Hospital
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Unexpected Findings on Web-Based Tool for ICU Surrogates
Family caregivers answered questions about the patient’s values, then the computer-based guide made treatment recommendations. However, these were disregarded in more than half of cases. Families frequently chose a more aggressive goal of treatment than the patient’s values suggested.
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Ethical Concerns When Pediatric Palliative Care Patients Visit EDs
One ethicist encourages completion of a Physician Orders for Life-Sustaining Treatment (POLST) form where appropriate and available. This puts goals and advance care planning into a set of medical orders that are transferrable across healthcare settings.
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Debate Over Whether ‘Conscience Rule’ Engenders Diversity or Paternalism
Ethicists must balance the rights of providers who have genuine conscience reasons for withholding treatment with the rights of patients to high-quality treatment for all conditions.
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Of Hospitalist Cases With Ethical Issue Identified, Few Formal Consults Occurred
In a recent analysis, 270 patients were evaluated, and 113 ethical issues were identified in 77 of those patients. However, only five formal consults were brought to the facility’s ethics committee for these 270 patients. What does that mean?
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Third-Party Social Determinants of Health Data Can Help Improve Quality of Care
Healthcare providers are increasingly focusing on social determinants of health to improve quality of care and outcomes, and many are finding that data from third parties can be key to the success of those programs.
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Quick Wins: Blood Draws, Infection Rates, Sepsis
University of Pittsburgh Medical Center has had success with several quick wins through the kind of quality improvement effort that yields meaningful change without requiring a lot of time, money, or effort.
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‘Purposeful Rounding’ Mixes Security, Clinical Teams to Help De-Escalate Tense Situations
Concerned about the rise in workplace violence across the United States, administrators at St. Louis-based SSM Health decided they needed to look for new solutions to the problem in their network of hospitals. They came up with “purposeful rounding,” a concept based on the idea that if security personnel are more integrated into the care team, there is a better chance of de-escalating behaviors so situations do not turn into major disruptions or violent acts.
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Medical Roundtables Helpful in Workers’ Compensation Cases
One strategy for resolving workers’ compensation claims as quickly and optimally as possible is to assemble a medical roundtable of professional experts to review claims.
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Home-Based Palliative Care Program Keeps Patients Out of the Hospital
A North Carolina palliative care program employs doctors and other members of a healthcare team to help keep patients out of the hospital through in-home, quality care.