Hospital Management
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Ethics Guidance for Surgeons on Humanitarian Missions
Investigators developed curriculum to help surgeons review the core bioethical principles of medicine and surgery as these apply to the humanitarian and global health context.
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Payment for Physician Referrals: Difficult for Hospital Leaders to Maintain ‘Clean Hands’
For years, federal laws (and some state laws) have prohibited hospitals from paying physicians for referrals. Yet some hospitals continue unethical and illegal practices, possibly due to a perception of low risk.
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Researchers Identify Ethical Concerns With Pragmatic Trials
Research participants reported ethical concerns about how “minimal” risk is determined, when it is appropriate to alter traditional informed consent practices, and how to distinguish between quality improvement and research.
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Ethical Response Needed if Surrogate Disregards Patients’ Wishes
The role of surrogate decision-makers is to make decisions consistent with the patient’s previously expressed wishes, written documents, and values. But that is not what usually happens. Lack of communication between the patient and the surrogate and/or between the surrogate and the medical team is the biggest obstacle.
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Hospital Leaders Asking Questions About ‘Value’ of Clinical Ethics to Organization
Administrators expect to see evidence that a clinical ethical program is worth supporting with financial resources. Yet many ethicists are unprepared for this kind of conversation, one that requires data for an effective response.
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Treatment, Trauma-Informed Care Elevate Behavioral Health Management
Boarding continues to be a major issue for EDs across the country faced with increasing numbers of patients who present with behavioral health-related emergencies. Many of these patients sit for hours or days in the ED awaiting transfer to another facility, often without receiving treatment for their concerns. Meanwhile, other patients wait longer for care because of limited bed availability.
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App Helps Case Managers Monitor Pregnancy Health
Technology, including smartphone apps, can help patients monitor their chronic conditions, prevent health crises, and give more information to case managers and others who are following these patient populations.
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ODG Guidelines Improve Care for Injured Workers
Workers’ compensation case managers routinely follow occupational disability guidelines in developing goals and plans for helping injured and ill workers recover and return to work safely and expeditiously.
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Workers’ Compensation Case Managers Improve Outcomes for Workers
Workers’ compensation case managers can help injured workers return to work much faster than they would without case management services and monitoring. Case managers can make a big difference on the long-term health and economic impact related to workers’ injuries on the job, even when the injury is less serious.
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Case Management Program Addresses Gaps in Behavioral Health Needs
EDs see at-risk patients with behavioral health needs that are not met in the community. Hospitals might not offer the best resources for these patients. A solution is a collaboration between a health system and community psychiatric health organizations.