Clinical
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Midline Catheters May Be a Safer Option than Peripherally Inserted Central Catheters
Whenever possible, use of midline catheters over peripherally inserted central catheters could be safer for patients.
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Patients’ Goals During Long-Term Acute Care Hospital Stays
After a long-term acute care hospital stay, most patients will achieve goals of ventilator liberation, eating, drinking, and speaking, but many will not achieve independence in walking, grooming, toileting, or returning home.
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Enteral Nutrition During Prone Positioning in Critically Ill Patients
The author reviews the use of enteral nutrition in critically ill patients during prone positioning.
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Quality Improvement Initiative Leads to Significant Opioid Prescribing Reductions
Providers helped pediatric patients manage pain well after appendectomy.
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Survey: OB/GYN Residents Feel Unprepared to Care for LGBTQ+ Patients
Lack of experienced faculty and curricular crowding were the two most commonly identified barriers.
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Physicians Might Discuss Medical Aid in Dying, Providing the Service Could Be Another Matter
Considered one of the most controversial subjects in medicine, some physicians might talk with patients about medical aid in dying, but providing the service could be a different story — for several reasons, both ethical and practical.
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Chaplains Distinctly Equipped to Address Moral Injury
When healthcare professionals experience moral injury, they experience spiritual and existential distress in the forms of self-doubt, guilt, frustration, anger, depression, and burnout. Collaborating with chaplains is crucial in supporting staff when they believe they have compromised their moral integrity.
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Chatbots Can Help Care Managers Provide Ethical Treatment
There is no way around it — health systems are facing an ongoing shortage of clinicians to meet the needs of patients who need longitudinal care management. For one system, chatbot technology turned out to be at least a partial solution.
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More Than 2,000 Consent Forms Posted Publicly
Creators of federally funded studies have been mandated to post informed consent documents on ClinicalTrials.gov ever since the revised Common Rule requirements became effective in January 2019. However, it was unclear how many or what kind of consent forms were posted — and who was posting the forms. A group of investigators set out to answer these rudimentary questions.
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Much Remains for IRBs to Learn About Performance Measurement
One researcher argues a more appropriate definition of IRB quality is how well the board implements the Common Rule — not just mere compliance, but how well boards put the Common Rule into effect.