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Zoe Fritz
Cambridge University
  1.  22
    Too Much Medicine: Not Enough Trust?Zoë Fritz & Richard Holton - 2019 - Journal of Medical Ethics 45 (1):31-35.
    As many studies around the theme of ‘too much medicine’ attest, investigations are being ordered with increasing frequency; similarly the threshold for providing treatment has lowered. Our contention is that trust is a significant factor in influencing this, and that understanding the relationship between trust and investigations and treatments will help clinicians and policymakers ensure ethical decisions are more consistently made. Drawing on the philosophical literature, we investigate the nature of trust in the patient–doctor relationship, arguing that at its core (...)
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  2.  13
    Conflicting Demands on a Modern Healthcare Service: Can Rawlsian Justice Provide a Guiding Philosophy for the NHS and Other Socialized Health Services?Zoë Fritz & Caitríona Cox - 2019 - Bioethics 33 (5):609-616.
    We explore whether a Rawlsian approach might provide a guiding philosophy for the development of a healthcare system, in particular with regard to resolving tensions between different groups within it. We argue that an approach developed from some of Rawls’ principles – using his ‘veil of ignorance’ and both the ‘difference’ and ‘just savings’ principles which it generates – provides a compelling basis for policy making around certain areas of conflict. We ask what policies might be made if those making (...)
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  3.  6
    Integrating Philosophy, Policy and Practice to Create a Just and Fair Health Service.Zoe Fritz & Caitríona L. Cox - 2020 - Journal of Medical Ethics 46 (12):797-802.
    To practise ‘fairly and justly’ a clinician must balance the needs of both the many and the few: the individual patient in front of them, and the many unseen patients in the waiting room, and in the county. They must consider the immediate clinical needs of those in the present, and how their actions will impact on future patients. The good medical practice guidance ‘Make the care of your patient your first concern’ provides no guidance on how doctors should act (...)
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  4.  7
    Can ‘Best Interests’ Derail the Trolley? Examining Withdrawal of Clinically Assisted Nutrition and Hydration in Patients in the Permanent Vegetative State.Zoe Fritz - 2017 - Journal of Medical Ethics 43 (7):450-454.
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  5.  2
    A Systematic Review of Patient Access to Medical Records in the Acute Setting: Practicalities, Perspectives and Ethical Consequences.Zoë Fritz, Isla L. Kuhn & Stephanie N. D’Costa - 2020 - BMC Medical Ethics 21 (1):1-19.
    BackgroundInternationally, patient access to notes is increasing. This has been driven by respect for patient autonomy, often recognised as a primary tenet of medical ethics: patients should be able to access their records to be fully engaged with their care. While research has been conducted on the impact of patient access to outpatient and primary care records and to patient portals, there is no such review looking at access to hospital medical records in real time, nor an ethical analysis of (...)
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  6.  9
    Does Resuscitation Status Affect Decision Making in a Deteriorating Patient? Results From a Randomised Vignette Study.Suzanne Moffat, Jane Skinner & Zoë Fritz - 2016 - Journal of Evaluation in Clinical Practice 22 (6):921-927.
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  7.  15
    Development of the Universal Form of Treatment Options (UFTO) as an Alternative to Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) Orders: A Cross-Disciplinary Approach.Zoë Fritz & Jonathan P. Fuld - 2015 - Journal of Evaluation in Clinical Practice 21 (1):109-117.
  8.  1
    Family Members, Ambulance Clinicians and Attempting CPR in the Community: The Ethical and Legal Imperative to Reach Collaborative Consensus at Speed.Robert Cole, Mike Stone, Alexander Ruck Keene & Zoe Fritz - forthcoming - Journal of Medical Ethics:medethics-2020-106490.
    Here we present the personal perspectives of two authors on the important and unfortunately frequent scenario of ambulance clinicians facing a deceased individual and family members who do not wish them to attempt cardiopulmonary resuscitation. We examine the professional guidance and the protection provided to clinicians, which is not matched by guidance to protect family members. We look at the legal framework in which these scenarios are taking place, and the ethical issues which are presented. We consider the interaction between (...)
