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The Centers for Medicare & Medicaid Services (CMS) in 2007 stipulated a five-year period in which verbal orders must be "dated, timed, and authenticated promptly by the prescribing practitioner or another practitioner responsible for the care of the patient, even if the order did not originate with him or her.
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It's nothing new. Compliance with verbal orders has been a struggle for hospitals for more than 25 years. Many experts Hospital Peer Review spoke with compare verbal-order compliance to hand-washing compliance. It's behavioral. It's something we know we have to do. And it's not a matter of ill-intentioned practitioners. It's a matter of time and logistics.
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While Rebecca Walker, PhD, assistant professor, Department of Social Medicine Adjunct Assistant Professor, Department of Philosophy at the University of North Carolina at Chapel Hill, says she does not "mean any one thing" by the use of the term "justice," she does have justice concerns regarding the use of psychosocial criteria in determining individuals who are selected to receive organs from donation for transplantation.
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A surgeon and a pediatrician are among the four American physicians have been named as recipients of the first Hastings Center Cunniff-Dixon Physician Awards.
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With the advent of consumer-directed health care (CDHC), two professors argue, contrary to the common notion that physicians should ignore financial considerations when treating patients, that it is entirely appropriate for physicians to be sensitive to a patient's financial position when a patient is paying out of pocket.
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The Montana Supreme Court issued a ruling just as 2009 ended, on Dec. 31, which determined Montanans have the right under that state's public policy to seek a physician's aid in assisted suicide, with no threat of sanction or legal action against the physician.
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One fortunate change in 25 years is that medical ethics has entered the mainstream of discussion and debate, but increased visibility can have unfortunate drawbacks, as well.
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[Editor's note: With this month's issue of Medical Ethics Advisor, we mark 25 years of efforts to bring you the most up-to-date research and news in the ethics arena of health care. Going forward, we hope to continue this tradition, and we invite you, the readers, to share your own ideas and experiences with our editorial advisory board and editor.]
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Case managers typically have concentrated on what has to happen before the patient can be discharged from the hospital, but now, to reduce readmissions, hospitals also have to take into consideration what happens to patients after they leave the acute care setting, says Beverly Cunningham, RN, MS, vice president, clinical performance improvement, Medical City Dallas Hospital, and health care consultant and partner in Case Management Concepts LLC.
