Domains of quality for clinical ethics case consultation: a mixed-method systematic reviewReport as inadecuate

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Systematic Reviews

, 5:95

First Online: 07 June 2016Received: 09 September 2015Accepted: 27 May 2016DOI: 10.1186-s13643-016-0273-x

Cite this article as: Leslie, L., Cherry, R.F., Mulla, A. et al. Syst Rev 2016 5: 95. doi:10.1186-s13643-016-0273-x


Background-Clinical ethics consultation- CEC is the provision of consultative services by an individual or team with the aim of helping health professionals, patients, and their families grapple with difficult ethical issues arising during health care. There are almost 25,000 articles in the worldwide literature on CEC, but very few explicitly address measuring the quality of CEC. Many more address quality implicitly, however. This article describes a rigorous protocol for compiling the diverse literature on CEC, analyzing it with a quality measurement lens, and seeking a set of potential quality domains for CEC based on areas of existing, but hitherto unrecognized, consensus in the literature.

Methods-designThis mixed-method systematic review will follow a sequential pattern: scoping review, qualitative synthesis, and then a quantitative synthesis. The scoping review will include categorizing all quality measures for CEC discussed in the literature, both quantitative and qualitative. The qualitative synthesis will generate a comprehensive analytic framework for understanding the quality of CEC and is expected to inform the quantitative synthesis, which will be a meta-analysis of studies reporting the effects of CEC on pre-specified clinical outcomes.

DiscussionThe literature on CEC is broad and diverse and has never been examined with specific regard to quality measurement. We propose a novel mixed-methods approach to compile and synthesize this literature and to derive a framework for assessing quality in CEC.

Systematic review registrationPROSPERO CRD42015023282

KeywordsClinical ethics Health care ethics committees Ethics consultation Mixed-method Scoping review Bioethics Systematic review Electronic supplementary materialThe online version of this article doi:10.1186-s13643-016-0273-x contains supplementary material, which is available to authorized users.

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Author: Louis Leslie - Rebecca Frances Cherry - Abbas Mulla - Jean Abbott - Kristin Furfari - Jacqueline J. Glover - Benjamin Har


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