APIC/IPAC-Canada Ethical Infection Prevention and Control (EIPAC) Decision-Making Framework

APIC and IPAC Canada partnered on the creation of a new resource to help healthcare professionals work through ethical issues that arise in infection prevention and control (IPC) and assist in making complex decisions. Published on both the APIC and IPAC-Canada websites, the Ethical Infection Prevention and Control (EIPAC) Decision-Making Framework illustrates how to identify and apply relevant, ethical decision-making principles to the practice of IPC. The new toolkit outlines a step-by-step process for tackling difficult situations and provides a set of scenarios to illustrate how the framework can be applied.
It is hoped the EIPAC Decision-Making Framework will help IPC teams approach difficult issues, especially when there is uncertainty on how to proceed. The guide can be particularly helpful where a values conflict or moral tension exists, or where options exist that could pose a risk of harm to patients, residents, visitors, or staff.
Developed by Sunnybrook Health Sciences Centre with healthcare partners in North Toronto, the EIPAC framework was adapted based on an existing ethical framework developed by the Community Ethics Network and the subsequent work of the University of Toronto Joint Centre for Bioethics and Trillium Health Partners.
Working Group Members
The Association for Professionals in Infection Control and Epidemiology (APIC) gratefully acknowledges the following individuals for their valuable contributions.
Lisa Caffery, MS, BSN, RN, Med/Surg-BC, CIC, FAPIC
Infection Prevention Coordinator, Genesis Health System, Davenport, IA
Madeleine Ashcroft, RN, BScN, MHS, CIC, FAPIC
ICP Community Outreach IPC Hub, Trillium Health Partners, Mississauga, ON
Marianna Ofner, PhD, MHSc, BScN, RN, CIC
IPC Practice Lead, Sunnybrook Health Sciences Centre, North Toronto IPC Hub & Adjunct Professor, Dalla Lana School of Public Health, University of Toronto
Deb Patterson Burdsall, PhD, RN-BC, CIC, LTC-CIP, FAPIC
Infection Preventionist, Manager, Baldwin Hill Solutions LLC
Patricia Jackson, MA, RN, CIC, FAPIC Director Infection Prevention, White Rock Medical Center, Dallas, TX
Heather L. Candon, MHM, MSc, BSc, CIC Director, Infection Prevention and Control, Sunnybrook Health Sciences Centre and Adjunct Professor, Department of Public Health Sciences, Queen’s University.
Kevin Reel, MSc (Medical Ethics), OT Reg (Ont)
Senior Ethicist, Sunnybrook Health Sciences Centre; Assistant Professor, Department of Occupational Science & Occupational Therapy, University of Toronto
Charlie Tan, MD
Associate Medical Director, Infection Prevention and Control, Sunnybrook Health Sciences Centre
Jerome Leis, MD, MSc, FRCPC
Medical Director, Infection Prevention and Control, Sunnybrook Health Sciences Centre; Associate Professor, Department of Medicine, Temerty Faculty of Medicine, University of Toronto
Ex-officio: Devin Jopp, EdD, MS, Chief Executive Officer, APIC
Gerry Hansen, BA, Executive Director, IPAC Canada