Handout 1.11 Choosing Issues for PE: Tracking Tool (Appropriateness)—Answer Key Appropriateness for PE 1 2 3 4 5 6 7 8 9 10 11 12 13 Ethics Quality Gap Current Ethics (Y/N) Best Ethics Practice Practice This for Solution (Y/N) or words) with (Y/N) Req’d Easily Norms, to PE (1–2 Responsible (mm/dd/yy) (Y/N) PE for (Y/N) Came Action of Issue (Y/N) of Problem/Obvious Domain Inconsistent Topic Standards, Program Unavailable, (Y/N) Possible Ethics Issue Available Issue (who, what, where, when, how much or how Data Other Date Attention often) Preliminary Improvement Goal Appropriate Source Simple Ethics Ethics Data Collected Practice Ethical Expectations Immediate Issue If A recent accreditation review of primary care health records found that only a few patient Increase assistance to primary care 9/15/XX TJC requests for assistance with completing an N N N SDM ACP Y N Y patients who request help with Y advance directive were followed up on by clinic completing an advance directive staff. Ethics consult service reports a 50% increase in cases in the ICU where there is a lack of timely Surr. Increase early identification of 9/25/XX ECC identification of surrogate decision makers N N N SDM Dec. Y N Y surrogate decision makers in the Y causing delay in treatment planning and decision Mkg ICU making for patients with life-limiting diseases. Three supervisors in the business office are 9/30/XX Office Y N openly dating their subordinates. Staff 60% of patients seeking primary care services Primary for non-urgent issues are not accommodated 9/30/XX Care N N Y N within the requested time frame. 40% of patients Mgr. wait an average of 3 weeks for an appointment.
Handout 1.11 Choosing Issues for PE: Tracking Tool (Appropriateness)—Answer Key Appropriateness for PE 1 2 3 4 5 6 7 8 9 10 11 12 13 Date Issue Came to Attention of PE (mm/dd/yy) Source of Issue (1–2 words) Possible Ethics Issue (who, what, where, when, how much or how often) Immediate Action Req’d (Y/N) Simple Problem/Obvious Solution (Y/N) Other Program Responsible for This Issue (Y/N) Ethics Quality Gap Preliminary Improvement Goal Appropriate for PE (Y/N) Best Ethics Practice Current Ethics Practice Ethics Domain Ethics Topic Practice Inconsistent with Ethical Standards, Norms, or Expectations (Y/N) Data Available (Y/N) If Data Unavailable, Easily Collected (Y/N) 9/15/XX TJC A recent accreditation review of primary care health records found that only a few patient requests for assistance with completing an advance directive were followed up on by clinic staff. N N N SDM ACP Y N Y Increase assistance to primary care patients who request help with completing an advance directive Y 9/25/XX ECC Ethics consult service reports a 50% increase in cases in the ICU where there is a lack of timely identification of surrogate decision makers causing delay in treatment planning and decision making for patients with life-limiting diseases. N N N SDM Surr. Dec. Mkg Y N Y Increase early identification of surrogate decision makers in the ICU Y 9/30/XX Office Staff Three supervisors in the business office are openly dating their subordinates. Y N 9/30/XX Primary Care Mgr. 60% of patients seeking primary care services for non-urgent issues are not accommodated within the requested time frame. 40% of patients wait an average of 3 weeks for an appointment. N N Y N
PE_BtB_Mod1_Handouts_final.docx