Hospital Management
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Run Drills to Improve Operating Room Emergency Responses
Hospitals typically run drills for a wide range of emergency scenarios, everything from shoulder dystocia in childbirth to an active shooter. But not as many run drills for an emergency response to the operating room.
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Obstetrical Claims Are Expensive, Require Focus on Unique Aspects of Care
The unique features of obstetrical care mean risk managers must guide clinicians to be highly attuned to the risks of individual patients while adhering to evidence-based practices — even when patients may have other wishes.
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Strict Rules Addressing Opioid Crisis Create Risks for Physicians
The opioid crisis has led regulators and law enforcement at both state and federal levels to implement strict limitations on prescribing that can create substantial risks for individual physicians and the organizations that employ them or credential them. Staying out of trouble requires a clear understanding of the rules.
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Mindfulness Intervention Well-Received by Palliative Care Providers
The intervention stemmed from strong interest in addressing providers’ well-being.
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Spiritual Care in ICU: Persistent Unmet Needs
The authors of a recent literature review looked at the current state of spiritual care in the ICU setting. The findings reveal both the benefits of spiritual care services and the persistent unmet needs.
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Study: Advance Care Plans Lacking When Serious Complications Occur
When patients with significant underlying comorbidities suffer life-threatening or serious complications at Indiana University Health, the palliative team is consulted. All too often, they find there is no advance directive in place.
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Call for Uniform Brain Death Standard: Opponents ‘Increasingly Vocal and Influential’
There are growing calls for a uniform brain death standard, but court cases and in-hospital conflicts continue to increase.
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Study Sheds Light on How Clinical Ethics Consults Are Categorized
Ethics consultations are categorized in a surprisingly heterogeneous way, found a recent analysis of 30 articles. The most common categories were do not resuscitate orders, capacity, withholding, withdrawing, and surrogate or proxy. Only 26% of the typologies (seven of 27 unique typologies) contained the five most common categories.
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New Guidance on Ethics of Providers’ Internet Searches on Patients
Despite multiple ethical concerns raised regarding providers searching for online information about their patients, specific recommendations have been lacking.
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Ethics of Virtual Visits: In-Person Visits Declined 33% in First Year
Some accountable care organizations are replacing in-person visits with lower-cost virtual visits. Using data from more than 35,000 patients from 2014 to 2017 within a Massachusetts-based ACO, researchers found that the use of virtual visits reduced in-person visits by 33%.