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Emergency physicians have been "deluged with ever-increasing responsibilities and higher performance expectations," according to Andrew Garlisi, MD, MPH, MBA, VAQSF, medical director for Geauga County EMS and co-director of University Hospitals Geauga Medical Center's Chest Pain Center in Chardon, OH. Garlisi points to electronic health record physician order entry, patient satisfaction ratings, and increasing medical record documentation, as some examples.
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If an EP was caring for a patient while visibly intoxicated and a bad outcome occurred, you can probably imagine how that information would affect the outcome of a trial alleging medical malpractice. But what if an EP has a history of substance abuse, a criminal record, or a psychiatric history?
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As talk of reimbursement reform and pay for performance escalates and health care stakeholders look at ways to improve patient access and outcomes while reducing waste and costs, payers and providers are joining together to create accountable care organizations (ACOs), partnerships that agree to be accountable for the quality, costs, and overall care of a patient population.
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IRBs at academic research centers often review international infectious disease research that can raise red flags regarding privacy, confidentiality, and vulnerability.
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Americans' differences in income, race/ethnicity, gender, and other social attributes make a difference in how likely they are to be healthy, sick, or die prematurely, according to a news release issued on a report by the Centers for Disease Control and Prevention (CDC).
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Researchers often criticize IRBs and see them as barriers to research. One way to turn that attitude around is through the creation of a study start-up consultation. This has another advantage: it can improve clinical trial site compliance with human subjects protection regulations and policies.
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Researchers might find it tempting to collect data for socio-behavioral studies from social websites like Facebook. Their appeal is having fairly easy access and viewing a broad range of behavioral information. However, there are big ethical issues with regard to informed consent and privacy, an expert says.
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Many physicians are making the decision to implant defibrillators specifically, implantable cardioverter defibrillators (ICDs) in patients in cases where established guidelines based on the results of previous clinical trials do not appear to support implantation, according to a recent study.
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Last November, the Centers for Medicare & Medicaid Services (CMS) issued finalized new rules for Medicare- and Medicaid-participating hospitals designed to protect patients' right to choose their own visitors.
