2020
Phases of a Pandemic Surge: The Experience of an Ethics Service in New York City during COVID-19.
Huberman B, Mukherjee D, Gabbay E, Knowlton S, Green D, Pandya N, Meredith N, Walker J, Shapiro Z, Hersh J, Chisholm M, Waldman S, MacKenzie C, de Melo-Martín I, Fins J. Phases of a Pandemic Surge: The Experience of an Ethics Service in New York City during COVID-19. The Journal Of Clinical Ethics 2020, 31: 219-227. PMID: 32773404, DOI: 10.1086/jce2020313219.Peer-Reviewed Original ResearchConceptsClinical ethics consultationEthics consultationEthical issuesSense of dis-easeEthics consultation servicesPrism of timeEthical lifeCode status discussionsNew York City hospitalsEthics ServiceOrganizational lifeEthicsCommunication interventionsSpecialty areasEight-week periodDis-easeWeill Cornell Medical CollegeNew York CityConsultation servicePandemic surgeConsultationCity HospitalCornell Medical CollegeMedical CollegeScarcity of resourcesThe COVID-19 Crisis and Clinical Ethics in New York City.
Fins J, Prager K. The COVID-19 Crisis and Clinical Ethics in New York City. The Journal Of Clinical Ethics 2020, 31: 228-232. PMID: 32773405, DOI: 10.1086/jce2020313228.Peer-Reviewed Original ResearchConceptsEthics consultationEthical challengesClinical ethics consultationClinical ethics servicesCrisis standards of careClinical ethicsEthical communityMedical futilityColumbia teamMoral distressCritical intelligenceEthics ServiceEthicsSenior hospital administratorsNewYork-PresbyterianInstitutional lifeCrisis standardsResource allocation questionsNew York CityExtraordinary circumstancesWeill CornellDisproportionate burden of COVID-19Collective responseMedical CenterColumbia campus
2019
Frequency of Ethical Issues on a Hospitalist Teaching Service at an Urban, Tertiary Care Center
McCarthy M, de Asua D, Gabbay E, Christos P, Fins J. Frequency of Ethical Issues on a Hospitalist Teaching Service at an Urban, Tertiary Care Center. Journal Of Hospital Medicine 2019, 14: 290-293. PMID: 30897052, PMCID: PMC7343177, DOI: 10.12788/jhm.3179.Peer-Reviewed Original ResearchConceptsHospitalist teaching serviceFrequency of ethical issuesEthical issuesClinical ethics consultationHospital ethics committeeDecision-making capacityEthics consultationEthics curriculumEthical conflictsCardiopulmonary resuscitation statusAttending hospitalistsResuscitation statusGoals of careEthics CommitteeTeaching serviceDischarge planningDaily roundsHospitalistsPain managementIssuesTertiary care centerTeaching hospitalCare centerTertiary-careServices
2018
The internist as clinical ethics consultant: An antidote to “the barbarism of specialisation” in hospital practice
de Asúa D, del Pozo P, Fins J. The internist as clinical ethics consultant: An antidote to “the barbarism of specialisation” in hospital practice. Revista Clínica Española (English Edition) 2018, 218: 142-148. DOI: 10.1016/j.rceng.2017.09.004.Peer-Reviewed Original ResearchMeaningful Use of Electronic Health Records for Quality Assessment and Review of Clinical Ethics Consultation.
Sanelli-Russo S, Folkers K, Sakolsky W, Fins J, Dubler N. Meaningful Use of Electronic Health Records for Quality Assessment and Review of Clinical Ethics Consultation. The Journal Of Clinical Ethics 2018, 29: 52-61. PMID: 29565797, DOI: 10.1086/jce2018291052.Peer-Reviewed Original ResearchConceptsElectronic health recordsHealth recordsMeaningful Use of Electronic Health RecordsChart notesEpic electronic health recordUse of electronic health recordsHealth information technologyClinical ethicsPeer reviewMeaningful UseHealth professionalsConsultation notesClinical ethics consultationInformation technologyQuality improvementGoal of standardizationEthics consultationConsultationHealthQuality assessmentPeerProfessionalsQualityNotesEvolving practice
2016
A Pilot Evaluation of Portfolios for Quality Attestation of Clinical Ethics Consultants
Fins J, Kodish E, Cohn F, Danis M, Derse A, Dubler N, Goulden B, Kuczewski M, Mercer M, Pearlman R, Smith M, Tarzian A, Youngner S. A Pilot Evaluation of Portfolios for Quality Attestation of Clinical Ethics Consultants. The American Journal Of Bioethics 2016, 16: 15-24. PMID: 26913652, DOI: 10.1080/15265161.2015.1134705.Peer-Reviewed Original Research
2014
Extracorporeal Membrane Oxygenation as a Bridge to Chemotherapy in an Orthodox Jewish Patient
Meltzer E, Ivascu N, Acres C, Stark M, Furman R, Fins J. Extracorporeal Membrane Oxygenation as a Bridge to Chemotherapy in an Orthodox Jewish Patient. The Oncologist 2014, 19: 985-989. PMID: 25096998, PMCID: PMC4153457, DOI: 10.1634/theoncologist.2014-0025.Peer-Reviewed Original ResearchConceptsLife-sustaining therapyVA-ECMOBridge to treatmentExtracorporeal membrane oxygenationOrthodox Jewish womenEthics consultationCardiopulmonary supportMembrane oxygenationVenoarterial extracorporeal membrane oxygenationClinical ethics consultationInitiation of VA-ECMOJewish womenTemporary cardiopulmonary supportAcademic medical centerReceipt of chemotherapyLonger-term therapyVA-ECMO useClinical staffReligious traditionsAbsence of recoveryReligious leadersCultural liaisonsReligious objectsCurable lymphomaChemotherapy induction
