Your browser doesn't support javascript.
loading
Development of ethical and operational guidelines for the delivery of surgical care in a COVID-19 referral hospital
Acta Medica Philippina ; : 237-241, 2021.
Article in English | WPRIM | ID: wpr-876879
ABSTRACT
@#Introduction. The COVID-19 pandemic has not only resulted in a public health crisis but has also strained hospital services. The provision of surgical care should therefore also be guided by ethical, and whenever applicable, also legal, principles. Methods. An integrative approach that covers clinical and ethical dimensions, as well as spans the spectrum of surgical care, is therefore necessary. This action research involved three key

steps:

1) identification of ethical dilemmas related to the provision of surgical care during the COVID-19 pandemic; 2) preparation of clinical scenarios that highlight these dilemmas; and 3) determination of the appropriate options for the said scenarios, based on the best available evidence as well as most applicable ethical principles. Results. Ethical theories included utilitarianism, human rights, and communitarianism. Ethical principles included non-maleficence, justice, autonomy, and beneficence. Values considered were duty, reciprocity, human life, efficiency, fairness, fidelity, ownership, social value, and fair innings. Also incorporated were informed consent, allocation principles, resource allocation, and triage. In terms of operational issues and surgical technical concerns, the following were considered phased standards of care, categorization of interventions, prioritization, surgical approaches, infection control, diagnostics, patient welfare, staff welfare, operations protocols, surgical training, and communication. Key points derived from the ethical and technical considerations of surgical care delivery during the COVID-19 pandemic are presented. Conclusion. This action research involving a review of the literature and stakeholder engagement has provided a concise ethical and technical resource for surgical administrators, practitioners, and trainees.
Subject(s)

Search on Google
Index: WPRIM (Western Pacific) Main subject: Pandemics / COVID-19 Type of study: Practice guideline Language: English Journal: Acta Medica Philippina Year: 2021 Type: Article

Similar

MEDLINE

...
LILACS

LIS

Search on Google
Index: WPRIM (Western Pacific) Main subject: Pandemics / COVID-19 Type of study: Practice guideline Language: English Journal: Acta Medica Philippina Year: 2021 Type: Article