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Considering the question of whether there are new challenges, new laws, or new ways of looking at ethical decisions for institutional review boards, one major organization chair responsible for IRBs, responds: "I think its kind of ratcheted up over the years, thats for sure."
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The National Surgical Quality Improvement Program (NSQIP) began in 1994 in response to concern over the quality of care, specifically operative mortality rates, in VA hospitals. Since then it has expanded to all hospital settings and come under the auspices of the American College of Surgeons (ACS).
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With the STAAR bill, which in part would establish an Office of Antimicrobial Resistance under the auspices of the Department of Health and Human Services, pending in Congress, what other regulations and requirements could be part of the future for hospital-acquired infection prevention?
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"It was pretty primitive, what we were doing," says Sarah Bland, RPh, senior clinical pharmacist, Center for Drug Policy at the University of Wisconsin Hospital and Clinics, referring to the method of screening drug orders before she began to use Premier Inc.'s web-based tools.
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When Hunterdon Medical Center added doctoral-level pharmacists to initiatives to stem antibiotic resistance, productive interaction between the PharmDs and the other medical staff became crucial to its success.
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Joint Commission announced it is launching a campaign to help people work with their care providers in managing pain.
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Dubbed the "Patients' Right to Know Amendment," Florida's Amendment 7 has hospital watchdogs and consumer rights groups up in arms about what is constitutional and what should be revealed about hospitals' peer review records.
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Several states are re-energizing hospital board member education efforts with moves to certify and mandate educational requirements. Minnesota has started a voluntary certification program, and New Jersey has passed laws to require education.