challenges for Health Care Professionals (NET Summary September 2007)

Provider Reporting of Impaired or Potentially Impaired Drivers (NET Summary February 2002)

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Opioids

General

Taking Opioids Responsibly for Your Safety and the Safety of Others: Patient Information Guide on Long-term Opioid Therapy for Chronic Pain

Ethical Considerations in Opioid Therapy for Chronic Pain (IN fOCUS April 2005)

Ethical Considerations in Opioid Therapy for Chronic Pain Management (NET Summary November 2005)

Palliative care

The Ethics of Palliative Sedation (NEC Report March 2006)

National Ethics Committee Report: The Ethics of Palliative Sedation as a Therapy of Last Resort (NET Summary July 2006)

Terminal Sedation: An Open Discussion (NET Summary August 2002)

Goals of Care in the ICU: Palliative Care at the End of Life (IN fOCUS January 2005)

Ethics Rounds: Appropriate Palliative Care? (news@vhaethics Spring 2001)

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Organ donation

Ethical Priority of Decedent's vs. Family's Wishes in Organ Donation (NET Summary July 2002)

Privacy Requirements During the Organ Donation Process (NET Summary January 2001)

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Pain management

General

Taking Opioids Responsibly for Your Safety and the Safety of Others: Patient Information Guide on Long-term Opioid Therapy for Chronic Pain

Ethical Considerations in Opioid Therapy for Chronic Pain (IN fOCUS April 2005)

Ethical Considerations in Opioid Therapy for Chronic Pain Management (NET Summary November 2005)

Palliative care

The Ethics of Palliative Sedation (NEC Report March 2006)

National Ethics Committee Report: The Ethics of Palliative Sedation as a Therapy of Last Resort (NET Summary July 2006)

Terminal Sedation: An Open Discussion (NET Summary August 2002)

Goals of Care in the ICU: Palliative Care at the End of Life (IN fOCUS January 2005)

Ethics Rounds: Appropriate Palliative Care? (news@vhaethics Spring 2001)

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Palliative care

The Ethics of Palliative Sedation (NEC Report March 2006)

National Ethics Committee Report: The Ethics of Palliative Sedation as a Therapy of Last Resort (NET Summary July 2006)

Terminal Sedation: An Open Discussion (NET Summary August 2002)

Goals of Care in the ICU: Palliative Care at the End of Life (IN fOCUS January 2005)

Ethics Rounds: Appropriate Palliative Care? (news@vhaethics Spring 2001)

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Pandemic influenza

Meeting the Challenge of Pandemic Influenza: Ethical Guidance for Leaders and Health Care Professionals in the Veterans Health Administration (VHA)(July 2010)

VA FactSheet forHealthCare Staff: Meeting the Ethical Challenges of a Severe Pandemic Influenza

Ethical Considerations for Resource Allocation in Health Care (NET Summary May 27, 2009 and June 30, 2009)

Influenza Pandemic Preparedness Planning: Ethics Concerns (NET Summary June 2006)

Staff Discussion Forum Materials: Ethical Issues in Pandemic Influenza Preparedness and Response – Material to Guide Staff Discussions

Tough Decisions: Preparing VA for the Ethical Challenges of Pandemic Influenza

Best Practices: A Duty to Treat (news@vhaethics Fall 2003)

Health Care Ethics Issues Raised by SARS (NET Summary June 2003)

Ethics Rounds: Taking Risks to Protect Patients (news@vhaethics Fall 2003)

Disaster Medicine: Unique Ethical Challenges (NET Summary April 2002)

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Patients

Difficult

Ethical Considerations That Arise When a Home Care Patient on Long Term Oxygen Therapy Continues to Smoke (March 2010)

Ethical Considerations in the use of Home Oxygen for Patients and/or Third Parties Who Smoke (NET Summary July 30, 2008)

Ethics and the Discharge Process: What to Consider When a Patient Prefers a Plan that the Team Believes is Unsafe (NET Summary May 28, 2008)

Home Oxygen for Patients Who Smoke: Prescription vs. Proscription( NET Summary October 2001)

