Lori Bruce, DPhil, HEC-C
Associate Director, Center for BioethicsCards
About
Research
Publications
2023
From Intimate Exams to Ritual Nicking: Interpreting Nonconsensual Medicalized Genital Procedures as Sexual Boundary Violations
Buckler M, Bruce L, Earp B. From Intimate Exams to Ritual Nicking: Interpreting Nonconsensual Medicalized Genital Procedures as Sexual Boundary Violations. Current Sexual Health Reports 2023, 15: 291-300. DOI: 10.1007/s11930-023-00376-9.Peer-Reviewed Original ResearchMedical necessity and consent for intimate procedures
Earp B, Bruce L. Medical necessity and consent for intimate procedures. Journal Of Medical Ethics 2023, 49: 591-593. PMID: 37648289, DOI: 10.1136/jme-2023-109465.Peer-Reviewed Original ResearchMaximizing biomedical research impacts through bioethical considerations
Tornini V, Politi S, Bruce L, Latham S. Maximizing biomedical research impacts through bioethical considerations. Disease Models & Mechanisms 2023, 16: dmm050046. PMID: 37092345, PMCID: PMC10163322, DOI: 10.1242/dmm.050046.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus Statements
2022
Extending Trauma-Informed Principles to Hospital System Policy Development
Bruce L, Herbst J. Extending Trauma-Informed Principles to Hospital System Policy Development. The American Journal Of Bioethics 2022, 22: 65-68. PMID: 35475965, DOI: 10.1080/15265161.2022.2055210.Peer-Reviewed Original ResearchA Hub and Spoke Model for Improving Access and Standardizing Ethics Consultations Across a Large Healthcare System
Tolchin B, Bruce L, Mercurio M, Latham SR. A Hub and Spoke Model for Improving Access and Standardizing Ethics Consultations Across a Large Healthcare System. The American Journal Of Bioethics 2022, 22: 42-45. PMID: 35420520, DOI: 10.1080/15265161.2022.2044551.Peer-Reviewed Original ResearchNew Findings on Unconsented Intimate Exams Suggest Racial Bias and Gender Parity
Bruce L, Hannikainen I, Earp B. New Findings on Unconsented Intimate Exams Suggest Racial Bias and Gender Parity. The Hastings Center Report 2022, 52: 7-9. PMID: 35476362, DOI: 10.1002/hast.1349.Peer-Reviewed Original Research
2021
Reflections on New Evidence on Crisis Standards of Care in the COVID-19 Pandemic.
Tolchin B, Latham SR, Bruce L, Ferrante LE, Kraschel K, Jubanyik K, Hull SC, Herbst JL, Kapo J, Moritz ED, Hughes J, Siegel MD, Mercurio MR. Reflections on New Evidence on Crisis Standards of Care in the COVID-19 Pandemic. The Journal Of Clinical Ethics 2021, 32: 358-360. PMID: 34928864, DOI: 10.1086/jce2021324358.Commentaries, Editorials and LettersConceptsSOFA scoreBlack patientsCrisis standardsSequential Organ Failure Assessment scoreOrgan Failure Assessment scoreAccurate prognostic scoresNext public health emergencyCOVID-19 patientsLife-saving medical resourcesMedical resourcesCOVID-19 pandemicSame scoring systemPublic health emergencyPrognostic scoreBody of evidenceRare casePatientsScoring systemTriage purposesAssessment scoresHealth emergencyCareHealthcare systemCOVID-19ScoresPromoting racial equity in COVID-19 resource allocation
Bruce L, Tallman R. Promoting racial equity in COVID-19 resource allocation. Journal Of Medical Ethics 2021, 47: 208-212. PMID: 33514637, PMCID: PMC7852067, DOI: 10.1136/medethics-2020-106794.Peer-Reviewed Original ResearchTriage protocolFront-line healthcare workersCOVID-19 triage protocolsPatients of colorHealth inequalitiesOlder physiciansHealth systemHospital policiesCOVID-19 resourcesRacial disparitiesHealthcare workersCOVID-19Promote racial equityPregnant womenMedical resourcesIncrease equityCOVID-19 policiesStatements of solidarityRacial inequalityResource allocationHealthTriagePolicymakers' abilityCommon argumentsRacial affiliation
2020
Developing a Triage Protocol for the COVID-19 Pandemic: Allocating Scarce Medical Resources in a Public Health Emergency.
Tolchin B, Latham SR, Bruce L, Ferrante LE, Kraschel K, Jubanyik K, Hull SC, Herbst JL, Kapo J, Moritz ED, Hughes J, Siegel MD, Mercurio MR. Developing a Triage Protocol for the COVID-19 Pandemic: Allocating Scarce Medical Resources in a Public Health Emergency. The Journal Of Clinical Ethics 2020, 31: 303-317. PMID: 32991327, DOI: 10.1086/jce2020314303.Peer-Reviewed Original ResearchConceptsPublic health emergencyTriage protocolScarce medical resourcesYale New Haven Health SystemMedical resourcesEthical challengesHealth emergencyCOVID-19 pandemicAllocating Scarce Medical ResourcesFuture wavesMajor ethical challengesChronic comorbiditiesPregnant patientsSimilar public health emergenciesHealthcare workersTriage assessmentClinical judgmentCoronavirus diseaseHealth systemSocioeconomic disparitiesRole of ageCOVID-19Less needPublic discussionSecondary goalA Pot Ignored Boils On: Sustained Calls for Explicit Consent of Intimate Medical Exams
Bruce L. A Pot Ignored Boils On: Sustained Calls for Explicit Consent of Intimate Medical Exams. HEC Forum 2020, 32: 125-145. PMID: 32152870, PMCID: PMC7223770, DOI: 10.1007/s10730-020-09399-4.Peer-Reviewed Original ResearchConceptsIntimate examsConsent policiesExplicit consentSeries of harmsMoral erosionMoral distressSacred trustLegal scholarsConsent practicesScientific detachmentWhistleblower reportsIntimate regionsMain argumentNeutral wayLegislative banSpecial protectionSchool curriculumPatient valuesArgumentInstitutional cultureMedical AssociationOppositionConsentMedical school curriculumStatus quo