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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.
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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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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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When the National Institutes of Health (NIH) recently became the target of intense public criticism and scrutiny over potential conflicts of interest (COI) among NIH directors and staff and clinical trials, it became apparent to the research world that this is an issue that could be a problem for any institution. The best prevention strategy is to be proactive by having policies, procedures, and possibly a special committee that reviews COIs, experts say.
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Youve brought in safer needle devices and reduced your needlesticks. Do you declare success? What more should you do?
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Like most cardiac surgeons, William Fiser, MD, of Little Rock, AR, occasionally cut or nicked his hand during delicate procedures. He did not use blunt suture needles or double gloves. He did not routinely order blood tests on himself or his patients after blood exposures.
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Rhode Islands Seacrest DocSecurity surveyed more than 500 physicians nationwide late in 2003, questioning them on requirements that insurance companies ask for before underwriting physicians and hospitals for insurance, and concluded that while physicians generally believe they are HIPAA-compliant, in fact they have only met a portion of the HIPAA requirements, leaving them vulnerable to lawsuits.
