Hospital Management
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Palliative Care Encounters Ethical Conflicts: Consistent Communication Is Key
Palliative care specialists encounter a wide range of ethical challenges in their day-to-day practice, such as navigating institutional policies, interprofessional conflicts, and resource allocation.
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Consultants Need Preparation for Common Ethics Challenges
Shadowing experienced ethics consultants and participating in debriefings after consults with other members of the ethics team are top priorities for ethics training.
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Ethics Consultants Want More Training for First Jobs
Clinical bioethics training programs serve a wide variety of individuals, some with clinical backgrounds, others with PhDs. Most graduates indicated that their basic training in ethics was adequate. Still, many wanted more training in quality improvement skills, including some exposure to quality improvement methodology. They also wanted to learn how to negotiate for resources and how to communicate with hospital leadership.
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Policy on Inappropriate Treatment Used in 25% of Ethics Consults
This suggests providers are searching for definitive tools, in addition to the ethics committee, to help resolve difficult end-of-life cases.
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Thorough Screening Might Cut Repeat ED Visits, Prevent Readmission
Asking patients about social determinants of health leads to more complete care.
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Papers Detail Hazards of Surgical Smoke
Researchers provide more detailed definitions, offer possible solutions to minimize risk.
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Emerging Coronavirus Variants Are Highly Transmissible
More transmissible variants of the SARS-CoV-2 virus are emerging globally and had been detected in three U.S. states as this report was filed. The mutated strains do not appear more virulent, but the enhanced transmission narrows the margin of error for breaks in personal protective equipment and other exposures as healthcare workers begin to take their first doses of the COVID-19 vaccines.
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CDC Advisors Draw Fire for COVID-19 Vaccine Recommendations
A CDC advisory panel has designated frontline essential workers and those age 75 years and older as the next priority groups to receive COVID-19 vaccine in the United States. The decision came amid considerable criticism and controversy at an emergency meeting on Dec. 20, 2020, with the CDC Advisory Committee on Immunization Practices voting to continue the rationing process while vaccine stocks are insufficient.
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Rare, but Real: Anaphylaxis After COVID-19 Vaccination
As COVID-19 vaccinations roll out, a handful of people have experienced anaphylactic allergic reactions after receiving the Pfizer vaccine. These cases appear to be extremely rare, but the Centers for Disease Control and Prevention advises several measures to recognize and respond to severe allergic reactions to the vaccine.
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COVID-19 Vaccines for Healthcare Workers: The Good, the Bad, and the Ugly
Healthcare workers — some of whom were initially hesitant to take one of the rapidly developed COVID-19 vaccines — are receiving immunization in an uneven national rollout marked by delays, chaos, and disruptions. Although there are reports of some healthcare workers declining vaccination, there is a growing perception that most healthcare workers will welcome immunization at a time when the pandemic is worsening.