About: Ventilator Triage Policies During the COVID-19 Pandemic at U.S. Hospitals Associated With Members of the Association of Bioethics Program Directors

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About: Ventilator Triage Policies During the COVID-19 Pandemic at U.S. Hospitals Associated With Members of the Association of Bioethics Program Directors Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Ventilator Triage Policies During the COVID-19 Pandemic at U.S. Hospitals Associated With Members of the Association of Bioethics Program Directors
Creator	Caplan, Arthur Paul, ; Applewhite, Megan Diekema, Douglas Eberl, Jason For, ; Gibb, Tyler Lehmann, Soleymani Lisa, ; Matheny Antommaria, Armand Mcguire, Amy Mcleod-Sordjan, Renee Micah Hester, ; Schiff, Tamar Tabor, Holly Wieten, Sarah Wolpe, Root Wynia, Matthew
Source	Medline; PMC
abstract	BACKGROUND: The coronavirus disease 2019 pandemic has or threatens to overwhelm health care systems. Many institutions are developing ventilator triage policies. OBJECTIVE: To characterize the development of ventilator triage policies and compare policy content. DESIGN: Survey and mixed-methods content analysis. SETTING: North American hospitals associated with members of the Association of Bioethics Program Directors. PARTICIPANTS: Program directors. MEASUREMENTS: Characteristics of institutions and policies, including triage criteria and triage committee membership. RESULTS: Sixty-seven program directors responded (response rate, 91.8%); 36 (53.7%) hospitals did not yet have a policy, and 7 (10.4%) hospitals' policies could not be shared. The 29 institutions providing policies were relatively evenly distributed among the 4 U.S. geographic regions (range, 5 to 9 policies per region). Among the 26 unique policies analyzed, 3 (11.3%) were produced by state health departments. The most frequently cited triage criteria were benefit (25 policies [96.2%]), need (14 [53.8%]), age (13 [50.0%]), conservation of resources (10 [38.5%]), and lottery (9 [34.6%]). Twenty-one (80.8%) policies use scoring systems, and 20 of these (95.2%) use a version of the Sequential Organ Failure Assessment score. Among the policies that specify the triage team's composition (23 [88.5%]), all require or recommend a physician member, 20 (87.0%) a nurse, 16 (69.6%) an ethicist, 8 (34.8%) a chaplain, and 8 (34.8%) a respiratory therapist. Thirteen (50.0% of all policies) require or recommend those making triage decisions not be involved in direct patient care, but only 2 (7.7%) require that their decisions be blinded to ethically irrelevant considerations. LIMITATION: The results may not be generalizable to institutions without academic bioethics programs. CONCLUSION: Over one half of respondents did not have ventilator triage policies. Policies have substantial heterogeneity, and many omit guidance on fair implementation.
has issue date	2020-04-24(xsd:dateTime)
bibo:doi	10.7326/m20-1738
bibo:pmid	32330224
has license	no-cc
sha1sum (hex)	965d1e2a8963b80e427168cad57d88637fbc2d96
schema:url	https://doi.org/10.7326/m20-1738
resource representing a document's title	Ventilator Triage Policies During the COVID-19 Pandemic at U.S. Hospitals Associated With Members of the Association of Bioethics Program Directors
has PubMed Central identifier	PMC7207244
has PubMed identifier	32330224
schema:publication	Ann Intern Med
resource representing a document's body	covid:965d1e2a8963b80e427168cad57d88637fbc2d96#body_text
is schema:about of	named entity 'INSTITUTIONS' named entity 'ventilator' named entity 'ventilator' named entity 'health care systems' named entity 'Bioethics' named entity 'triage' named entity 'electronic data capture' named entity 'Limited resources' named entity 'patient care' named entity 'bioethics' named entity 'COVID-19 pandemic' named entity 'decision-maker' named entity 'racism' named entity 'Massachusetts' named entity 'COVID-19 pandemic' named entity 'mechanical ventilation' named entity 'critical care' named entity 'coronavirus disease 2019' named entity 'chief medical officer' named entity 'health care providers' named entity 'social utility' named entity 'bioethics' named entity 'trauma center' named entity 'Western Michigan University Homer Stryker M.D. School of Medicine' named entity 'triage' named entity 'United States' named entity 'COVID-19' named entity 'triage' named entity 'United States' named entity 'triage' named entity 'social utility' named entity 'ABPD' named entity 'deidentified' named entity 'disability discrimination' named entity 'influenza pandemic' named entity 'ECMO' named entity 'patient care' named entity 'H1N1' named entity 'Texas' named entity 'resource shortages' named entity 'health care workers' named entity 'Pennsylvania' named entity 'ABPD' named entity 'mechanical ventilation' named entity 'health care workers' named entity 'triage' named entity 'Midwest' named entity 'triage' named entity 'coronary care units' named entity 'implicit bias' named entity 'triage' named entity 'Triage' named entity 'triage' named entity 'U.S.' named entity 'ABPD' named entity 'human subject research' named entity '88.5' named entity 'triage' named entity 'ableism' named entity 'direct action' named entity 'health care systems' named entity 'do-not-resuscitate' named entity 'attending physician' named entity 'qualitative methods'

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