Employee Management
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Unique Informed Consent Challenges if Research Participant Is Incarcerated
Informed consent for research involving incarcerated people presents multiple unique ethical challenges for investigators.
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‘Ethical Obligation to Go Further’ if Patients Are Nonadherent for Financial Reasons
Some patients cannot afford recommended care because of higher out-of-pocket costs due in part to a surge in high-deductible plans.
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Ethics of Unilateral DNR Orders: Physicians Are Evenly Divided
Physicians are evenly divided as to whether unilateral do not resuscitate orders — decisions about resuscitation made by doctors without patient or surrogate consent — are appropriate, found a recent study.
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Pediatricians Emphasize Employee Health in New Guidelines
Employee health is heavily emphasized in new infection control guidelines for ambulatory settings by the American Academy of Pediatrics. In the first update of these guidelines in a decade, the AAP emphasizes the importance of mandatory flu shots, other vaccinations as indicated, staff training to prevent transmission, and heightened awareness of the risks of presenteeism.
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Citing Inadequate Staffing, Nurses Sue Detroit Hospital
Claiming staffing deficiencies that place healthcare workers and patients at risk, a nursing union has filed a lawsuit against Huron Valley-Sinai Hospital in Detroit.
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CDC Recommends Antiviral Treatments Due to Flu Vaccine Mismatch
The predominant circulating influenza virus this season is a poor match with the vaccine, meaning that antiviral drug treatments may be critical for the protection of high-risk patients.
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What’s Driving Physician Burnout? Constant Change
A recent survey of healthcare leaders cited “change fatigue” as one of the primary drivers of burnout among healthcare workers, particularly physicians who work with a traditional autonomy that carries some risk of becoming isolating and depressing.
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Teaching Situational Awareness, De-escalation Techniques
Violence at some level is intrinsically unpredictable, but there are practical methods and techniques workers can be trained in to prevent events — and minimize the effect of events that do occur.
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California Violence Prevention Law Sets New Standard for Nation
Hundreds of hospitals and other healthcare facilities in California are implementing a statewide workplace violence law, with an April 1, 2018, deadline looming to have a written prevention plan in place. Implementing the requirements of the state law — California SB 1299 — are proving challenging at some facilities.
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Hospital Standardizes Debriefing After Critical Events
The maternal and fetal medicine team at Sharp Grossmont Women’s Health Center, affiliated with Sharp Grossmont Hospital in La Mesa, CA, improved quality of care recently by implementing a standardized debriefing process for critical events.