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Everyone knows there is not a “Gold Standard” for ethical behavior. How can one know that these ethics performance measures will be valid?

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Everyone knows there is not a “Gold Standard” for ethical behavior. How can one know that these ethics performance measures will be valid?

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While there are not gold standards for many aspects of ethics in health care, this does not make ethical performance unmeasurable. Many aspects of clinical care also do not have gold standards for performance, yet performance measures are still used to assess performance in these areas. For areas with no clear gold standard for performance, measures focus on assessing (1) whether baseline expectations have been met, (2) whether progress is being made towards aspirational goals, and (3) whether acceptable processes are being used to ensure that difficult issues are appropriately addressed. This is the general approach being used by Ethical Force. Once measures assessing these issues are created, the measures will be checked for their reliability, feasibility, and validity by field-testing. No Ethical Force performance measures will be released for public use until they have been through rigorous field-testing to ensure that they are valid, reliable, and feasible to use.

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