All Publications


  • Mechanisms, laws and explanation EUROPEAN JOURNAL FOR PHILOSOPHY OF SCIENCE Cartwright, N., Pemberton, J., Wieten, S. 2020; 10 (3)
  • Resource Allocation in COVID-19 Research: Which Trials? Which Patients? The American journal of bioethics : AJOB Wieten, S., Burgart, A., Cho, M. 2020; 20 (7): 86–88

    View details for DOI 10.1080/15265161.2020.1779392

    View details for PubMedID 32716767

  • Ventilator Triage Policies During the COVID-19 Pandemic at U.S. Hospitals Associated With Members of the Association of Bioethics Program Directors. Annals of internal medicine Matheny Antommaria, A. H., Gibb, T. S., McGuire, A. L., Wolpe, P. R., Wynia, M. K., Applewhite, M. K., Caplan, A., Diekema, D. S., Hester, D. M., Lehmann, L. S., McLeod-Sordjan, R., Schiff, T., Tabor, H. K., Wieten, S. E., Eberl, J. T. 2020

    Abstract

    The coronavirus disease 2019 pandemic has or threatens to overwhelm health care systems. Many institutions are developing ventilator triage policies.To characterize the development of ventilator triage policies and compare policy content.Survey and mixed-methods content analysis.North American hospitals associated with members of the Association of Bioethics Program Directors.Program directors.Characteristics of institutions and policies, including triage criteria and triage committee membership.Sixty-seven program directors responded (response rate, 91.8%); 36 (53.7%) hospitals did not yet have a policy, and 7 (10.4%) hospitals' policies could not be shared. The 29 institutions providing policies were relatively evenly distributed among the 4 U.S. geographic regions (range, 5 to 9 policies per region). Among the 26 unique policies analyzed, 3 (11.3%) were produced by state health departments. The most frequently cited triage criteria were benefit (25 policies [96.2%]), need (14 [53.8%]), age (13 [50.0%]), conservation of resources (10 [38.5%]), and lottery (9 [34.6%]). Twenty-one (80.8%) policies use scoring systems, and 20 of these (95.2%) use a version of the Sequential Organ Failure Assessment score. Among the policies that specify the triage team's composition (23 [88.5%]), all require or recommend a physician member, 20 (87.0%) a nurse, 16 (69.6%) an ethicist, 8 (34.8%) a chaplain, and 8 (34.8%) a respiratory therapist. Thirteen (50.0% of all policies) require or recommend those making triage decisions not be involved in direct patient care, but only 2 (7.7%) require that their decisions be blinded to ethically irrelevant considerations.The results may not be generalizable to institutions without academic bioethics programs.Over one half of respondents did not have ventilator triage policies. Policies have substantial heterogeneity, and many omit guidance on fair implementation.

    View details for DOI 10.7326/M20-1738

    View details for PubMedID 32330224

  • Response to "Will We Code for Default ECMO?": Clarifying the Scope of Do-Not-ECMO Orders. AMA journal of ethics Blythe, J. A., Wieten, S. E., Batten, J. N. 2019; 21 (10): E926–929

    View details for DOI 10.1001/amajethics.2019.926

    View details for PubMedID 31651394

  • A Tapestry of Values: An Introduction to Values in Science (Book Review) PHILOSOPHY OF SCIENCE Book Review Authored by: Wieten, S. 2019; 86 (2): 378–83

    View details for DOI 10.1086/702030

    View details for Web of Science ID 000462065800011

  • Informed Consent: A Matter of Aspiration Since 1966 (At Least) AMERICAN JOURNAL OF BIOETHICS Wieten, S., Blythe, J., Magnus, D. 2019; 19 (5): 3–5
  • No Escalation of Treatment: Moving Beyond the Withholding/Withdrawing Debate AMERICAN JOURNAL OF BIOETHICS Batten, J. N., Blythe, J. A., Wieten, S. E., Dzeng, E. W. 2019; 19 (3): 63–65