Department of Philosophy, School of Arts and Humanities, St. Edward's University, 3001 S. Congress Ave., Austin, TX, 78704, USA.
HEC Forum. 2020 Sep;32(3):191-197. doi: 10.1007/s10730-020-09422-8.
The day-to-day work of clinical ethics consultants and healthcare ethics committees can easily become overly routine. Too much routine, however, comes with a risk that morally important practices will be reduced to mere bureaucratic formalities, while practitioners become desensitized to ethically significant distinctions between cases. Clinical ethics consultation and organizational ethics must be set within the broader social and cultural context of the healthcare environment. This practice requires looking beyond mere legal compliance and the routinely false assumption that there are unambiguous ethical norms that easily govern clinical ethics and hospital policy formation. Together the essays in this issue of HEC Forum challenge readers to rethink taken-for-granted assumptions regarding patient care, physician obligation, clinical ethics consultation, and organizational ethics.
临床伦理顾问和医疗保健伦理委员会的日常工作很容易变得过于例行公事。然而，过多的例行公事存在一种风险，即道德上重要的实践将沦为纯粹的官僚形式，而从业者对案例之间的伦理意义上的区别变得麻木不仁。临床伦理咨询和组织伦理必须置于医疗保健环境的更广泛的社会和文化背景下。这种做法需要超越仅仅遵守法律和通常错误的假设，即存在明确的伦理规范，可以轻易地管理临床伦理和医院政策制定。本期 HEC 论坛中的文章共同挑战读者重新思考关于患者护理、医生义务、临床伦理咨询和组织伦理的既定假设。
