Dr Zoë Fritz has a Wellcome Trust Ethics and Society Fellowship to explore how appropriate questioning and well-placed trust can be fostered in the acute care setting.
The acute care setting is a unique environment where trust and questioning are particularly important, and where the established shared decision-making model may not be suitable. Although research has been done on patient-doctor trust, it has been done with the premise that patient trust is beneficial. In fact poorly placed trust is dangerous, and too much trust may discourage questioning. One way of potentially facilitating well-placed trust and appropriate questioning might be to shift away from the current system of keeping medical records in the clinicians? domain, and share them with patients. However there are also risks associated with sharing medical records. Using empirical ethics methodology, and supervised by Dr Anne-Marie Slowther at Warwick Medical School and by Prof Tim Lewens in the Department of History and Philosophy of Science at the University of Cambridge, Dr Fritz will:
(1) Develop a conceptual framework for well-placed trust that will inform policy and practice in the acute medical setting.
(2) Explore the role of written communication (in particular shared medical records) and facilitated questioning as a component of well-placed trust.
(3) Develop a practical policy for patient-doctor structured communication for use in an acute medical setting.
Dr Fritz has questioned ethical assumptions of current practice with her previous work, investigating the problems with Do Not Attempt CardioPulmonary Resuscitation orders, and developing and evaluating the Universal Form of Treatment Options (UFTOs) as an alternative. She has recently been awarded a Wellcome Trust Parliamentry Office of Science and Technology (POST) Fellowship to work at the POST on secondment from her research.
- Hawkes, Claire A., Griffin, James M., Eli, Karin, Griffiths, Frances, Slowther, Anne-Marie, Fritz, Zoe?, Underwood, Martin, Baldock, Catherine, Gould, Douglas W., Lilford, Richard, Jacques, Claire, Warwick, Jane, Perkins, Gavin D., 2022. Implementation of ReSPECT in acute hospitals : a retrospective observational study. Resuscitation, 178, pp. 26-35
- Crucefix, Anna L., Fleming, Aaron P. L., Lebus, Caroline S., Slowther, Anne-Marie, Fritz, Zoë, 2021. Sharing a written medical summary with patients on the post-admission ward round : a qualitative study of clinician and patient experience. Journal of Evaluation in Clinical Practice
- Eli, Karin, Hawkes, Claire, Fritz, Zoe?, Griffin, James M., Huxley, Caroline J., Perkins, Gavin D., Wilkinson, Anna, Griffiths, Frances, Slowther, Anne-Marie, 2021. Assessing the quality of ReSPECT documentation using an accountability for reasonableness framework. Resuscitation Plus, 7
- Rees, Sophie, Bassford, Christopher, Dale, Jeremy, Fritz, Zoe¨, Griffiths, Frances, Parsons, Helen, Perkins, Gavin D., Slowther, Anne, 2020. Implementing an intervention to improve decision-making around referral and admission to intensive care : results of feasibility testing in three NHS Hospitals. Journal of Evaluation in Clinical Practice, 26 (1), pp. 56-65
- Rees, Sophie, Griffiths, Frances, Bassford, Christopher, Brooke, Mike, Fritz, Zoe¨, Huang, Huayi, Rees, Karen, Turner, Jake, Slowther, Anne, 2020. The experiences of healthcare professionals, patients, and families of the process of referral and admission to intensive care : a systematic literature review. Journal of the Intensive Care Society, 21 (1), pp. 79-86
