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An experimental blood oxygenation device has the potential to help thousands of patients with severe emphysema or other lung conditions. The device has been thoroughly tested in laboratory animals, but human trials would involve major invasive procedures for research participants and place them at very high risk of death or serious complications.
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When Christiana Hospital in Newark, DE, first instituted its hospitalist program in 1994, the hospital experienced a big drop in length of stay, especially with the uninsured patients who had no particular physician watching over them, recalls Thomas Mannis, MD, senior medical advisor for case management and head of the division of hospitalists.
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At Medical City Dallas Hospital, there is a healthy competition between two hospitalist groups who compare their outcomes with those of the other group and all the physicians in the hospital, says Beverly Cunningham, MS, RN, director of case management.
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Its a frequent tactic of physicians: claiming that quality data are imperfect, invalid, or otherwise misleading.
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Winning physician buy-in, one of the toughest challenges in any process improvement (PI) endeavor, was the key to success in a PI project undertaken by Peninsula Regional Medical Center in Salisbury, MD.
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The Havasupai Indian tribe of northwestern Arizona, and some of its individual members, have filed two federal lawsuits seeking a total of $75 million in damages against Arizona State University (ASU), the Arizona Board of Regents, and three university researchers, claiming that blood samples taken from tribe members as part of a diabetes study were destroyed, lost, or used in studies of schizophrenia, inbreeding, and population migration without the donors consent.
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A report in the March 25 Philadelphia Inquirer regarding the use of experimental treatment on an infant in connection with a heart repair highlights a series of issues related to both the use of devices not approved by the FDA and, in turn, their use on minors, including infants.
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As the University of California, Davis, Health System goes forward with the successful implementation of its preadmission discharge planning and utilization review program, Karen A. Warne, RN, manager for patient services and transfer center, keeps in mind a next step toward seamless patient access.