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Robert Macauley [8]Robert C. Macauley [7]
  1.  93
    Ethical Challenges Arising in the COVID-19 Pandemic: An Overview from the Association of Bioethics Program Directors (ABPD) Task Force.Amy L. McGuire, Mark P. Aulisio, F. Daniel Davis, Cheryl Erwin, Thomas D. Harter, Reshma Jagsi, Robert Klitzman, Robert Macauley, Eric Racine, Susan M. Wolf, Matthew Wynia & Paul Root Wolpe - 2020 - American Journal of Bioethics 20 (7):15-27.
    The COVID-19 pandemic has raised a host of ethical challenges, but key among these has been the possibility that health care systems might need to ration scarce critical care resources. Rationing p...
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  2.  22
    Measuring Quality in Ethics Consultation.Robert C. Macauley, Eva M. Williford, Gordon J. Meyer, Jacob M. Dahlke, Jane E. Oppenlander & Sally E. Bliss - 2016 - Journal of Clinical Ethics 27 (2):163-175.
    For all of the emphasis on quality improvement—as well as the acknowledged overlap between assessment of the quality of healthcare services and clinical ethics—the quality of clinical ethics consultation has received scant attention, especially in terms of empirical measurement. Recognizing this need, the second edition of Core Competencies for Health Care Ethics Consultation identified four domains of ethics quality: (1) ethicality, (2) stakeholders’ satisfaction, (3) resolution of the presenting conflict/dilemma, and (4) education that translates into knowledge. This study is the (...)
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  3.  14
    The Effectiveness of Standardized Patient Simulation in Training Hospital Ethics Committees.Robert C. Macauley & David Y. Harari - 2016 - Journal of Clinical Ethics 27 (1):14-20.
    Clinical simulation using standardized patients has become standard in medical education—and is now being incorporated into some graduate programs in bioethics—for both formative and summative evaluation. In most hospitals, though, clinical ethics consultation is done by the ethics committee (or a subset of it). This study is the first, to our knowledge, to examine the effectiveness of standardized patient simulation in training hospital ethics committees to deal with ethically complex and emotionally fraught clinical situations. Following a substantial revision of the (...)
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  4.  12
    The Least Bad Option: Unilateral Extubation after Declaration of Death by Neurological Criteria.Robert C. Macauley & Sally E. Bliss - 2015 - Journal of Clinical Ethics 26 (3):260-265.
    Typically, the determination of death by neurological criteria follows a very specific protocol. An apnea test is performed with further confirmation as necessary, and then mechanical ventilation is withdrawn with the consent of the family after they have had an opportunity to “say goodbye,” and at such a time to permit organ retrieval (with authorization of the patient or consent of the next of kin). Such a process maximizes transparency and ensures generalizability. In exceptional circumstances, however, it may be necessary (...)
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  5.  34
    A case of deception?Katrina A. Bramstedt & Robert Macauley - 2005 - Hastings Center Report 35 (6):13-14.
  6.  18
    Case Study: A Case of Deception?Katrina A. Bramstedt & Robert Macauley - 2005 - Hastings Center Report 35 (6):13.
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  7.  28
    The Role of Theories in Conceptual Coherence Gregory L Murphy and Douglas L Medin.Sarah Hampson Clark, Reid Hastie, Robert Macauley, Barbara Malt, Glenn Nakamura, Andrew Ortony, Elissa Newport, Brian Ross & Richard Shweder Shoben - 1999 - In Eric Margolis & Stephen Laurence (eds.), Concepts: Core Readings. MIT Press.
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  8.  21
    Betting on CPR: a modern version of Pascal’s Wager.David Y. Harari & Robert C. Macauley - 2020 - Journal of Medical Ethics 46 (2):110-113.
    Many patients believe that cardiopulmonary resuscitation is more likely to be successful than it really is in clinical practice. Even when working with accurate information, some nevertheless remain resolute in demanding maximal treatment. They maintain that even if survival after cardiac arrest with CPR is extremely low, the fact remains that it is still greater than the probability of survival after cardiac arrest without CPR. Without realising it, this line of reasoning is strikingly similar to Pascal’s Wager, a Renaissance-era argument (...)
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  9.  9
    Covert Medications: Act of Compassion or Conspiracy of Silence?Robert C. Macauley - 2016 - Journal of Clinical Ethics 27 (4):298-307.
    As the population in the United States gets older, more people suffer from dementia, which often causes neuropsychiatric symptoms such as agitation and paranoia. This can lead patients to refuse medications, prompting consideration of covert administration (that is, concealing medication in food or drink). While many condemn this practice as paternalistic, deceptive, and potentially harmful, the end result of assuming the “moral high ground” can be increased suffering for patients and families. This article addresses common criticisms of covert medication and (...)
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  10.  6
    Ethics in palliative care: a comlete guide.Robert C. Macauley - 2018 - New York, NY: Oxford University Press.
    A comprehensive analysis of ethical topics in palliative care, combining clinical experience and philosophical rigor. A broad array of topics are explored from historical, legal, clinical, and ethical perspectives, offering both the seasoned clinician and interested lay reader a thorough examination of the complex ethical issues facing patients suffering from life-threatening illness.
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  11.  36
    Klugman, Craig M. and Pamela M. dalinis, eds. 2008 ethical issues in rural health care.Robert Macauley - 2009 - Journal of Bioethical Inquiry 6 (4):511-512.
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  12.  20
    The Ethics of Cultivated Gratitude.Robert Macauley - 2014 - HEC Forum 26 (4):343-348.
    Given narrow operating margins, health care organizations are increasingly relying on philanthropy to fund operations. Since individuals provide the majority of philanthropic support, many organizations have expanded their “grateful patient fundraising” programs to include current inpatients, both established donors as well as persons of wealth. While this is legally permissible under HIPAA, it raises substantial ethical concerns for potential coercion of vulnerable patients, as well as unequal care stemming from preferential treatment and provided “amenities.” While some have drawn the analogy (...)
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  13.  14
    The Hippocratic Underground: Civil Disobedience and Health Care Reform.Robert Macauley - 2005 - Hastings Center Report 35 (1):38.
    Health care reform is bottled up. Socially responsible physicians, forced to curtail care to uninsured patients, should respond with organized, open defiance, by billing the costs of the care to the accounts of patients covered under Medicaid or Medicare. Reverse cost‐shifting: maybe it could work, certainly it would be justified.
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  14.  69
    The role of the principle of double effect in ethics education at US medical schools and its potential impact on pain management at the end of life.Robert Macauley - 2012 - Journal of Medical Ethics 38 (3):174-178.
    Background Because opioids can suppress respiratory drive, the principle of double effect (PDE) has been used to justify their use for terminally ill patients. Recent studies, however, suggest that the risk of respiratory depression in typical end-of-life (EOL) situations may be overstated and that heightened concern for this rare occurrence can lead to inadequate treatment of pain. The purpose of this study is to examine the role of the PDE in medical school ethics education, with specific reference to its potential (...)
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  15.  21
    The Role of Substituted Judgment in the Aftermath of a Suicide Attempt.Robert C. Macauley - 2007 - Journal of Clinical Ethics 18 (2):111-118.