infection is able to use the playroom or when administrative leaders are deciding whether it is too expensive to add a supplemental water disinfection system, these raise conflicts of competing ethical principles (autonomy and justice in these cases, respectively).2,3
TABLE 7-1 Sample Systematic Framework for Outlining Ethical Issues
or medical care should not harm others or put the community at risk. Hence, the focus on avoiding harm when considering populations and not specific individuals. For example, quarantine and isolation for certain infections is a common practice as it avoids harm to communities but may actually penalize an already sick individual. In medical ethics, on the other hand, individual good is the priority, and this could mean giving lower priority to the collective good. Even with evolving antimicrobial stewardship programs in hospitals, many patients receive broad-spectrum empiric antibiotics despite the low likelihood of them having drug-resistant infection because clinicians cannot justify failing to adequately treat a theoretical Pseudomonas infection even if their empiric antibiotic choice incrementally decreases by a tiny amount the likelihood that the same regimen will work for the next patient.