Hospital Management Topics
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Many Ethics Committees Are Not Following AAP Guidance
In a survey of ethics consultant leaders at children’s hospitals, researchers found multiple practice gaps, including training needs; informing staff, patients, and family about ethics services; and scope of ethics service. These practice gaps could erode ethics quality and narrow ethics reach.
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The Trouble with ‘Grateful Patient’ Fundraising
Although philanthropic donations are important, physicians pushing patients and families to chip in is ethically problematic.
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Sweeping Senate Healthcare Legislation Heads to Markup
The HELP Committee has reached a bipartisan agreement on a crucial bill to expand primary care services and the healthcare workforce.
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Virtual Rounds Shorten Lengths of Stay
An Arizona facility cut more than 3,000 excess days for a savings of more than $6 million over 10 months.
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Biden Administration Releases 10 Drugs for Price Negotiation
Medications represent 20% of the total Medicare Part D gross covered prescription costs.
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Ethicists Are Finding Ways to Meet Needs of Rural Clinicians
For many smaller hospitals or health systems, it is simply impractical to hire an ethicist. The Rural Wisconsin Health Cooperative pools the resources of smaller hospitals. Meetings target areas in which expertise may be lacking at each hospital, including clinical ethics.
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Many Ethical Considerations if Surgeons Record Procedures
Ideally, the surgical team uses the recordings in conjunction with quality improvement and risk management to assess efficiency, professionalism, communication, and leadership. The ethics of video recording should be integrated into graduate and continuous education modules.
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Initiative Raises Organ Referral Rates, Expands Donor List and Transplanted Organ Supply
An individual’s organ donation wishes should be part of their holistic care plan. Ethicists could provide education to clinicians on this point. A culture of trust between the patient community, clinical care providers, the transplant program, and the organ procurement organization is necessary. This takes years to build — and one bad case to break.
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Ethicists Often Called to Resolve Conflicts Over Aggressive Care
Quality, compassionate communication with families is critical to prevent further escalation of conflict and to preserve trust in the therapeutic relationship.
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High-Intensity End-of-Life Care Remains the Default at Hospitals
Ethicists can help by assisting in developing hospital policies and crafting ethics committees in a way that does not pose unnecessary bureaucratic challenges or prevent physicians from acting in the patient’s best interest.