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Ethics committees have become nearly ubiquitous in American hospitals in the past quarter-century, and their use has been widely endorsed. This chapter provides the reader with an understanding of some ethical, social, and cultural issues at play in the operation of a pediatric ethics committee (PEC), as well as a practical guide to the formation and operation of such a committee. PEC serves as a resource for patients, families, staff, and community. The PEC members should be selected to maximize effectiveness in carrying out the committee's three main functions: case consultations, education, and policy development. The execution of each of these functions is discussed in the chapter. Membership on the PEC should be seen as an important service to the organization, and members who are hospital employees should be allotted sufficient time to participate.
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