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Physicians Can Suffer Moral Injury if Oath to Patients Is Broken
Long before the pandemic, physicians were suffering from “moral injury” — a violation of one’s values, ethical code, or sworn duty — because too often they had to choose between their patients and the profits and performance measures of corporate medicine, claims the author of a new book.
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OSHA COVID-19 Draft Rule in Healthcare Expected Soon
As this report was filed, OSHA had finalized the COVID-19 standard to protect healthcare workers and submitted it to the White House. On Dec. 8, 2022, OSHA sent the standard to the Office of Management and Budget, with a decision on its fate expected sometime in early 2023.
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OSHA Violence Prevention Draft Regulation Expected in 2023
With the COVID-19 standard moving through the final stages toward finalization, OSHA is expected to next issue a violence prevention draft standard for healthcare in 2023.
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CDC Updates Rabies Guidance for Healthcare Workers
The CDC has updated its guidelines for occupational exposure to rabies to emphasize the rare but real risk to healthcare workers.
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Clinicians Are Ethically Obligated to Consider Financial Side of Care
Clinicians should include the cost of care in discussions, help patients access charity care or financial counseling, and screen patients for social determinants of health.
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Effectively Intervening with Patients Facing Housing Instability
The notion that housing is healthcare stems from a growing body of research that links housing instability with higher rates of morbidity and mortality. There is a moral and humanitarian case for healthcare organizations to engage on the housing issue, but there also is a business case. But precisely how healthcare organizations should go about this work is not yet well established. Thus, IHI has partnered with Community Solutions, a nonprofit organization that is working to end homelessness, to examine how healthcare can play an effective role in addressing the problem.
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Better Care Communication Needed for Home Health
Researchers wanted to know if there is an association between home health and gaps in care coordination among providers. They found patients receiving home healthcare are sicker, experienced more functional dependencies, and reported more preventable drug-drug interactions. While home health was not associated with a difference in gaps of care coordination, it was associated with twice the risk of a preventable adverse outcome.
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Integrated Care Teams Should Include Social Workers
Integrated care teams sometimes lack a social worker, which can undermine the team’s work and success. It is a shortsighted tactic because social workers can help with case management and care coordination in a variety of ways, including intake assessment and behavioral interventions, according to recent research.
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Study Reveals Positive Benefits of COPD Transition Bundle
A study of a care transition bundle that included a care coordinator revealed COPD patients in the bundle cohort were less likely to be readmitted to the hospital within seven days and 30 days, but 90-day readmissions were unchanged.
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Many Safety Net, Rural Hospitals Do Not Properly Address Social Needs
Safety net hospitals, critical care hospitals, and rural hospitals often do less than needed to address the social determinants of health of their vulnerable populations, particularly during the COVID-19 pandemic, new research shows.