Hospital Management
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International Discharges Create Chaos and Inspire Creativity for Case Managers
Case managers and discharge planners in every state sometimes encounter the most challenging and frustrating of cases: the international discharge. Hospital Case Management asked Judith R. Sands, RN, MSL, BSN, CPHRM, CPHQ, CCM, ARM, a clinical consultant and author of Home Hospice Navigation: The Caregiver’s Guide, to answer a few questions about best practices in handling these unique care transition cases.
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Care Coordination and Communication Needed Between Transplant Providers and Primary Care
Cirrhosis affects a small percentage of the U.S. population. But it is a highly complex disease that leads to high hospital readmission rates and a higher cost per patient than found in heart failure and COPD. Investigators found care coordination and efficient communication between providers can optimize care. Telehealth can help patients, particularly for return visits.
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Case Management Challenges in the Emergency Department
Hospital case management already is unique. But carrying out this role in the ED brings even more challenge and intensity to bear. It also affects operations and well-being in the rest of the hospital.
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For Clinicians, Discharge Safety Is a Growing Ethical Concern
More often, clinicians are asking ethicists questions such as, “Is this discharge plan ethical?” It seems clinicians are distressed over what they consider to be unsafe decisions. Clinicians create a treatment plan based on what they believe is in the patient’s best interest. For various reasons, sometimes the plan is just not feasible.
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Researchers Seek to Standardize Patient Handoff Protocols
Ensuring a smooth and safe transition to the next step of the care continuum is vital to protecting patients.
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Multidisciplinary Initiative Leads to More Referrals, Donors, and Transplanted Organs
Staff training and more visible public awareness helped a Georgia hospital make tremendous improvements.
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For Some Ethics Programs, ‘Tele-ethics’ Is Routine
Sustainable development of virtual consultation platforms, funding, training of ethics consultants, and visibility of virtual clinical ethics consultation are priorities.
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Medical Malpractice Action Failed When Expert Testimony Did Not Comply with Statute
This ruling is a reminder of the crucial importance of consulting with counsel and investigating statutory requirements when selecting an expert witness who is not in the same profession as the defendant.
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Failure to Inspect Patient After Cesarean Section Leads to Cardiac Arrests and Hysterectomy, $8 Million Award
This case serves as a stark reminder to medical professionals about the critical importance of closely monitoring patients after surgery and preparing to intervene promptly if complications arise. The incident underscores the significance of knowing the risks and potential complications associated with emergency cesarean sections.
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Study Shows Importance of Effective Medication Reconciliation
A recent study from Brigham and Women’s Hospital in Boston illustrates some of the best tactics hospitals can use for improving medication reconciliation. The first lesson from the study is the importance of taking the best possible medication history in the ED before the patient is admitted.