When Patients Refuse Treatment (IN fOCUS December 2005)

Ethical Considerations in Opioid Therapy for Chronic Pain (IN fOCUS April 2005)

Ethical Considerations in Opioid Therapy for Chronic Pain Management (NET Summary November 2005)

The Ethical Duty to Protect Third Parties from Dangerous Patients (NET Summary April 2005)

Ethics Rounds: Patient Refusal of Care by a Trainee (news@vhaethics Summer/Fall 2002)

Managing 'Difficult' or 'Non-Compliant' Patients: Ethical Challenges (NET Summary September 2001)

Limits to patient choice

When Patients Refuse Treatment (IN fOCUS December 2005)

DNR Orders and Medical Futility (NEC Report December 2000)

Ethical Considerations When Treating Erectile Dysfunction in Patients with Sexually Transmissible Diseases (NET Summary May 2004)

Should Patients be Able to Refuse Care by House Officers or Trainees? (NET Summary March 2004)

Ethics Rounds: Patient Refusal of Care by a Trainee (news@vhaethics Summer/Fall 2002)

Safety

Impaired Driving in Older Adults: Ethical Challenges for Health Care Professionals (NEC Report September 2007)

National Ethics Committee Report - Impaired Driving in Older Adults: Ethical Challenges for Health Care Professionals (NET Summary September 2007)

Provider Reporting of Impaired or Potentially Impaired Drivers (NET Summary February 2002)

Ethical Considerations That Arise When a Home Care Patient on Long Term Oxygen Therapy Continues to Smoke( March 2010)

Ethical Considerations in the use of Home Oxygen for Patients and/or Third Parties Who Smoke (NET Summary July 30, 2008)

Home Oxygen for Patients Who Smoke: Prescription vs. Proscription (NET Summary October 2001)

The Ethical Duty to Protect Third Parties from Dangerous Patients (NET Summary April 2005)

Unsafe discharge

Ethics and the Discharge Process: What to Consider When a Patient Prefers a Plan that the Team Believes is Unsafe (NET Summary May 28, 2008)

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Persistent vegetative state

Caring for Patients in Persistent Vegetative State (IN fOCUS March 2005)

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Policy

VHA Directive 1004 National Center for Ethics in Health Care

VHA Handbook 1004.01 Informed Consent for Clinical Treatments & Procedures

VHA Handbook 1004.02 Advance Care Planning and Management of Advance Directives

VHA Handbook 1004.3 Do Not Resuscitate (DNR) Protocols within the Department of Veterans Affairs

VHA Handbook 1004.04 State-Authorized Portable Orders

VHA Handbook 1004.05 iMedConsent

VHA Handbook 1004.06 IntegratedEthics

VHA Handbook 1004.07 Financial Relationships Between VHA Health Care Professionals and Industry

VHA Directive 2008-002 Disclosure of Adverse Events to Patients

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Post traumatic stress disorder

Ethical Considerations in the Report of a Work Group on Post Traumatic Stress Disorder (PTSD) and Vulnerable Populations in Research (NET Summary February2009)

The Ethical Challenges of Coordinating Mental Health Care Between VHA and DoD (NET Summary March 2006)

The Ethical Duty to Protect Third Parties from Dangerous Patients (NET Summary April 2005)

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Privacy and confidentiality

General

IntegratedEthics Online Learning Module: Patient Privacy and Confidentiality

The Ethical Challenges of Coordinating Mental Health Care Between VHA and DoD (NET Summary March 2006)

Disclosing Patients' Protected Health Information to Surrogates (NEC Report February 2005)

Privacy, Safety and Patient Social Security Numbers: Ethics Concerns (NET Summary July 2005)

Privacy, Safety, and Social Security Numbers(IN fOCUS February 2005) *Note: Since this IN fOCUS was published,VHA Directive 2005-029, Transfusion Verification and Identification Requirements for All Sites (July 1, 2005) has been issued. It requires that "all patients reporting for hospital admission or ambulatory procedure must be issued a patient identification wristband that contains the patient's full name, full social security number (SSN) and a bar code that displays the patient's full SSN."

