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Washington Health System Scores High in Safety and Quality
Virginia Mason Franciscan Health — which operates 11 hospitals and more than 300 care sites in the Puget Sound region of Washington — is reporting success with addressing hospital quality and safety measures, the result of bringing together two organizations with a strong history of patient care. -
Include Critical Care in Emergency Planning
Critical care often is overlooked in disaster planning. Risk managers should ensure this component is fully included. Critical care must ramp up quickly in a disaster, the same as the emergency department. -
EEOC Vaccine Guidance Includes Exceptions
The Equal Employment Opportunity Commission guidance includes two important exceptions. Employers remain limited by the provisions of Title VII of the Civil Rights Act of 1964 and the Americans with Disabilities Act. Title VII requires employers to provide exemptions from any vaccine requirement to employees with sincerely held religious beliefs preventing them from taking the vaccine. Further, the ADA requires employers to provide exemptions from any vaccine requirement to employees with a disability that prevents them from taking the vaccine. -
Healthcare Employers Can Mandate Vaccines, but Some Caution Necessary
Guidance from the Equal Employment Opportunity Commission indicates healthcare employers can require employees to receive a COVID-19 vaccine. These mandates come with some obligations and risks. -
OSHA’s COVID-19 Emergency Standard Requires Written Plan, Precautions
The new COVID-19 requirements from OSHA for healthcare employers create substantial obligations, but many hospitals already are carrying out much of what is required. The challenge may come in formalizing a written plan and ensuring it addresses all of OSHA’s expectations. -
Throat Infections Part II: Deadly, Must-not-Miss, Pediatric Throat Infections
Although less frequent than the conditions discussed in part I, recognition of the critical, life-threatening throat infections is essential. Ill-appearing pediatric patients with a change in voice or stridor should prompt a rapid and thorough evaluation to ensure expedited management. This article reviews the critical, must-not-miss etiologies of a sore throat.
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Research Suggests the Need for More Sexual Health Education Among Providers
A new study revealed opportunities for improvement in OB/GYN knowledge of sexual health education. OB/GYN residents, while knowledgeable on subjects like decreased sexual desire, sexual pain, contraception, and more, could benefit from learning more about transgender care, caring for sex trafficking survivors, and cultural competency in care. -
Disease Severity and Perinatal Outcomes of Pregnant Patients with COVID-19
In this observational cohort study of patients with singleton gestation and positive coronavirus test, patients with severe or critical disease were at risk for perinatal complications compared to those who were asymptomatic. Patients classified with mild or moderate disease were not shown to have an increased risk compared to asymptomatic positive patients.
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Standard-Dose vs. High-Dose Oxytocin for Labor Augmentation
In this randomized clinical trial of standard-dose vs. high-dose oxytocin regimens for labor augmentation among 1,003 nulliparous women, the primary outcome (cesarean delivery) was similar between the two groups. However, secondary outcomes were lower, labor duration was shorter, and umbilical artery acidemia occurred less frequently.
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BSO at Benign Hysterectomy: What Should We Be Recommending?
In this population-based retrospective cohort study, among 44,549 adult women undergoing hysterectomy in Ontario, Canada, there was marked variation between surgeons in bilateral salpingo-oophorectomy (BSO) rates after controlling for patient age and other factors. Approximately 41% of patients had no indication for the bilateral salpingo-oophorectomy in their records.