Hospital
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Study Sheds Light on How Clinical Ethics Consults Are Categorized
Ethics consultations are categorized in a surprisingly heterogeneous way, found a recent analysis of 30 articles. The most common categories were do not resuscitate orders, capacity, withholding, withdrawing, and surrogate or proxy. Only 26% of the typologies (seven of 27 unique typologies) contained the five most common categories.
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New Guidance on Ethics of Providers’ Internet Searches on Patients
Despite multiple ethical concerns raised regarding providers searching for online information about their patients, specific recommendations have been lacking.
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Ethics of Virtual Visits: In-Person Visits Declined 33% in First Year
Some accountable care organizations are replacing in-person visits with lower-cost virtual visits. Using data from more than 35,000 patients from 2014 to 2017 within a Massachusetts-based ACO, researchers found that the use of virtual visits reduced in-person visits by 33%.
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Almost One-Third of Proxies Do Not Know Patient’s Current Code Status
Is a person’s goal to be cured, to live long enough to see a particular event, to be comfortable, or something else? Researchers wanted to know how many ICU proxies believed they knew the answer. They also wondered how many proxies felt confident that they knew what limits their loved one would place on pursuing that goal — would the patient choose not to resuscitate?
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Analysis of Serious Ethical Violations Uncovered Failure to Identify Egregious Wrongdoing
Often, training is viewed as a way to stop ethical violations. But a recent analysis of 280 cases suggests this is not the answer. Nearly all cases of serious ethical violations involved repeated instances of intentional wrongdoing that went undetected.
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Providers Experience Moral Distress in Pediatric Mental Healthcare
Of 23 reported occurrences of moral distress, 61% involved pediatric mental health cases, found a recent study.
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Sarasota Memorial Hospital Implements Sweeping Initiative, Raising HCAHPS Scores
Among patients aged 80 years and older, the hospital was achieving average patient satisfaction in only two of 10 measures.
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Wrongful Delegation Can Happen Easily; Consequences Are Serious
Risk managers should educate nurses about the potential liability risks from wrongful delegation, which could threaten the nurse’s career and expose the hospital.
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Policies Can Set Boundaries, Ensure Ethical Discharges
Ethicists at University Health Network’s Toronto Rehabilitation Institute have seen multiple recent cases involving hospital discharges. All involved patients who wished to return home despite known safety risks and clinicians who were uncomfortable discharging the patient to a setting they viewed as unsafe.
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Crisis Prevention Is Major Focus for Community Case Managers
Crises occur because of clients’ poverty, mental health challenges, past trauma, homelessness, and other issues. And it is up to case managers to help clients maintain their health and avoid problems.