Hospital Management
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Unexpected Findings on Web-Based Tool for ICU Surrogates
Family caregivers answered questions about the patient’s values, then the computer-based guide made treatment recommendations. However, these were disregarded in more than half of cases. Families frequently chose a more aggressive goal of treatment than the patient’s values suggested.
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Ethical Concerns When Pediatric Palliative Care Patients Visit EDs
One ethicist encourages completion of a Physician Orders for Life-Sustaining Treatment (POLST) form where appropriate and available. This puts goals and advance care planning into a set of medical orders that are transferrable across healthcare settings.
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Debate Over Whether ‘Conscience Rule’ Engenders Diversity or Paternalism
Ethicists must balance the rights of providers who have genuine conscience reasons for withholding treatment with the rights of patients to high-quality treatment for all conditions.
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Of Hospitalist Cases With Ethical Issue Identified, Few Formal Consults Occurred
In a recent analysis, 270 patients were evaluated, and 113 ethical issues were identified in 77 of those patients. However, only five formal consults were brought to the facility’s ethics committee for these 270 patients. What does that mean?
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Home-Based Palliative Care Program Keeps Patients Out of the Hospital
A North Carolina palliative care program employs doctors and other members of a healthcare team to help keep patients out of the hospital through in-home, quality care.
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Program Targeting Serious Illnesses Helps Reduce ED Visits, Hospital Readmissions
A healthcare provider’s case management-style program produced a 43% reduction in hospital visits and a 24% reduction in ED visits within an 18-month period, according to authors of a new study.
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As Measles Outbreaks Expand, Ensure Immunity of HCWs
Exposed workers who have no immunity should be vaccinated or administered immune globulin intramuscular post-exposure prophylaxis, depending on their risk factors.
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Be Wary of Healthcare Workers Tampering, Switching Meds
Beginning well before the ongoing national opioid epidemic, drug diversion by addicted healthcare workers has caused repeated outbreaks, exposing thousands of patients to bloodborne pathogens.