Hospital Management
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Escaped prisoner tests hospital security plans
When a prisoner escaped from guards recently at Inova Fairfax Hospital in Falls Church, VA, staff and others in the facility were in jeopardy. The hospital’s security plan was activated and proved the value of planning for such an incident.
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Shootings, other violence on the rise and pose major liability risks
Shootings and other violence in healthcare facilities are increasing, which is prompting administrators to take another look at their security. Experts caution that priorities sometimes are misplaced and that failing to protect employees can lead to significant liability.
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IC requirements may be met, but do subjects comprehend what they sign?
There is a gap between what is required in the informed consent process for human subjects research, and the reality of how well the information is actually understood by participants. This was the focus of a March 2015 workshop convened by the Institute of Medicine’s Roundtable on Health Literacy.
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Do physicians assume they know older patients’ wishes?
Clinicians often make inaccurate assumptions about older adults’ goals and cognitive capacity. This can lead to unwanted aggressive care or undertreatment.
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COPD symptoms untreated prior to palliative medicine referral
Many physical and psychological symptoms were untreated prior to patients with COPD being seen in the outpatient palliative medicine clinic, according to a recent survey.
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Burnout common among transplant surgeons
Forty percent of 218 transplant surgeons surveyed reported high levels of emotional exhaustion, according to a recent study conducted at the Henry Ford Transplant Institute in Detroit.
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Caregivers’ choices not always aligned with patients’ wishes
Caregivers were more likely to pay to extend an end-stage cancer patient’s life than the patients themselves were, according to a recent study.
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Clinicians: Patient, family factors obstacles to end-of-life discussions
Hospital-based clinicians see factors related to patients and family members as more important barriers to end-of-life discussions than clinician and system factors, according to the DECIDE study.
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Clarification
Updates regarding last month's issue. Also, please see the issue's PDF for more information.
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Obamacare premiums higher in counties without PPOs
Obamacare health plans are required to meet the standards mandated in the Affordable Care Act, but plans may choose whether to cover out-of-network providers and whether to require referrals for specialist visits.