- Rees, Sophie, Griffiths, Frances, Bassford, Christopher, Brooke, Mike, Fritz, Zoe¨, Huang, Huayi, Rees, Karen, Turner, Jake, Slowther, Anne-Marie, 2020. The experiences of health care professionals, patients, and families of the process of referral and admission to intensive care : a systematic literature review. Journal of the Intensive Care Society, 21 (1), pp. 79-86
- Hawkes, Claire, Fritz, Zoe¨, Deas, Gavin, Ahmedzai, Sam H., Richardson, Alison, Pitcher, David, Spiller, Juliet, Perkins, Gavin D., 2020. Development of the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT). Resuscitation, 148 (1), pp. 98-107
- Bassford, Christopher, Griffiths, Frances, Svantesson, Mia, Ryan, Mandy, Krucien, Nicolas, Dale, Jeremy, Rees, Sophie, Rees, Karen, Ignatowicz, Agnieszka, Parsons, Helen, Flowers, Nadine, Fritz, Zoe?, Perkins, Gavin D., Quinton, Sarah, Symons, Sarah, White, Catherine, Huang, Huayi, Turner, Jake, Brooke, Mike, McCreedy, Aimee et al (Select to open full list), 2020. Developing an intervention around referral and admissions to intensive care : a mixed-methods study. Health Services and Delivery Research, 7 (39)
- Bassford, Christopher, Krucien, Nicolas, Ryan, Mandy, Griffiths, Frances, Svantesson-Sandberg, Mia, Fritz, Zoe¨, Perkins, Gavin D., Quinton, Sarah, Slowther, Anne, 2019. UK Intensivists' preferences for patient admission to ICU : evidence from a choice experiment. Critical Care Medicine, 47 (11), pp. 1522-1530
- Bassford, Christopher, Griffiths, Frances, Svantesson, Mia, Ryan, Mandy, Krucien, Nicolas, Dale, Jeremy, Rees, Sophie, Rees, Karen, Ignatowicz, Agnieszka, Parsons, Helen, Flowers, Nadine, Fritz, Zoe¨, Perkins, Gavin D., Quinton, Sarah, Symons, Sarah, White, Catherine, Huang, Huayi, Turner, Jake, Brooke, Mike, McCreedy, Aimee et al (Select to open full list), 2019. Understanding and improving decision-making around referral and admissions to intensive care : a mixed methods study. Health Services and Delivery Research
- Fritz, Zoe¨, Holton, Richard, 2019. Too much medicine : not enough trust?. Journal of Medical Ethics, 45 (1), pp. 31-35
- Fritz, Zoe¨, Cox, Caitríona, 2019. Conflicting demands on a modern healthcare service : can Rawlsian justice provide a guiding philosophy for the NHS and other socialized health services?. Bioethics, 33 (5), pp. 609-616
- Perkins, Gavin D., Griffiths, Frances, Slowther, Anne, George, R., Fritz, Zoe?, Satherley, P., Williams, B., Waugh, Norman, Cooke, Matthew, Chambers, Sue, Mockford, Carole, Freeman, Karoline, Grove, Amy L., Field, R., Owen, S., Clarke, B., Court, Rachel A., Hawkes, Claire, 2016. Do-not-attempt-cardiopulmonary-resuscitation decisions : an evidence synthesis. Health Services and Delivery Research, 4 (11)
- Mockford, Carole, Fritz, Zoë, George, Rob, Court, Rachel A., Grove, Amy L., Clarke, Ben, Field, Richard A., Perkins, Gavin D., 2015. Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) orders : a systematic review of the barriers and facilitators of decision making and implementions. Resuscitation, 88, pp. 99-113
- Frith, Lucy, Hooper, Carwyn, Camporesi, Silvia, Douglas, Thomas, Smajdor, Anna, Nottingham, Emma, Fritz, Zoe¨, Ekberg, Merryn, Huxtable, Richard, 2018. Institute of Medical Ethics Guidelines for confirmation of appointment, promotion and recognition of UK bioethics and medical ethics researchers. Journal of Medical Ethics, BMJ Group, pp. 289-291
- Fritz, Zoe¨, 2016. Resuscitation decisions: an exploration of the problems with the "Do Not Attempt Cardiopulmonary Resuscitation" form and the development and evaluation of a new approach.
Title | Funder | Award start | Award end |
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6 month Wellcome Trust / Parliamentary Office of Science and Technology Fellowship in Society & Ethics (Ext to Wellcome Fellowship 33809) | Wellcome Trust | 01 Nov 2014 | 31 Oct 2015 |