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  9. Should Non-Disclosures Be Considered as Morally Equivalent to Lies Within the Doctor–Patient Relationship?Caitriona L. Cox & Zoe Fritz - 2016 - Journal of Medical Ethics 42 (10):632-635.
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  10. Sharing a Written Medical Summary with Patients on the Post‐Admission Ward Round: A Qualitative Study of Clinician and Patient Experience.Anna L. Crucefix, Aaron P. L. Fleming, Caroline S. Lebus, Anne-Marie Slowther & Zoë Fritz - forthcoming - Journal of Evaluation in Clinical Practice.
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  11.  12
    A Qualitative Study of Practice, Culture and Education of Doctors in Sri Lanka Regarding ‘Do Not Attempt Cardiopulmonary Resuscitation’ Decisions and Disclosure.Alexander Dodd, Vijitha De Silva & Zoë Fritz - 2017 - Clinical Ethics 13 (1):17-25.
    BackgroundDoctors and the Sri Lanka Medical Association recognise the importance of do not attempt cardiopulmonary resuscitation decisions and disclosure; however, few previous studies exist examining these practices in Sri Lanka. Resuscitation decisions have seen significant changes in the UK in recent years, with a legal imperative for clear communication and a move to understand patients’ preferred outcomes before recommending clinical guidance.MethodsParticipants from two Sri Lankan hospitals were selected purposively to represent a range of specialties and seniorities for semi-structured interview.ResultsFifteen participants (...)
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  12.  23
    Institute of Medical Ethics Guidelines for Confirmation of Appointment, Promotion and Recognition of UK Bioethics and Medical Ethics Researchers.Lucy Frith, Carwyn Hooper, Silvia Camporesi, Thomas Douglas, Anna Smajdor, Emma Nottingham, Zoe Fritz, Merryn Ekberg & Richard Huxtable - 2018 - Journal of Medical Ethics 44 (5):289-291.
    This document is designed to give guidance on assessing researchers in bioethics/medical ethics. It is intended to assist members of selection, confirmation and promotion committees, who are required to assess those conducting bioethics research when they are not from a similar disciplinary background. It does not attempt to give guidance on the quality of bioethics research, as this is a matter for peer assessment. Rather it aims to give an indication of the type, scope and amount of research that is (...)
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  13.  7
    Solidarity, Sustainability and Medical Ethics.Zoë Fritz - 2021 - Journal of Medical Ethics 47 (2):63-64.
    In this issue of the Journal of Medical Ethics arguments are cogently made that sustainability and solidarity should be considered as core medical ethical principles, and that more explicit attention should be given to the complex context in which a decision is made. Munthe et al propose that sustainability should become an established principle for justifying healthcare resource allocation, and should be an explicit factor in procuring drugs and other resources.1 They argue that the current operational norms which guide decision (...)
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  14.  13
    Too Much Medicine and the Poor Climate of Trust.Zoe Fritz & Richard J. Holton - 2019 - Journal of Medical Ethics 45 (11):748-749.
    Joshua Parker has made many interesting points1, and we welcome the opportunity to develop the ideas of ‘Too Much Medicine, Not Enough Trust’.2 We will address: the asymmetry between the trust that patients extend to doctors, and the trust that doctors extend to patients; our reasons for doubting that litigation or complaints reflect a betrayal of the patient–doctor relationship and the importance of institutional trust, both for the doctor and the patient. First, though, a clarification. We do not say that, (...)
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  15.  5
    Implementing an Intervention to Improve Decision Making Around Referral and Admission to Intensive Care: Results of Feasibility Testing in Three NHS Hospitals.Sophie Rees, Christopher Bassford, Jeremy Dale, Zoe Fritz, Frances Griffiths, Helen Parsons, Gavin D. Perkins & Anne Marie Slowther - forthcoming - Journal of Evaluation in Clinical Practice.
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