Other

Patients' Requests to Have Their Medical Records Amended (NET Summary May 2006)

Online Patient-Clinician Messaging: Fundamentals of Ethical Practice (NEC Report July 2004)

National Ethics Committee Report, Online Patient-Clinician Messaging: Fundamentals of Ethical Practice (NET Summary September 2004)

Ethics Rounds: Wristbands for DNR? (news@vhaethics Fall 2000)

Privacy Requirements During the Organ Donation Process (NET Summary January 2001)

Access to VA Databases for Research Purposes (NET Summary February 2001)

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Professionalism

General

The Place of Codes of Ethics in Ethics Consultation (NET Summary May 2010)

Core Competencies for Health Care Ethics Consultation (NET Summary March 24, 2010)

IntegratedEthics Online Learning Module, Professionalism in Patient Care - TMS module - login required

IntegratedEthics Online Learning Module, Professionalism in Patient Care - Print Version

The Interplay Between Patient Advocacy and Health Care Ethics (NET Summary March 25, 2009)

Online Patient-Clinician Messaging: Fundamentals of Ethical Practice (NEC Report July 2004)

National Ethics Committee Report, Online Patient-Clinician Messaging: Fundamentals of Ethical Practice (NET Summary September 2004)

Best Practices: A Duty to Treat (news@vhaethics Fall 2003)

Ethics Rounds: Taking Risks to Protect Patients (news@vhaethics Fall 2003)

Best Practices: Teaching Ethics and Professionalism (news@vhaethics Summer/Fall 2002)

The Conscience Clause (NET Summary June 2002)

Conflicts of interest

VHA Handbook 1004.07 Financial Relationships Between VHA Health Care Professionals and Industry

VHA Handbook 1004.07: Financial Relationships Between VHA Health Care Professionals and the Pharmaceutical Industry (NET Summary November 24, 2009)

Compensation to Health Care Professionals from the Pharmaceutical Industry (NEC Report February 2006)

National Ethics Committee Report: Compensation to Health Care Professionals from the Pharmaceutical Industry (NET Summary February 2006)

Ethical Boundaries in the Patient-Clinician Relationship (NEC Report July 2003)

National Ethics Committee Report: Ethical Boundaries in the Patient Clinician Relationship (NET Summary September 2003)

Gifts to Health Care Professionals from the Pharmaceutical Industry (NEC Report October 2003)

National Ethics Committee Report: Gifts to Health Care Professionals from the Pharmaceutical Industry (NET Summary January 2004)

Ethics Rounds: Sale of House to a Patient? (news@vhaethics Winter 2001)

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Quality improvement

Recommendations for the Ethical Conduct of Quality Improvement (NEC Report May 2002)

Recommendations for the Ethical Conduct of Quality Improvement (NET Summary September 2002)

Ethics Rounds: A Case of Quality Improvement ( news@vhaethics Winter 2002)

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Religion

Cultures and Persons, Patients and Caregivers: Ethical Obligations and Culturally Competent Care (NET Summary August 2003)

An Ethical Analysis of Ethnic Disparities in Health Care (NEC Report August 2001)

An Ethical Analysis of Ethnic Disparities in Health Care (NET Summary December 2002)

The Conscience Clause (NET Summary June 2002)

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Research

Sharing Aggregate Research Results with Participants (IN fOCUS March 2009)

Ethical Considerations in the Report of a Work Group on Post Traumatic Stress Disorder (PTSD) and Vulnerable Populations in Research (NET Summary February2009)

The Ethics of Tissue Banking for Future Genetic Research (NET Summary July 2003)

Best Practices: Informed Consent for Research (news@vhaethics Winter 2002)

Access to VA Databases for Research Purposes (NET Summary February 2001)

Legal Briefs: The HIPAA Privacy Rule and its Impact on Research (news@vhaethics Winter 2002)

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Resource allocation

General

IntegratedEthics Online Learning Module, Ethical Practices in Resource Allocation

Macroallocation

Meeting the Challenge of Pandemic Influenza: Ethical Guidance for Leaders and Health Care Professionals in the Veterans Health Administration (VHA) (July 2010)

