Articles Tagged With:
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CMS Issues Stark Waivers, Makes Other Allowances for Pandemic
The Centers for Medicare & Medicaid Services issued waivers and allowances that will affect risk management programs, including 18 blanket waivers of sanctions under the Stark Law.
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COVID-19 Creates Multiple Risk Exposures as Hospitals Respond
Risk managers should recognize several types of potential liabilities and exposures related to the COVID-19 pandemic response. Some compliance and regulatory burdens have been eased, but risks remain.
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Antibiotic Therapy to Reduce the Incidence of Ventilator-Associated Pneumonia After Cardiac Arrest
In this prospective, randomized trial, intravenous amoxicillin-clavulanate (dosed three times daily and given for two days) administered to patients admitted with out-of-hospital cardiac arrest due to a shockable rhythm reduced the incidence of early ventilator-associated pneumonia.
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Maximal Lung Recruitment Strategy Does Not Reduce Ventilator-Free Days in the Setting of Acute Respiratory Distress Syndrome
In this randomized trial, daily maximal recruitment trials failed to reduce ventilator-free days in the setting of acute respiratory distress syndrome, but increased the risk of cardiovascular adverse effects.
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Impact of Intensive Care Unit Personnel Decisions and Staffing on Patient Outcomes
Nurses with relatively high autonomy, alongside a dedicated intensive care unit (ICU) clinical pharmacist and 24/7 intensivist coverage, were associated with the lowest hospital mortality, shortest ICU lengths of stay, and shortest mechanical ventilator durations compared to other staffing models.
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Vitamin C, Thiamine, and Hydrocortisone for Septic Shock
The combination of vitamin C, thiamine, and hydrocortisone did not improve outcomes compared with hydrocortisone alone in patients with septic shock.
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Healthcare Workers’ Well-Being Is Ethical Concern During Pandemic
Clinicians always face some risk as they carry out routine duties, including acquiring infection or sustaining injury. However, the pandemic has significantly increased these risks, with healthcare providers around the world acquiring the infection at work.
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The COVID-19 Vaccine: Usual Ethical Questions in Unusual Times
Informed consent, protection of human subjects, fairness of testing, and eventual distribution: These all are important ethical questions and considerations surrounding the development of a COVID-19 vaccine.
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Scientists Warn Pandemic May Not Decline in Warmer Weather
Seasonal influenza and common human coronaviruses typically fall off in warmer seasons, as heat and humidity diminish transmission sharply. There has been some hope that this will happen with COVID-19, giving the United States a summer respite against a relentlessly accelerating pandemic.
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Shortcuts in Clinical Trials May Cause More Harm Than Good
All clinical trials raise certain ethical issues. But trials conducted during epidemics are especially difficult, both ethically and practically. Poorly designed studies subject patients to the risks of adverse events without learning if the intervention works.