Hospital Management
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Almost One-Third of Proxies Do Not Know Patient’s Current Code Status
Is a person’s goal to be cured, to live long enough to see a particular event, to be comfortable, or something else? Researchers wanted to know how many ICU proxies believed they knew the answer. They also wondered how many proxies felt confident that they knew what limits their loved one would place on pursuing that goal — would the patient choose not to resuscitate?
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Analysis of Serious Ethical Violations Uncovered Failure to Identify Egregious Wrongdoing
Often, training is viewed as a way to stop ethical violations. But a recent analysis of 280 cases suggests this is not the answer. Nearly all cases of serious ethical violations involved repeated instances of intentional wrongdoing that went undetected.
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Providers Experience Moral Distress in Pediatric Mental Healthcare
Of 23 reported occurrences of moral distress, 61% involved pediatric mental health cases, found a recent study.
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Sarasota Memorial Hospital Implements Sweeping Initiative, Raising HCAHPS Scores
Among patients aged 80 years and older, the hospital was achieving average patient satisfaction in only two of 10 measures.
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Wrongful Delegation Can Happen Easily; Consequences Are Serious
Risk managers should educate nurses about the potential liability risks from wrongful delegation, which could threaten the nurse’s career and expose the hospital.
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Policies Can Set Boundaries, Ensure Ethical Discharges
Ethicists at University Health Network’s Toronto Rehabilitation Institute have seen multiple recent cases involving hospital discharges. All involved patients who wished to return home despite known safety risks and clinicians who were uncomfortable discharging the patient to a setting they viewed as unsafe.
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Crisis Prevention Is Major Focus for Community Case Managers
Crises occur because of clients’ poverty, mental health challenges, past trauma, homelessness, and other issues. And it is up to case managers to help clients maintain their health and avoid problems.
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Healthcare Organizations Can Support Staff in Times of Grief
When a patient dies, case managers may experience grief that they barely acknowledge because they know their role is to move on to the next patient.
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Case Managers May Carry Grief Over Loss of Patients
Case managers and other healthcare workers carry heavy burdens of grief when it is unacknowledged and they have not learned coping skills.
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CMS Changes Nursing Home Compare, May Drop Star Ratings
The Centers for Medicare & Medicaid Services recently announced significant changes to Nursing Home Compare and the Five-Star Quality Rating System. The agency also says that it is considering abandoning the star ratings for hospitals completely.