Literature Review

Who are hospital ethics consultants, and why should you care? The Conversation; by Jennifer McCurdy; 6/2/26 Imagine the following scenarios:

First do no harm: communication surrounding non-beneficial treatments American Journal of Hospice and Palliative Medicine; by Cassie Stanzler, MD, Adam Marks, MD, MPH, and Laura Taylor, MD, MSc; 5/21/26 Despite a consensus in the medical community that clinicians should not offer non-beneficial treatments (NBTs) to their patients, little guidance exists on the particular communication needs around this fraught topic. While intended in the spirit of non-maleficence, setting limits around NBTs can be seen by patients and families as abandonment, resulting in conflict. In this paper, we propose a framework to guide Palliative Care clinicians in communicating about these complex issues with patients and families. ... Our framework emphasizes proactive relationship building with patients and families, close attention to their values, and compassionate limit-setting when medically appropriate. 

UChicago expands its offerings in biomedical ethics NewsWise; by University of Chicago Medical Center; 5/22/26 The University of Chicago Biological Sciences Division is expanding its educational opportunities in biomedical ethics with two new offerings: a biomedical ethics concentration within its Master of Science in Biomedical Sciences (BMS) program and a new online biomedical ethics certificate through the MacLean Center for Clinical Medical Ethics. Together, the offerings are designed to meet growing demand from students and healthcare professionals seeking formal training in how to navigate ethical questions in medicine, research, and patient care. ... 

Mass General Brigham claims 1,400 lives saved hoodline, Boston, MA; by Benjamin Cortez; 5/21/26 Mass General Brigham says a two year, systemwide push to standardize safety checks, expand hospice and roll out predictive analytics sharply cut inpatient deaths, tallying more than 1,400 lives saved in two years by the health system’s own math. Several front line physicians inside those hospitals are not buying it. They argue that shifts in hospice placement and clinical documentation, not overnight miracles in bedside care, probably explain much of the improvement. The result is a rare, very public tug of war between executives celebrating quality rankings and clinicians who say the numbers do not line up with what they see on the wards.

Proposing a framework to license autonomous clinical AI: as autonomous clinical AI continues to evolve, we need uniform regulatory standards, says LDI Fellow Penn LDI - Leonard Davis Institute of Health Economics; by Alon Bergman, PhD; 5/15/26 Late last month, Utah’s Medical Licensing Board called for the immediate suspension of the state’s pilot program with the AI company Doctronic. The program lets a chatbot evaluate patients and recommend prescription renewals for nearly 200 chronic condition drugs, with the state planning to phase out physician review of each case. The board said that it only learned about the pilot after it had launched. Its warning was blunt: proceeding without proper clinical oversight “potentially places Utah citizens at risk.” ... Utah is one of at least 47 states now considering more than 250 bills governing clinical AI, producing a patchwork of rules on bias audits, payment policy, and patient consent.Editor's Note: See related article by the same author Alon Bergman, AI doctors should be licensed. Here’s a framework to do that: Utah's pilot program with Doctronic shows that federal action is necessary. 

The professional guest: Ethical challenges in home-based end-of-life care among interprofessional teamsNursing Ethics; Inbal Halevi Hochwald, Gila Yakov, Moran Weiss, Liron Inchi, Inbal Mayan, Ron Sabar; 4/26Home-based end-of-life palliative care presents unique ethical challenges that differ fundamentally from those in institutional settings. Healthcare professionals navigate the complex role of being both clinical experts and guests in patients' domestic environments, operating in a context where professional authority is continuously negotiated rather than institutionally established. Home-based palliative care places professionals at the intersection of clinical responsibility and domestic sovereignty, a position for which existing frameworks offer insufficient guidance. Addressing these structural and relational challenges requires both individual-level preparation, including training in ethical decision-making in low-control environments, and systemic policy reform.

AI ethical minefields in clinical decision-making Hospice News; by Holly Vossel; 5/11/26 ... Quickly evolving AI technologies will play a role in hospices’ sustainability as demand rises and workforce resources dwindle. Hospices need innovative care models, which involves leveraging AI in different ways, said Dr. Kimberly Curseen, the new board of directors president at the American Academy of Hospice and Palliative Medicine (AAHPM). ... Ensuring accurate data and safeguarding patient privacy and autonomy can lead companies to run into certain AI ethical “danger zones.” Hospices need to understand the limitations of AI, particularly when considering the use of these technologies to augment clinical decision making, according to Dr. Javier Zaglul, hospice and palliative care fellow at Florida Atlantic University.

Hospice of Wichita Falls partners to protect against hospice fraud KFDX/KJTL News, TexomasHomePage.com, Wichita Falls, TX; by Angel Owens; 5/1/26 As concerns over hospice fraud continue to grow across Texas and the nation, Hospice of Wichita Falls is taking a strong and public stance against unethical practices that threaten patients and undermine trust in end-of-life care. The nonprofit organization is reaffirming its commitment to compassionate, ethical hospice services while partnering with state and national organizations to strengthen accountability across the industry. For over four decades, the organization has served the Wichita Falls community as a nonprofit, community-based provider dedicated to supporting patients and families through one of life’s most vulnerable and sacred seasons.

Mercy film starts dialogue on end-of-life care and dignity in dying The News Mill; 4/21/26 Director Mitul Patel revealed that his film ‘Mercy’ draws inspiration from actor Paresh Rawal’s account of his mother’s prolonged illness and coma, shared during an interview. This real-life story shaped the film’s exploration of end-of-life decisions and moral conflict. Patel told ANI, “As a writer, I look for conflicts in stories. I couldn’t find a bigger conflict than this where a son has to face this choice of letting go of his mother. ... “It will be better when we talk about mortality openly. End of life care, dignity in dying. We will start a conversation about all this. This is the goal of the movie.”

Palliative care for immigrants with cancer in the United States: a roadmap to equitable care Journal of Pain and Symptom Management; by Jessica Zhuo BAc, Cheryl Tolomeo BAc, Anissa Kurani BA, Meaghan Burke BAc, Stephanie Wang BAc, Alice Feng BAc, Yueao Zhang MDc, Edward Christopher Dee MD, Christopher T. Su MD, MPH; 4/8/26 Across the United States, immigrants with cancer, especially those who are undocumented or from low-income backgrounds, encounter significant barriers to accessing quality palliative care. Despite cancer comprising over one-third of global palliative care needs, immigrant patients are often excluded from essential services due to lack of insurance, immigration status, limited English proficiency, and culturally discordant care models. ... This narrative review identifies both patient level and systemic barriers and offers a four-part roadmap to address them. 

Medical ethics unpacked: clinical ethics consultation in practice Consultant LIve; by Dominic Sisti, PhD and Aliza Narva, JD, BSN, MS; 4/20/26 In this episode of Medical Ethics Unpacked, Dominic Sisti, PhD, a bioethicist from Penn Medicine, speaks with Aliza Narva, JD, BSN, MSN, director of ethics at the Hospital of the University of Pennsylvania, about the practical realities of clinical ethics consultation. ... Common consult themes include end-of-life decision-making, surrogate disputes, and clinician moral distress. She emphasizes that ethics consultants are often called when clinicians feel constrained or uncertain about next steps.