Hospital Management
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Coordinating Transitions Requires Experience, Knowledge of Resources
The role of transition coordinator may be a new one, but it will take an experienced case manager or social worker to handle it successfully.
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New Role for Case Managers Opens Up with Payment Reform
Somebody has to coordinate the post-discharge care now that hospitals are beginning to bear risk for what happens to patients after discharge, but inpatient case managers are already swamped and don’t have the time to do the job well, experts say.
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Close Ties Between Surgeons and Device Reps Raises Ethical Concerns
“I often felt like I’m driving up the costs of the healthcare system …We used to sell an implant that has 99% survivorship at 15 years, which is great, right? We were told to not ever market it to anybody … If a doctor asked for it by name, we would give it to him. We want to market the newer, the better technology. I’m not certain I ever thought the newer technology was better. There certainly wasn’t data on it … I was uncomfortable with those sorts of things.”
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People with Mental Illness Often Excluded from Clinical Trials
If a medication for major depression has a dangerous adverse interaction with a different medication that’s being studied in a clinical trial, will it be discovered by researchers and reported in the literature? Not likely, if no one enrolled in the study has major depression.
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Physicians Have New Guidance on Ethics of Telemedicine
A patient asks her physician, whom she’s never seen previously, a particularly sensitive medical question. How does this interaction differ if the patient is at home, viewing the doctor’s response on a computer screen?
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Intense Competition, Inadequate Assessment are Factors in Research Misconduct
The number of retractions in scientific journals has increased significantly in recent years, according to research.1 Sometimes, it’s due to honest mistakes — researchers realize they made an error and want to correct the scientific record.
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Ethical Controversy Erupts Over Human-animal Embryo Research
Do animals with partly human brains, or producing human embryos, sound like science fiction? Some worry that creating “chimeras”— embryos with cells from more than one species — opens the door to just such possibilities.
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Feeding Tube in Lung Results in Death And $5 Million Verdict From Jury
In 2008, a hospitalized 88-year-old man was given a feeding tube by a first-year resident at a hospital. An X-ray was ordered to confirm the placement of the feeding tube, but the radiologist incorrectly read the X-ray.
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Unnecessary Heart Surgery With Pacemaker Results In $21.3 Million Verdict Against Hospital and Doctor
In 2010, a 39-year-old patient was told by a doctor that a catheterization showed a 60% blockage in an artery. He then was told that if he did not have a pacemaker implanted, he would die.
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Office of Civil Rights Gives Warning: Small Breaches Are Going To Be Investigated
The Office for Civil Rights announced recently that it will step up its investigations of HIPAA breaches affecting fewer than 500 people.