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When Providence Health Care system, a network providing health care at several sites in Vancouver, BC, was formed in 1997, the ethicist for the system saw an opportunity to build on that peer-adviser idea as a way to handle day-to-day ethical dilemmas. They created ethics mentors in every unit of every hospital in the system.
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One of the most difficult encounters for medical staff is simultaneously informing a family of the death of a loved one and bringing up the idea of donating organs and tissues. Staff awareness of resources to coordinate organ procurement and the staffs attitude toward organ procurement can make a big difference in an areas organ procurement rate.
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Dying patients discuss physician-assisted suicide; Public plea spurs new liver, plus some debate; Medical schools tighten conflicts-of-interest standards; Video: How to talk about medical errors.
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Research program administrators often find that its difficult to convince investigators to attend voluntary education courses, but this doesnt mean that institutions should give up on educating researchers. At least one institution has found a way to indirectly teach and update investigators about clinical trials rules, regulations, and processes.
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IDSA urges federal measures to spur antibiotic development; NIH to make federally funded research public.
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Its the one thing surveyors will be looking for in every corner of your ED during your next survey with the Joint Commission on the Accreditation of Healthcare Organizations: Proof that patients in your ED receive safe care. The Joint Commissions new National Patient Safety Goals for 2005 include new requirements that will affect the ED dramatically.
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Whats the toughest new requirement for EDs in the 2005 National Patient Safety Goals from the Joint Commission on Accreditation of Healthcare Organizations? For many ED nurses, thats an easy question: They point without hesitation to the goal requiring that medications are reconciled across the continuum of care.
