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Hospital Management

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  • Reader Question: There are exceptions to EMTALA during disasters

    Question: Ive heard that the final Emergency Medical Treatment and Labor Act states that the federal Centers for Medicare & Medicaid Services will not sanction hospitals for inappropriate transfers during a national emergency if the hospital is the area affected by the emergency. Does a large-scale disaster in our community, such as an airliner crash, qualify?
  • ISMP warns of critical issue with drug mix-up

    The Institute for Safe Medication Practices (ISMP) in Huntington Valley, PA, has issued a special alert about lookalike packaging of two drugs that can lead to serious adverse events.
  • Union files OSHA complaint about needlestick safety

    Citing serious concerns about needle safety at Connecticuts largest hospital, a union representing hospital service workers has filed a formal complaint with the federal Occupational Safety and Health Administration (OSHA) in Washington, DC.
  • Phone advice could be major liability risk

    The risk of giving advice to patients by phone should be well known to risk managers, and most have educated staff about what not to say to patients with questions. Add in the automated answering systems that urge patients to call 911 for emergencies, and you should be well covered in this area, right? Not necessarily.
  • Defamation lawsuits may chill reporting of docs

    A closely watched case in Connecticut has some observers worried that health care providers will be discouraged from reporting information about physicians to state boards, other monitoring groups, and even a hospitals internal peer review system.
  • Pony rides definitely need waiver of liability

    Liability waivers are best used for voluntary activities or when patients refuse your clinicians advice, says Jeffrey Driver, JD, MBA, chief risk officer with Stanford (CA) University Medical Center and president of the American Society for Healthcare Risk Management in Chicago. He suggests these categories.
  • Liability waivers can be effective in some cases, but they’re no panacea

    Youre fed up with being dragged into every lawsuit that has even the slightest connection to your institution, so you daydream about having patients just sign a waiver up front promising to never sue you for anything. Nice fantasy, but those things dont really hold up in court, do they?
  • OHRP seeks feedback on registration form change

    OHRP is seeking comments from IRB members and others about proposed changes to the agencys registration requirements, which apply to all IRBs that review human subjects research conducted or supported by HHS.
  • The unknowns of gene therapy pose challenge

    Gene transfer research offers new hope for people suffering from some rare or deadly diseases, but the research also has suffered major setbacks due to serious adverse events, including subjects illnesses and deaths, and this creates a greater burden for IRBs reviewing such protocols, experts say.
  • A bad break: Preventing potential orthopedic litigation

    The Centers for Disease Control and Prevention note that fractures were the fourth-leading cause of injury-related emergency department visits in 2000, accounting for 3.8 million visits. Patients may develop serious and life-threatening complications of orthopedic trauma. Because signs and symptoms of these complications may not be readily apparent when patients present, emergency physicians and nurses need to be cognizant of high-risk presentations. This months issue focuses on these high-risk presentations, including open fractures, compartment syndromes, malignancies, and septic joints.