Final Report of the Royal Society of Canada Expert Panel: End-of-Life Decision-Making

117 Pages Posted: 8 Oct 2015

See all articles by Udo Schuklenk

Udo Schuklenk

Department of Philosophy; affiliation not provided to SSRN

Johannes J. M. van Delden

Utrecht University - University Medical Center (Utrecht)

Jocelyn Downie

Schulich School of Law & Faculty of Medicine

Sheila McLean

University of Glasgow - School of Law

Ross Upshur

University of Toronto - Dalla Lana School of Public Health

Daniel Marc Weinstock

University of Montreal - Department of Philosophy

Date Written: March 31, 2006

Abstract

Patient safety has become a significant and pressing policy issue. Around the world, governments, the health care sector and the public are increasingly cognizant of the need to improve the safety of care delivered by their health systems. Pressure for change has been created by highly publicized incidents in a number of countries involving unsafe acts that were significant both in scale and consequence and a number of empirical studies that revealed the high rates of unsafe acts and their consequences. The costs of unsafe health care – both personal and fiscal – to individuals, their families and their communities and to the state are massive.

In this research project we explored one particular avenue for change – that is, the use of legal instruments by governments to improve patient safety. We did this through a comparative review of the use of legal instruments or frameworks in other countries (specifically Australia, Denmark, New Zealand, the United Kingdom, and the United States) as well as two non-health care related sectors in Canada (transportation and occupational health and safety).

We began this research by reviewing the legal instruments and undertaking extensive literature reviews. Further information was gathered through in-person interviews with policy-makers and academics in the countries studied, and from policy-makers and academics expert in the health, occupational health and safety, and transportation sectors in Canada. Once descriptions of the various countries and sectors were drafted, we held small-group meetings with local experts on particular aspects of patient safety. We then hosted a national consultation meeting. We subsequently drafted this final report and the appendices, which fully describe the results of the background research. Finally, we prepared a summary version of the report as well as posters and papers to be published and delivered at conferences and meetings with relevant groups.

Keywords: Patient safety, health law, health policy

JEL Classification: I18, I19, K32

Suggested Citation

Schuklenk, Udo and Schuklenk, Udo and van Delden, Johannes J. M. and Downie, Jocelyn and McLean, Sheila and Upshur, Ross and Weinstock, Daniel Marc, Final Report of the Royal Society of Canada Expert Panel: End-of-Life Decision-Making (March 31, 2006). Available at SSRN: https://ssrn.com/abstract=2670764

Udo Schuklenk

Department of Philosophy ( email )

Kingston, Ontario K7L 3N6
Canada

affiliation not provided to SSRN

Johannes J. M. Van Delden

Utrecht University - University Medical Center (Utrecht)

6.119, PO Box 85500
Utrecht, 3508 GA
Netherlands

Jocelyn Downie (Contact Author)

Schulich School of Law & Faculty of Medicine ( email )

Halifax, Nova Scotia B3H 4H9
Canada

Sheila McLean

University of Glasgow - School of Law ( email )

Stair Building
5 - 8 The Square
Glasgow, Scotland G12 8QQ
United Kingdom

Ross Upshur

University of Toronto - Dalla Lana School of Public Health ( email )

Toronto, Ontario
Canada

Daniel Marc Weinstock

University of Montreal - Department of Philosophy ( email )

CP 6128 Succursale centre ville
Montreal H3C 3J7, Quebec
Canada
(514) 343-7345 (Phone)

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