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  1. Balancing Legitimate Critical-Care Interests: Setting Defensible Care Limits Through Policy Development.Jeffrey Kirby - 2016 - American Journal of Bioethics 16 (1):38-47.
    Critical-care decision making is highly complex, given the need for health care providers and organizations to consider, and constructively respond to, the diverse interests and perspectives of a variety of legitimate stakeholders. Insights derived from an identified set of ethics-related considerations have the potential to meaningfully inform inclusive and deliberative policy development that aims to optimally balance the competing obligations that arise in this challenging, clinical decision-making domain. A potential, constructive outcome of such policy engagement is the collaborative development of (...)
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  • The Limits to Setting Limits on Critical-Care Delivery: Response to Open Peer Commentaries on “Balancing Legitimate Critical-Care Interests: Setting Defensible Care Limits Through Policy Development”.Jeffrey Kirby - 2016 - American Journal of Bioethics 16 (1):5-8.
    Critical-care decision making is highly complex, given the need for health care providers and organizations to consider, and constructively respond to, the diverse interests and perspectives of a variety of legitimate stakeholders. Insights derived from an identified set of ethics-related considerations have the potential to meaningfully inform inclusive and deliberative policy development that aims to optimally balance the competing obligations that arise in this challenging, clinical decision-making domain. A potential, constructive outcome of such policy engagement is the collaborative development of (...)
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  • Uncontrolled DCD: When Should We Stop Trying to Save the Patient and Focus on Saving the Organs?.Iván Ortega-Deballon & David Rodríguez-Arias - 2018 - Hastings Center Report 48 (S4):33-35.
    Uncontrolled donation after circulatory death, which occurs when an individual has experienced unexpected cardiac arrest, usually not in a hospital, generates both excitement and concern. On the one hand, uDCD programs have the capacity to significantly increase organ donation rates, with good transplant outcomes—mainly for kidneys, but also for livers and lungs. On the other hand, uDCD raises a number of ethical challenges. In this essay, we focus on an issue that is central to all uDCD protocols: When should we (...)
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  • Getting Degrees of Wrongness Right: Nudges and Value of Agency.Philip Robichaud - 2016 - American Journal of Bioethics 16 (11):28-30.
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  • Declare Death or Attempt Experimental Resuscitation?James L. Bernat - 2017 - American Journal of Bioethics 17 (5):17-19.
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  • “Nudging” Deceased Donation Through an Opt-Out System: A Libertarian Approach or Manipulation?David Rodrıguez-Arias & Myfanwy Morgan - 2016 - American Journal of Bioethics 16 (11):25-28.
    Nudges involve designing social “choice contexts” to promote what “experts” regard as beneficial for individuals and the society, by making the “right” choices easier. The most common form of nudge...
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  • What does “presumed consent” might presume? Preservation measures and uncontrolled donation after circulatory determination of death.Pablo de Lora - 2014 - Medicine, Health Care and Philosophy 17 (3):403-411.
    One of the most controversial aspects in uncontrolled donation of organs after circulatory death is the initiation of preservation measures before death. I argue that in so-called opting-out systems only under very stringent conditions we might presume consent to the instauration of those measures. Given its current legal framework, I claim that this is not the case of Spain, a well-known country in which consent is presumed—albeit only formally—and where uDCD is currently practiced.
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