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Debate Over Whether ‘Conscience Rule’ Engenders Diversity or Paternalism
Ethicists must balance the rights of providers who have genuine conscience reasons for withholding treatment with the rights of patients to high-quality treatment for all conditions.
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Of Hospitalist Cases With Ethical Issue Identified, Few Formal Consults Occurred
In a recent analysis, 270 patients were evaluated, and 113 ethical issues were identified in 77 of those patients. However, only five formal consults were brought to the facility’s ethics committee for these 270 patients. What does that mean?
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Home-Based Palliative Care Program Keeps Patients Out of the Hospital
A North Carolina palliative care program employs doctors and other members of a healthcare team to help keep patients out of the hospital through in-home, quality care.
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Program Targeting Serious Illnesses Helps Reduce ED Visits, Hospital Readmissions
A healthcare provider’s case management-style program produced a 43% reduction in hospital visits and a 24% reduction in ED visits within an 18-month period, according to authors of a new study.
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Attorneys Use EMTALA in False Claims Act Lawsuits — So Far, Unsuccessfully
The Department of Justice moved to dismiss several recent False Claims Act lawsuits based on alleged EMTALA violations. Future similar lawsuits are possible, but unlikely. Still, ED providers should watch the lawsuits closely, since FCA actions linked to EMTALA violations are theoretically possible.
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Physician Health and Malpractice Risk: A Look at Holmes v. Lyons
If a state board licensing investigation is initiated, it is wise to immediately consult an attorney who is familiar with applicable law. Cases like these are a challenging factor in the tension between physician wellness and the shift to a culture of openness about physician wellness and medicolegal risk. Physician involvement in shaping how the states manage these issues has the potential to positively affect the health of both physicians and their patients.
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Shocking Injuries: Knowing the Risks and Management for Electrical Injuries
Approximately 5,000 patients present to the emergency department each year for evaluation and treatment of electrical injuries. This article will discuss the different classifications of electrical exposures and describe the recommended initial evaluation, diagnostic workup, and treatment. In addition, the authors also discuss special situations, such as lightning exposures, pediatric exposures, and electrical exposures during pregnancy.
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As Measles Outbreaks Expand, Ensure Immunity of HCWs
Exposed workers who have no immunity should be vaccinated or administered immune globulin intramuscular post-exposure prophylaxis, depending on their risk factors.