破解慢代码的密码:慢代码实践分类法及其对临床和伦理的影响。

IF 1.7 2区 哲学 Q2 ETHICS Bioethics Pub Date : 2024-11-20 DOI:10.1111/bioe.13378
Erica Andrist, Jacqueline Meadow, Nurah Lawal, Naomi T Laventhal
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引用次数: 0

摘要

慢守则 "在伦理上的可允许性引发了激烈的争论。然而,文献中对 "慢密码 "的定义往往留有解释的余地。因此,那些评估 "慢密码 "伦理允许性的人可能没有共同的定义,而且定义可能与临床医生在临床实践中对该术语的理解和使用不一致。为了使关于 "缓慢法则 "的讨论更加清晰和细致,本手稿强调了区分复苏实践的突出医学和道德要素,形成了包括九个不同条目的分类法:假法则、随意法则、时间限制法则、家庭法则、包含法则、自选法则、预防法则、被动法则和接受法则。我们认为,要对 "慢守则 "的伦理影响进行有说服力的分析,首先必须对辩论中的做法有清晰、共同的理解。
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Cracking the code of the slow code: A taxonomy of slow code practices and their clinical and ethical implications.

The ethical permissibility of the "slow code" sparks vigorous debate. However, definitions of the "slow code" that exist in the literature often leave room for interpretation. Thus, those assessing the ethical permissibility of the slow code may not be operating with shared definitions, and definitions may not align with clinicians' understanding and use of the term in clinical practice. To add clarity and nuance to discussions of the "slow code," this manuscript highlights the salient medical and moral components that distinguish resuscitative practices, resulting in a taxonomy that includes nine distinct entries: the Fake Code, Casual Code, Time-Limited Code, Family Code, Contained Code, a la Carte Code, Preventive Code, Passive Code, and Accepted Code. We argue that cogent analyses of the ethical implications of the "slow code" must begin with clear, shared understandings of the practices under debate.

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来源期刊
Bioethics
Bioethics 医学-医学:伦理
CiteScore
4.20
自引率
9.10%
发文量
127
审稿时长
6-12 weeks
期刊介绍: As medical technology continues to develop, the subject of bioethics has an ever increasing practical relevance for all those working in philosophy, medicine, law, sociology, public policy, education and related fields. Bioethics provides a forum for well-argued articles on the ethical questions raised by current issues such as: international collaborative clinical research in developing countries; public health; infectious disease; AIDS; managed care; genomics and stem cell research. These questions are considered in relation to concrete ethical, legal and policy problems, or in terms of the fundamental concepts, principles and theories used in discussions of such problems. Bioethics also features regular Background Briefings on important current debates in the field. These feature articles provide excellent material for bioethics scholars, teachers and students alike.
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