Addressing Inappropriate Care Provision at the End-of-Life: A Policy Proposal for Hospitals

Carolyn Standley and Brian Liang at California Western School of Law have published "ADDRESSING INAPPROPRIATE CARE PROVISION AT THE END-OF-LIFE: A POLICY PROPOSAL FOR HOSPITALS" in the Michigan State University Journal of Law and Medicine 15 (2010): 137-176.  

This article reviews many of the open issues, though it has two limitations.  First, it appears the article was written over a year ago, making its March 2011 publication a little dated.  Second, it does not grapple with the open issues in a sufficiently detailed manner.  For example, the end of the article offers a model institutional futility policy.  But the final step recommends that "if the disagreement persists after the ethics committee meeting" then the patient should be transferred.  Since such transfers are incredibly hard to find and effect, it seems a model policy really must address that situation.