2013
Quality Attestation for Clinical Ethics Consultants: A Two‐Step Model from the American Society for Bioethics and Humanities
Kodish E, Fins J, Braddock C, Cohn F, Dubler N, Danis M, Derse A, Pearlman R, Smith M, Tarzian A, Youngner S, Kuczewski M. Quality Attestation for Clinical Ethics Consultants: A Two‐Step Model from the American Society for Bioethics and Humanities. The Hastings Center Report 2013, 43: 26-36. PMID: 24092588, PMCID: PMC4849543, DOI: 10.1002/hast.198.Peer-Reviewed Original ResearchClinical Ethics Consultation in Oncology
Shuman A, Montas S, Barnosky A, Smith L, Fins J, McCabe M. Clinical Ethics Consultation in Oncology. JCO Oncology Practice 2013, 9: 240-245. PMID: 23943899, DOI: 10.1200/jop.2013.000901.Peer-Reviewed Original ResearchConceptsClinical ethics consultationEthics consultationNational Cancer Institute-designated comprehensive cancer centerCancer Institute-designated comprehensive cancer centerEnd-of-life careDo-not-resuscitate ordersOverall goals of carePalliative care expertsPalliative care consultationGoals of carePatient casesEnd-of-lifeComprehensive cancer centerCare consultationCode statusSources of interpersonal conflictAdvance directivesCare expertsStaff educationSurrogate decisionPatient's wishesMedical futilityOncology populationCommunication lapsesClinical care
2012
Clinical ethics consultation in patients with head and neck cancer
Shuman A, McCabe M, Fins J, Kraus D, Shah J, Patel S. Clinical ethics consultation in patients with head and neck cancer. Head & Neck 2012, 35: 1647-1651. PMID: 23161591, DOI: 10.1002/hed.23204.Peer-Reviewed Original ResearchConceptsClinical ethics consultationEthics consultationHead and neck cancerCommunication barriersNeck cancerLife-sustaining treatmentComprehensive cancer centerCode statusAirway management concernsEthical themesSymptom controlCancer CenterEthicsConsultationData abstractionDNRAirway managementCancerPatientsInterpersonal conflictBarriersDatabaseThemesClinical challengeHeadCredentialing the clinical ethics consultant: an academic medical center affirms professionalism and practice.
Acres C, Prager K, Hardart G, Fins J. Credentialing the clinical ethics consultant: an academic medical center affirms professionalism and practice. The Journal Of Clinical Ethics 2012, 23: 156-64. PMID: 22822704, DOI: 10.1086/jce201223208.Peer-Reviewed Original ResearchConceptsClinical ethics case consultationEthics case consultationAcademic medical centerClinical ethics consultationClinical ethicistsEthics consultationCase consultationMedical CenterHistorical contextBioethicsNewYork-PresbyterianIncreased accountabilityNational trendsConceptual rationaleEthicistsInstitutional policiesConsultationCredentialsContextDialogueLocal contextAccountsClinical ethics consultation in oncology.
Shuman A, Montas S, Barnosky A, Smith L, Kissane D, Fins J, McCabe M. Clinical ethics consultation in oncology. Journal Of Clinical Oncology 2012, 30: 9121-9121. DOI: 10.1200/jco.2012.30.15_suppl.9121.Peer-Reviewed Original ResearchClinical ethics consultationEthics consultationGoals of careCode statusEnd-of-life careOverall goals of careInvolvement of palliative careNCI-designated comprehensive cancer centerPalliative care consultationPalliative care involvementPatient's code statusSurrogate decision-makersEnd of lifeEnd-of-lifeComprehensive cancer centerSystem improvementSources of interpersonal conflictAdult oncology patientsMedical futilityCare consultationPalliative careAdvance directivesCare involvementEthicsChart abstraction
2008
Clinical Ethics and the Quality Initiative: A Pilot Study for the Empirical Evaluation of Ethics Case Consultation
Nilson E, Acres C, Tamerin N, Fins J. Clinical Ethics and the Quality Initiative: A Pilot Study for the Empirical Evaluation of Ethics Case Consultation. American Journal Of Medical Quality 2008, 23: 356-364. PMID: 18820140, DOI: 10.1177/1062860608316729.Peer-Reviewed Original ResearchConceptsEthics consultationEnd-of-life decision makingNew York-Presbyterian Healthcare SystemDo-not-resuscitate ordersQuality of careEthics case consultationClinical ethics consultationEthics consultation processSurrogate decision makingEnd-of-lifeDecision-making capacityEquitable carePatient-centeredNonmedical servicesClinical ethicsEthical dilemmasPsychosocial outcomesClinical careHealthcare systemCase consultationIntensive care unit patientsEthicsCareQuality imperativesQuality Initiative