Building evidence for legal decision making in real time: Legal triage in public health emergencies

James Hodge, Timothy Lant, Jalayne Arias, Megan Jehn

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Similar to the triaging of patients by health care workers, legal and public health professionals must prioritize and respond to issues of law and ethics in declared public health emergencies. As revealed by the 2009-2010 H1N1 influenza outbreak and other events, there are considerable inconsistencies among professionals regarding how to best approach these issues during a public health emergency. Our project explores these inconsistencies by attempting to assess how practitioners make legal and ethical decisions in real-time emergencies to further critical public health objectives. Using a fictitious scenario and interactive visualization environment, we observed real-time decision-making processes among knowledgeable participants. Although participants' decisions and perspectives varied, the exercise demonstrated an increase in the perception of the relevance of legal preparedness in multiple aspects of the decision-making process and some key lessons learned for consideration in future repetitions of the exercise and actual, real-time emergency events.

Original languageEnglish (US)
JournalDisaster Medicine and Public Health Preparedness
Volume5
Issue numberSUPPL. 2
DOIs
StatePublished - Sep 2011

Fingerprint

Triage
Decision Making
Emergencies
Public Health
Ethics
Human Influenza
Disease Outbreaks
Patient Care
Delivery of Health Care

Keywords

  • Modeling
  • Public health ethics
  • Public health law
  • Simulation

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Building evidence for legal decision making in real time : Legal triage in public health emergencies. / Hodge, James; Lant, Timothy; Arias, Jalayne; Jehn, Megan.

In: Disaster Medicine and Public Health Preparedness, Vol. 5, No. SUPPL. 2, 09.2011.

Research output: Contribution to journalArticle

@article{a7110a95318042dfbcf84d6d11d4f0d6,
title = "Building evidence for legal decision making in real time: Legal triage in public health emergencies",
abstract = "Similar to the triaging of patients by health care workers, legal and public health professionals must prioritize and respond to issues of law and ethics in declared public health emergencies. As revealed by the 2009-2010 H1N1 influenza outbreak and other events, there are considerable inconsistencies among professionals regarding how to best approach these issues during a public health emergency. Our project explores these inconsistencies by attempting to assess how practitioners make legal and ethical decisions in real-time emergencies to further critical public health objectives. Using a fictitious scenario and interactive visualization environment, we observed real-time decision-making processes among knowledgeable participants. Although participants' decisions and perspectives varied, the exercise demonstrated an increase in the perception of the relevance of legal preparedness in multiple aspects of the decision-making process and some key lessons learned for consideration in future repetitions of the exercise and actual, real-time emergency events.",
keywords = "Modeling, Public health ethics, Public health law, Simulation",
author = "James Hodge and Timothy Lant and Jalayne Arias and Megan Jehn",
year = "2011",
month = "9",
doi = "10.1001/dmp.2011.57",
language = "English (US)",
volume = "5",
journal = "Disaster Medicine and Public Health Preparedness",
issn = "1935-7893",
publisher = "American Medical Association",
number = "SUPPL. 2",

}

TY - JOUR

T1 - Building evidence for legal decision making in real time

T2 - Legal triage in public health emergencies

AU - Hodge, James

AU - Lant, Timothy

AU - Arias, Jalayne

AU - Jehn, Megan

PY - 2011/9

Y1 - 2011/9

N2 - Similar to the triaging of patients by health care workers, legal and public health professionals must prioritize and respond to issues of law and ethics in declared public health emergencies. As revealed by the 2009-2010 H1N1 influenza outbreak and other events, there are considerable inconsistencies among professionals regarding how to best approach these issues during a public health emergency. Our project explores these inconsistencies by attempting to assess how practitioners make legal and ethical decisions in real-time emergencies to further critical public health objectives. Using a fictitious scenario and interactive visualization environment, we observed real-time decision-making processes among knowledgeable participants. Although participants' decisions and perspectives varied, the exercise demonstrated an increase in the perception of the relevance of legal preparedness in multiple aspects of the decision-making process and some key lessons learned for consideration in future repetitions of the exercise and actual, real-time emergency events.

AB - Similar to the triaging of patients by health care workers, legal and public health professionals must prioritize and respond to issues of law and ethics in declared public health emergencies. As revealed by the 2009-2010 H1N1 influenza outbreak and other events, there are considerable inconsistencies among professionals regarding how to best approach these issues during a public health emergency. Our project explores these inconsistencies by attempting to assess how practitioners make legal and ethical decisions in real-time emergencies to further critical public health objectives. Using a fictitious scenario and interactive visualization environment, we observed real-time decision-making processes among knowledgeable participants. Although participants' decisions and perspectives varied, the exercise demonstrated an increase in the perception of the relevance of legal preparedness in multiple aspects of the decision-making process and some key lessons learned for consideration in future repetitions of the exercise and actual, real-time emergency events.

KW - Modeling

KW - Public health ethics

KW - Public health law

KW - Simulation

UR - http://www.scopus.com/inward/record.url?scp=80052722957&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80052722957&partnerID=8YFLogxK

U2 - 10.1001/dmp.2011.57

DO - 10.1001/dmp.2011.57

M3 - Article

C2 - 21908702

AN - SCOPUS:80052722957

VL - 5

JO - Disaster Medicine and Public Health Preparedness

JF - Disaster Medicine and Public Health Preparedness

SN - 1935-7893

IS - SUPPL. 2

ER -