Hospital Management
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Minority Recruitment for COVID-19 Trials Is Low While Disease Burden Is High
More than 350,000 people said they were interested in volunteering for a COVID-19 vaccine trial in the United States, and only 10% of those who signed up are Black and Hispanic. Actual trial enrollment among two companies with large COVID-19 vaccine trials in the U.S. includes only one in five volunteers who are Black and Hispanic.
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COVID-19 Misinformation Affects Everyone in Research Community
Clinical trial recruitment for COVID-19 studies faces a new challenge: Rampant misinformation. Since COVID-19 was declared a national emergency and pandemic, fake news, false cures, ill-informed posts, and conspiracy theories have dominated the social media space. One of the challenges from an IRB perspective involves informed consent and public trust in the shadows of the misinformation world.
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Vaccine Trials Should Follow the Four Ethical Principles
All human research, including COVID-19 vaccine trials, should be guided by the four ethical principles of autonomy, beneficence, nonmaleficence, and justice. When researchers, data safety monitoring boards, or the Food and Drug Administration decide to stop a clinical trial or expedite approval or use of an investigational product, these principles still apply.
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A COVID-19 Vaccine at ‘Warp Speed’ Raises Myriad Ethical Questions
The United States is at a challenging and possibly dangerous crossroad as the desire for speedy development of a COVID-19 vaccine might be pushing political concerns ahead of safety, efficacy, and the regulatory process, bioethicists and researchers say.
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Falls Prevention Awareness Week:
Is Your Facility Prepared?Read on for more information leaders and caregivers need to keep patients safe.
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Sepsis Outcomes Improve, But Not at Minority-Serving Hospitals
ICU deaths declined 2% steadily annually at non-minority hospitals, according to a recent report. This was not true of minority-serving hospitals. Those hospitals also reported longer lengths of stay and more critical illness than non-minority hospitals.
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ICU Nurses Feel Marginalized During Ethical Conflicts
A pair of researchers analyzed open-ended responses from a survey with ICU nurses, and identified three themes.
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End-of-Life Experience Varies Depending on Geographical Region
Investigators were surprised by the striking degree to which the use of hospitalization and hospice varied across the United States, even among large metropolitan areas.
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Data Show Mistreatment of Medical Students Is Common
It is hard to say if the problem is worse, or if residents are just reporting it more. Regardless, this is a longstanding problem, but few effective solutions or prevention tactics have been implemented.
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Unnecessary Restraint and Seclusion of Psychiatric Patients Is Ethical Concern
Violation of patient autonomy and the possibility of harming people (physically or psychologically) are major ethical concerns. But there are no recommendations quantifying what is considered an unacceptably high rate of seclusion or restraint. Without such guidelines, outlier facilities may not even realize their practices are outside the norm.