VA Fact Sheet for Health Care Staff: Meeting the Ethical Challenges of a Severe Pandemic Influenza

Ethical Considerations for Resource Allocation in Health Care (NET Summary May 27, 2009, and June 30, 2009)

Influenza Pandemic Preparedness Planning: Ethics Concerns (NET Summary June 2006)

Staff DiscussionForum Materials: Ethical Issues in Pandemic Influenza Preparedness and Response – Material to Guide Staff Discussions

Tough Decisions: Preparing VA for the Ethical Challenges of Pandemic Influenza

Policy Perspectives: The Administrator's Dilemma (news@vhaethics Fall 2003)

Foglia MB, Pearlman RA, Bottrell MM, Altemose JA, Fox E.Priority Setting and the Ethics of Resource Allocation within VA Healthcare Facilities: Results of a Survey. Organizational Ethics. 2008 Fall-Winter;4(2):83-96. (based on research conducted as part of the IESS).

Shared/group medical appointments

Shared Medical Appointments: Ethical Concerns (NET Summary October 2005)

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Social security numbers

Privacy, Safety and Patient Social Security Numbers: Ethics Concerns (NET Summary July 2005)

Privacy, Safety, and Social Security Numbers(IN fOCUS February 2005) * Note: Since this IN fOCUS was published, VHA Directive 2005-029, Transfusion Verification and Identification Requirements for All Sites (July 1, 2005) has been issued. It requires that "all patients reporting for hospital admission or ambulatory procedure must be issued a patient identification wristband that contains the patient's full name, full social security number (SSN) and a bar code that displays the patient's full SSN."

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Surrogates

Ethical Aspects of the Relationship Between Clinicians & Surrogate Decision Makers (NEC Report April 2007)

National Ethics Committee Report: Ethical Aspects of the Relationship between Clinicians and Surrogate Decision Makers (NET Summary April 2007)

Choosing Among Surrogates of the Same Priority (Ethics Rx April 2005)

Disclosing Patients' Protected Health Information to Surrogates (NEC Report February 2005)

Ethics Rounds: Substituted Judgment or Best Interests? (news@vhaethics Summer 2003)

Informed Consent Policy Revision: Medical Decision Making in Patients Without Surrogates (NET Summary January 2002)

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Terminal sedation

The Ethics of Palliative Sedation (NEC Report March 2006)

National Ethics Committee Report: The Ethics of Palliative Sedation as a Therapy of Last Resort (NET Summary July 2006)

Terminal Sedation: An Open Discussion (NET Summary August 2002)

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Truth telling

VHA Directive 2008-002 Disclosure of Adverse Events to Patients

Disclosure of Adverse Events to Patients: Ethical and Policy Requirements (NET Summary February2008)

Clinical Use of Placebo: An Ethics Analysis (NET Summary July 2004)

Disclosing Adverse Events to Patients (NEC Report March 2003)

National Ethics Committee Report: Disclosing Adverse Events to Patients (NET Summary April 2003)

Notification of Patients Potentially Exposed to Mad Cow Disease Through Prior Blood Transfusion: Testing the Limits of Full Disclosure (NET Summary April 2001)

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VA/DoD

The Ethical Challenges of Coordinating Mental Health Care Between VHA and DoD (NET Summary March 2006)

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VA staff

General

Strategies for Increasing Influenza Vaccination Rates in Health Care Workers: Ethical Considerations (NET Summary January 30, 2008)

Practicing Medical Procedures on the Newly Dead (NET Summary November 2003)

Residents/trainees

Clarification of VA Do Not Resuscitate (DNR) Policy—Orders Written by Residents (Ethics Rx May 2003)

Policy Perspectives: Should Residents be Allowed to Enter DNR Orders? (news@vhaethics Summer/Fall 2002)

Should Patients be Able to Refuse Care by House Officers or Trainees? (NET Summary March 2004)

Ethics Rounds: Patient Refusal of Care by a Trainee (news@vhaethics Summer/Fall 2002)

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Worksheets

Advance care planning worksheets updated August 2011: Mental Health Treatment Preferences and Who to Contact

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