Letters Section Editor: Stephen J. Lurie,
MD, PhD, Senior Editor.
In Reply: We share Ms Quigley's concern that
evaluations of ethics consultations accurately convey a "representative range
of experience and opinion" of the participants. In our study, there were no
significant differences in the diverse demographic profiles among the patients
entered into the study, the patients/surrogates who were interviewed, and
those who lacked surrogates or whose surrogates were unavailable for interview.
As for surrogate involvement, all stakeholders or participants were
identified and included in the process, except when they were not available.
In some cases there was only 1 surrogate or family member. When more than
1 family member was involved in the consultation process, the concerns of
all these individuals were acknowledged and addressed.
Schneiderman LJ, Gilmer T, Teetzel HD, Dugan DO, Blustein J, Cranford R, Briggs KB, Komatsu GI, Goodman-Crews P, Cohn F, Young EWD. Ethics Consultation in the Intensive Care Unit. JAMA. 2003;290(24):3191-3192. doi:10.1001/jama.290.24.3191-a