Employee Management
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Fraud Allegations Involving Alzheimer’s Disease Study Raise Concerns
In a paper published in 2006, the authors provided evidence indicating accumulation of a specific form of beta-amyloid protein was a cause of Alzheimer’s disease. However, recent accusations suggest images allegedly were altered, raising doubts about the initial conclusions. Regardless of what happened, this case has jumpstarted a conversation about instituting more preventive measures, conducting faster investigations into fraud allegations, and levying more severe consequences for researchers found guilty of misconduct.
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Ethicists Asked to Weigh in on Medical Necessity of Abortion
If ethicists are asked to weigh in, they should suggest a second medical opinion (if time permits) and encourage the institution to clarify any legal questions, ideally before there is an emergency. Institutions also should assure clinicians they will have support from the ethics committee in the event of overzealous prosecution.
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New Requirements Are Discouraging Physicians from Writing DNR Orders
Ethicists should help develop related protocols. For practitioners, code status conversations should be treated with the seriousness of surgery. That means involving the right people and taking the time to ensure medical understanding and prognosis, as well as patient values and goals, before talking about a care plan. When possible, practitioners should bring up DNR at the end of a meaningful conversation.
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Ethicists Strive to Make Training for Consults More Consistent
Hospital administrators vary in their awareness of the need for training for ethics consultants. They want to believe the committee is doing good work. But as ethics committees often do not capture metrics to measure their work product quality, it is hard for leaders to question the training quality.
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Encourage Reluctant Clinicians to Contact Ethics
Ethicists can contact department chairs and clinical leadership to express interest in participating in grand rounds or educational forums. Contact nursing leaders to offer in-service training sessions on frequently encountered ethical issues. Join hospital committees to learn more about ethical issues clinicians are encountering. The idea is to gain the support of individual clinicians, the medical staff, and hospital leaders.
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Nurses and Physicians Find Ethics Consults Helpful, But for Different Reasons
Ethicists are challenged to meet the needs of everyone involved during an ethics consult. Now, ethicists can turn to some new data on how those differ.
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Special Report: Humbled CDC Seeks Reinvention, Culture Change
The CDC has taken responsibility for its haphazard response to the COVID-19 pandemic in the United States, admitting to mistakes and miscalculations that often directly affected healthcare workers.
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CDC to Translate Data into ‘Easy-to-Understand’ New Policy
The CDC has begun an ambitious revamping after admitting it was not ready for the plethora of issues raised by the COVID-19 pandemic. The agency is pursuing a culture change to break down silos and communicate better in house and to the public.
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Calling Out Systemic Racism in Healthcare
It is time to speak out about entrenched racism in the American healthcare system, particularly after researchers have been targeted by white supremacists who claim better care for people of color will come at the expense of Caucasian patients.
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Leading Nursing Group Experiences ‘Racial Reckoning’
In an act of unvarnished accountability, the American Nurses Association has examined its past actions on race and found them wanting.