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There is now considerable data indicating that the use of high-dose steroids for spinal cord injuries is not effective and can even be harmful to patients. Despite this, are ED physicians still "obligated" in a legal sense, to administer high-dose steroids to patients with spinal cord injuries?
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You may hear phrases such as "gross negligence" and "willful and wanton misconduct" stated by the media, but these terms also are important for many health providers in that they can limit liability for providing medical care.
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Emergency physician groups have dealt with the realities of claims-made liability coverage for years now, yet many continue to be unpleasantly "surprised" when it comes to their "tail coverage." Tail coverage: allows the insured an extended period of time for the claim to mature or be reported to the insurance company.
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The controversy of the past few years over possible suicidality associated with various drugs pointed out the importance of tracking suicidal thoughts or behavior in subjects involved in clinical trials.
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Giving children a chance to assent to their own participation in research is an important goal of the pediatric research community. Done properly, it can empower young patients, help them develop their decision-making skills, and prompt them to take their participation more seriously.
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An Institute of Medicine (IOM) committee studying the effects of the HIPAA Privacy Rule has painstakingly documented the strain it is putting on research.
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Whatever IRB members might think happened in the recent regulatory controversy over studying the use of infection control checklists in Michigan hospitals, the truth might be stranger.
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How well is your IRB doing? It depends on who you ask. The subjectivity of any answer makes it a difficult question to measure.
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It all began when investigators published a study that had good news for the infection control industry.