1. bookVolume 12 (2022): Issue 1-2 (June 2022)
Journal Details
License
Format
Journal
eISSN
2453-7829
First Published
16 Apr 2016
Publication timeframe
2 times per year
Languages
English
Open Access

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

Published Online: 18 Jun 2022
Volume & Issue: Volume 12 (2022) - Issue 1-2 (June 2022)
Page range: 79 - 83
Journal Details
License
Format
Journal
eISSN
2453-7829
First Published
16 Apr 2016
Publication timeframe
2 times per year
Languages
English
Abstract

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.

Keywords

BATE, P. & ROBERT, G. (2005): Choice. In: BMJ, 331(7531), pp. 1488–1489. Search in Google Scholar

CANDEL, F. J. et al. (2021): Temporary hospitals in times of the COVID pandemic: An example and a practical view. In: Revista Española de Quimioterapia, 34(4), pp. 280–288.10.37201/req/041.2021 Search in Google Scholar

CARRILLO, M. J. (2010): Consentimiento informado en situaciones de traslado extra-hospitalario de pacientes en Chile [Informed consent in cases of extra-hospital transfer of patients in Chile]. In: Medwave, 10(11), p. e4806. Search in Google Scholar

GABA, D. M. (2010): Crisis resource management and teamwork training in anaesthesia. In: British Journal of Anaesthesia, 105(1), pp. 3–6.10.1093/bja/aeq124 Search in Google Scholar

GARCÍA-BASTEIRO, A. et al. (2020a): Evaluation of the COVID-19 response in Spain: Principles and requirements. In: The Lancet Public Health, 5(11), p. e575.10.1016/S2468-2667(20)30208-5 Search in Google Scholar

GARCÍA-BASTEIRO, A. et al. (2020b): The need for an independent evaluation of the COVID-19 response in Spain. In: Lancet, 396(10250), pp. 529–530.10.1016/S0140-6736(20)31713-X Search in Google Scholar

GURSKÝ, P. (2021): On the safety and danger of “viral” information from the perspective of the epistemological subject. In: Ethics & Bioethics (in Central Europe), 11(3–4), pp. 126–141.10.2478/ebce-2021-0019 Search in Google Scholar

KLIMKOVÁ, A. (2021) Epistemic and ethical responsibility during the pandemic. In: Ethics & Bioethics (in Central Europe), 11(3–4), pp. 117–121.10.2478/ebce-2021-0017 Search in Google Scholar

LOBO, F. (2021): Reply to “Integral management of COVID-19 in Madrid: turning things around during the second wave”. In: The Lancet Regional Health – Eur., 3(100066).10.1016/j.lanepe.2021.100066 Search in Google Scholar

MOLINS, G. & RAMA-MACEIRAS, P. (2011): La dimensión ética de la seguridad del paciente. [The ethical dimension of patient safety]. In: Revista Española de Anestesiología y Reanimación, 58(Supl.3), pp. S66–S74. Search in Google Scholar

MONTESI, M. (2020): Understanding fake news during the Covid-19 health crisis from the perspective of information behaviour: The case of Spain. In: Journal of Librarianship and Information Science, 53(3), pp. 1–12. Search in Google Scholar

NOVOTNÝ, R. et al. (2021): Triage of the elderly in the period of the COVID-19 pandemic crisis as a bioethical process. In: Ethics & Bioethics (in Central Europe), 11(3–4), pp.142–152.10.2478/ebce-2021-0013 Search in Google Scholar

PORRAS-POVEDANO, M. et al. (2021): COVID-19: A look from the perspective of bioethics. In: Atención Primaria, 53(1), pp. 114–115.10.1016/j.aprim.2020.06.001 Search in Google Scholar

TRIAS-LLIMOS, S. et al. (2020): The need for detailed COVID-19 data in Spain. In: The Lancet Public Health, 5(11), p. e576.10.1016/S2468-2667(20)30234-6 Search in Google Scholar

UNESCO (2020): Statement on Covid-19: Ethical considerations from a global perspective. [online] [Retrieved January 18, 2022] Available at: https://unesdoc.unesco.org/ark:/48223/pf0000373115. Search in Google Scholar

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