Hospital
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New SACHRP Guidelines on ‘Pay-to-Participate’ Research
The Secretary’s Advisory Committee on Human Research Protections has finalized recommendations to assist IRBs dealing with “pay-for-participation” studies, which raise numerous ethical issues but may produce meaningful data if properly vetted.
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Kill the Bug, Hurt the Worker
Powerful cleaning and disinfectant products are being deployed in hospitals to eradicate dangerous pathogens on environmental surfaces. Both spore-forming Clostridioides difficile and an emerging fungal strain of Candida auris require strong sporicidals to be eradicated from the hospital environment. Yet the price of protecting the patient is being exacted on healthcare workers who may have serious complications after repeated exposure to these chemicals in disinfectants.
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FDA Calls for Redesigned Scopes to Protect Patients
Conceding that conventional duodenoscopes cannot be reliably reprocessed between patients, the Food and Drug Administration is recommending that manufacturers and providers move to disposable components for the intricate devices.
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IPs Have Critical Role in Healthcare Worker Infection Guidelines
New guidelines by the Centers for Disease Control and Prevention to protect healthcare workers from infections call for infection preventionists to be key collaborators with occupational health departments.
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Antibiotic Stewardship: Glass Half Full or Nearly Empty?
Though there has been tremendous progress in antibiotic stewardship efforts over the last decade, a broad and demanding array of research and action is needed if the rise of drug-resistant bacterial infections is to be stemmed, the Society for Healthcare Epidemiology of America reports in a new white paper.
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APIC Issues Call to Action Against Antivaccine Movement
The antivaccine movement is lobbying state legislatures to widen exemptions against childhood school immunizations and other mandates. As infection preventionists, the Association for Professionals in Infection Control and Epidemiology has taken on the fight.
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Fresh Data on Medical Student, Nurse Attitudes on Medical Assistance in Dying
Nurses play a central role in the process of medical assistance in dying, even if they bear no responsibility for the act itself, according to the authors of a recent study.
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Challenges to Transplant Allocation Carry Ethical Implications
An insurance company’s denial of coverage for a liver transplant sometimes is perceived as discriminatory. The authors of a recent paper analyzed judicial review of these controversial cases.
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One-Size-Fits-All Limits on Opioids Are Ethically Problematic
The current opioid crisis generated immediate actions at many levels; regulatory requirements were implemented quickly. However, some of these placed seemingly arbitrary limits on prescribing, even for painful surgical procedures.
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Evolving Ethics of Anonymous Sperm and Egg Donors
Traditionally, the identity of sperm and egg donors were kept strictly anonymous, but this is changing. A recent position statement from the American Society for Reproductive Medicine concerns this ethical issue.