Articles Tagged With:
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Medicare Sepsis Performance Measure Criteria Do Not Improve Outcomes
A longitudinal study of a single health system’s adherence to and outcomes of Medicare Sepsis Performance Measures (SEP-1) did not show an improvement in mortality despite improvements in adherence to guideline-mandated care.
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Attitudes Toward Hyperoxemia and Oxygen Therapy Among Nurses, Respiratory Therapists, and Physicians
Critical care clinicians, such as nurses, respiratory therapists, and physicians, have varying opinions regarding oxygen therapy and hyperoxia. Interdisciplinary education addressing current evidence of oxygen therapy and the potentially harmful effects of oxygen is warranted.
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Burnout in the Critical Care Workforce
The burnout epidemic has plagued the medical profession for decades, with an escalating prevalence most recently fueled by the COVID-19 pandemic.
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IRBs Often Reluctant to Approve Inclusion of Pregnant Participants in Research
Some IRB members cite uncertainty on whether inclusion of pregnant participants could affect the study’s scientific validity. Others acknowledge they rely on the common, default practice of excluding pregnant individuals without requiring justification. Guidance is needed for characterizing the risk level of research procedures in the context of pregnancy.
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Novel Ethics Curriculum for Neonatal-Perinatal Medicine
At three academic institutions, faculty members recently piloted 13 ethics modules for neonatology fellows. Of the 44 neonatology fellows who participated, baseline ethics knowledge and confidence in addressing ethical dilemmas improved significantly.
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Positive STI Test Results Not Always Shared with Study Participants
Investigators should develop a plan to return test results to participants, and document their actions in protocols and manuscripts. IRBs should require researchers to include these details in their proposals.
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Data Show Larger-Than-Expected Market for Ethics Consultation Training
Based on the survey responses collected from participants at hundreds of U.S. hospitals, researchers estimated approximately 62,000 individuals would benefit from basic-level training on how to perform ethics consultation, and 37,000 would benefit from advanced-level training.
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Moral Distress When Caring for Patients on Mechanical Circulatory Support
Clinicians pointed to palliative care and ethics consults as ways to mitigate moral distress.
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Decisional Capacity Is Most Common Issue in Neuro-Oncologic Ethical Consults
For a terminal condition, goals of care need to be identified so they can be honored. If discussions do not happen early, when the patient likely is at his or her peak functional status, it leaves caregivers, families, and physicians with little guidance.
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Many Ethics Consults Involve ‘Unbefriended’ Patients
Most unrepresented patients are living with marginal housing and psychiatric comorbidity in addition to cognitive decline and medical illness. It is helpful to engage in dialogue among inpatient clinicians and outpatient providers, case managers, and social workers. Working together, these groups can facilitate a transition from inpatient care to the community and provide input on options for housing.