ORCID Profile
0000-0002-0490-5697
Current Organisation
University of Zurich
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Publisher: Cold Spring Harbor Laboratory
Date: 03-10-2023
Publisher: Oxford University Press (OUP)
Date: 31-05-2021
DOI: 10.1093/BMB/LDAB009
Abstract: The coronavirus disease 2019 pandemic has placed intensive care units (ICU) triage at the center of bioethical discussions. National and international triage guidelines emerged from professional and governmental bodies and have led to controversial discussions about which criteria—e.g. medical prognosis, age, life-expectancy or quality of life—are ethically acceptable. The paper presents the main points of agreement and disagreement in triage protocols and reviews the ethical debate surrounding them. Published articles, news articles, book chapters, ICU triage guidelines set out by professional societies and health authorities. Points of agreement in the guidelines that are widely supported by ethical arguments are (i) to avoid using a first come, first served policy or quality-adjusted life-years and (ii) to rely on medical prognosis, maximizing lives saved, justice as fairness and non-discrimination. Points of disagreement in existing guidelines and the ethics literature more broadly regard the use of exclusion criteria, the role of life expectancy, the prioritization of healthcare workers and the reassessment of triage decisions. Improve outcome predictions, possibly aided by Artificial intelligence (AI) develop participatory approaches to drafting, assessing and revising triaging protocols learn from experiences with implementation of guidelines with a view to continuously improve decision-making. Examine the universality vs. context-dependence of triaging principles and criteria empirically test the appropriateness of triaging guidelines, including impact on vulnerable groups and risk of discrimination study the potential and challenges of AI for outcome and preference prediction and decision-support.
Publisher: Elsevier BV
Date: 04-2023
Publisher: Wiley
Date: 25-09-2020
DOI: 10.1111/BIOE.12805
Publisher: Informa UK Limited
Date: 28-10-2021
Publisher: SMW Supporting Association
Date: 19-05-2022
No related grants have been discovered for Rasita Vinay.