Articles Tagged With:
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Ethics of Warrantless Blood Draws in Hospital Setting
A recent Supreme Court ruling allows police to obtain blood draws from unconscious drunk driving suspects. Ethics should be proactive in this regard.
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Nursing and Medical Students, Residents Unprepared for Ethics Violations
Nursing students were not too happy with how they responded to observed ethics violations, ranging from patient privacy violations to infection control issues, according a recent study. The findings suggest better preparation could be useful.
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Predicting the Progression of Chronic Aortic Regurgitation
A large database observational study of patients with chronic aortic mild or moderate regurgitation (AR) largely due to bicuspid aortic valve or aortic root dilatation showed that it was largely an indolent disease, with only 20% progressing to moderately severe AR in five years.
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Perioperative Management of Direct Oral Anticoagulants
A simple protocol for managing atrial fibrillation patients on direct oral anticoagulants perioperatively was shown to produce low levels of major bleeding and thromboembolism for 30 days postoperatively.
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CRT Nonresponders Experience Poor Outcomes, Warrant More Aggressive Management
The ADVANCE CRT registry revealed a significant minority of patients fail to respond to cardiac resynchronization therapy, conferring a worse prognosis.
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Is the Physical Exam an Anachronism in Heart Failure?
In the PARADIGM-HF trial, signs of congestion during physical exam were related to outcomes and the improved outcomes observed with valsartan/sacubitril vs. enalapril.
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CABG vs. PCI for Left Main Disease at 5 Years
Five years after randomizing 1,905 patients with left main disease to coronary artery bypass grafting or percutaneous coronary intervention, researchers found no significant difference in the primary composite outcome of death, stroke, or myocardial infarction.
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Violence Prevention Begins With Culture of Respect
When a surgeon was shot and killed by a patient at a nearby hospital in 2015, clinicians at the University of Massachusetts Memorial Health Care in Worcester overhauled its comprehensive violence prevention program. The incident that shook the Boston area medical community was the murder of a popular and highly skilled surgeon at Brigham and Women’s Hospital by a relative of a deceased patient.
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CMS Seeks to Reduce Administrative Burden on Hospitals
CMS is trying to reduce the burden of unnecessary bureaucratic requirements, including some types of data collection and analysis. The new rule could help healthcare systems save time and money around data collection, with less need for duplicated work from nonacute care ancillary organizations.
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Case Management for Patients With Cancer Can Improve Care
A pilot project that provided nursing case management for frail cancer patients was designed to improve their care and outcomes by making it easier for them to navigate the care continuum. Case managers collaborate with the patient’s team, discussing the patient’s needs, reviewing their medical records, and verifying their benefits.