![]() ![]() It began as an insurance-focused response to the malpractice crisis of the 1970s and soon evolved to include legal and regulatory compliance. The field of health care risk management has 3 foci, each of which has clear-and sometimes conflicting-ethical implications. 1,2,3,4,5,6,7,8 The ethical management of risk (ie, professional ethics in risk management) has not been entirely ignored (see especially Kapp 9) but has received far less attention and rarely appears to be a primary focus of ethical analysis. The management of ethical risks (eg, related to advance directives, disclosure of accidental harm) has been the focus of significant attention in the risk management literature. There are 2 key avenues for applying ethical reasoning in health care risk management: the management of ethical risk and the ethical management of risk. It provides a starting point for more robust debate and the development of ethical standards for health care risk managers. ![]() ![]() It frames ethically informed risk management as a patient-centered and evidence-based practice, aligns its scope with that of biomedical ethics, and proposes specific ethical duties to guide risk management practice. This article aims to rekindle dormant discussion of professional ethics in health care risk management. Ethically informed risk management includes both the management of ethical risks and the ethical management of risks (professional ethics). ![]()
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