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Ethical concerns and privacy regulations make for a more complicated situation when health care researchers desire to view patient records to find potential research subjects.
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Hospital ethics boards should take the lead in promoting greater intercultural understanding between clinical staff and patients, according to an expert. This begins with education focusing around cultural awareness.
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The default policy of many hospitals is to have clinicians perform cardiopulmonary resuscitation (CPR) on dying patients except when there is a do-not-resuscitate (DNR) medical order signed by the patient.
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Clinical ethics consultations still are infrequent in most hospitals, but their use is beginning to enter ethics board conversations, and it's an area that should be approached with cautious preparation, an expert says.
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Fresh research on burnout in the medical profession makes it clear that hospital ethics boards need to be proactive on this issue. Their role could include educating and suggesting policies to prevent physician and resident burnout and any resulting repercussions.
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Palliative care once was a rare treatment option in the hospital setting, but in recent years it has grown in popularity to the point that most major hospitals and many small-to-mid-sized hospitals have palliative care programs available for patients, an expert says.
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As hospitals add more palliative care services, ethical issues arise that sometimes cannot be handled solely by a hospital ethics board because a broader community perspective is necessary.
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The new edition of a widely-used human subjects protection curriculum has an increased emphasis on community engagement and the importance of on-going informed consent, says one of its developers.
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Successful IRB members are developed, not born, according to an expert in research ethics.
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Many IRB offices have transitioned to completely electronic documentation and processes in recent years. This trend offers flexibility to IRB staffing and office space.