Chen Donna T, Werhane Patricia H, Mills Ann E
Departments of Public Health Sciences and Psychiatric Medicine, Center for Biomedical Ethics, University of Virginia Health System, Charlottesville, Virginia, USA.
Crit Care Med. 2007 Feb;35(2 Suppl):S11-7. doi: 10.1097/01.CCM.0000252913.21741.35.
The authors view the activities involved in critical care medicine as composing a complex adaptive system that is itself operating within a complex adaptive system, the healthcare organization. The authors explain why it is necessary that these systems be viewed this way, and they explain what is necessary to allow them to produce creative or emergent outcomes. They provide a justification for the role of an organization ethics program within this context. They provide a definition of organization ethics and outline the characteristics that an effective organization ethics program would possess.
作者认为重症医学所涉及的活动构成了一个复杂适应系统，而该系统本身又在一个复杂适应系统即医疗保健组织中运行。作者解释了为何必须以这种方式看待这些系统，并说明了要使它们产生创造性或涌现性结果需要具备什么条件。他们为组织伦理计划在此背景下的作用提供了正当理由。他们给出了组织伦理的定义，并概述了一个有效的组织伦理计划应具备的特征。
