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During the first year of a three-year project to increase point-of-service (POS) collections at Oregon Health & Science University in Portland, patient access leaders set and reached a goal of increasing pre-service collections for scheduled inpatients and outpatient surgeries to $2 million, starting from a baseline of $500,000 a year.
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When researchers at University Hospital Basel in Switzerland set out to study triage of elderly patients in their ED, they were surprised to find that 22.5% were undertriaged, reports Christian Nickel, MD, one of the studys authors and an emergency physician (EP).
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Missed acute myocardial infarction (AMI) cases are usually top of mind when it comes to ED malpractice litigation, but other lesser-known clinical pitfalls also result in claims, warns Martin Ogle, MD, FACEP, senior partner and vice president of CEP America, an Emeryville, CA-based provider of acute care management and staffing solutions.
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The first Dodging the Bullet article was written and published in the September 2011 issue of ED Legal Letter. In the earlier article, as well as this article, a series of actual clinical cases are presented that could have turned out differently if the wrong management decision had been made. The goals of this article remain the same as the earlier one: to glean important points of educational and teaching value from each of the reported high risk cases; and to highlight the fact that clinical misadventures are often a single judgment call away from a potential tragedy.
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When an IRB initiates electronic metrics collection and analyses as part of its quality improvement process, there will be obstacles to overcome.
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Low-income cancer patients, including those who are on Medicare, are far less likely to participate in clinical trials than higher-income patients, according to a study in the Journal of Clinical Oncology.
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A study by Canadian researchers shows that many published breast cancer studies are biased to show a positive outcome.
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In order to protect human subjects and the integrity of research, everyone involved should adhere to ethics guidelines and must adhere to ethics and compliance standards.
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Informed consent documents remain long and complex, despite successful efforts in recent years to improve their readability, an expert reports.