No room for patients or ethics: COVID-19-broken hospitals in Madrid

In 2020, COVID-19 patients overwhelmed hospital beds in several Spanish cities, producing an increase in mortality derived from a lack of resources. The provision of new spaces to be reconfigured as healthcare centers for COVID patients was one of the measures implemented. In Madrid, two of these CO...

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Main Author: Romera Andrea
Format: Article
Language:English
Published: Sciendo 2022-06-01
Series:Ethics & Bioethics (in Central Europe)
Subjects:
Online Access:https://doi.org/10.2478/ebce-2022-0005
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author Romera Andrea
author_facet Romera Andrea
author_sort Romera Andrea
collection DOAJ
description In 2020, COVID-19 patients overwhelmed hospital beds in several Spanish cities, producing an increase in mortality derived from a lack of resources. The provision of new spaces to be reconfigured as healthcare centers for COVID patients was one of the measures implemented. In Madrid, two of these COVID centers drew enormous media and political repercussions due to their high cost and the controversy surrounding the quality of the care they offered. In this scenario of misinformation, several doctors and patients rejected to be transferred to such medical centers, but they were nonetheless compelled to make the move. This manuscript underscores how this lack of transparency affects health workers, patients, and the relationship between them, and brings out the question of how many essential bioethical principles can be individually violated by a matter of public health. New guidelines for the transfer of patients should be designed from an ethical perspective and updated, as the epidemic continues, to improve the modern understanding of human factors in times of uncertainty. The lesson that these centers provide us is that we must rethink crisis resource management from a new perspective that prioritizes access to quality information. In its absence, the principle of autonomy must prevail.
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spelling doaj.art-6ade6b613d5a4bd09dae9b6182152d1b2022-12-22T03:25:03ZengSciendoEthics & Bioethics (in Central Europe)2453-78292022-06-01121-2798310.2478/ebce-2022-0005No room for patients or ethics: COVID-19-broken hospitals in MadridRomera Andrea0Gregorio Marañón University Hospital (Spain)In 2020, COVID-19 patients overwhelmed hospital beds in several Spanish cities, producing an increase in mortality derived from a lack of resources. The provision of new spaces to be reconfigured as healthcare centers for COVID patients was one of the measures implemented. In Madrid, two of these COVID centers drew enormous media and political repercussions due to their high cost and the controversy surrounding the quality of the care they offered. In this scenario of misinformation, several doctors and patients rejected to be transferred to such medical centers, but they were nonetheless compelled to make the move. This manuscript underscores how this lack of transparency affects health workers, patients, and the relationship between them, and brings out the question of how many essential bioethical principles can be individually violated by a matter of public health. New guidelines for the transfer of patients should be designed from an ethical perspective and updated, as the epidemic continues, to improve the modern understanding of human factors in times of uncertainty. The lesson that these centers provide us is that we must rethink crisis resource management from a new perspective that prioritizes access to quality information. In its absence, the principle of autonomy must prevail.https://doi.org/10.2478/ebce-2022-0005ethicspandemicuncertaintytransferpatientsafety
spellingShingle Romera Andrea
No room for patients or ethics: COVID-19-broken hospitals in Madrid
Ethics & Bioethics (in Central Europe)
ethics
pandemic
uncertainty
transfer
patient
safety
title No room for patients or ethics: COVID-19-broken hospitals in Madrid
title_full No room for patients or ethics: COVID-19-broken hospitals in Madrid
title_fullStr No room for patients or ethics: COVID-19-broken hospitals in Madrid
title_full_unstemmed No room for patients or ethics: COVID-19-broken hospitals in Madrid
title_short No room for patients or ethics: COVID-19-broken hospitals in Madrid
title_sort no room for patients or ethics covid 19 broken hospitals in madrid
topic ethics
pandemic
uncertainty
transfer
patient
safety
url https://doi.org/10.2478/ebce-2022-0005
work_keys_str_mv AT romeraandrea noroomforpatientsorethicscovid19brokenhospitalsinmadrid