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As Washington University in St. Louis, MO, expanded its interest in community-engaged research (CEnR), officials realized that both the researchers and their community partners needed to better understand human subjects protection requirements.
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A presidential commission has begun carrying out President Barack Obama's charge to review human subjects protections in U.S.-sponsored research both here and abroad, in the wake of revelations about unethical research carried out in Guatemala in the 1940s.
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IRBs continue to work toward streamlining the handling of multisite studies through alternative models of review. But they can sometimes struggle with a process that requires them to accept the review of another board in place of their own.
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A major obstacle to implementing process or quality improvement measures is finding out what the people impacted by the change think.
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A medical student is participating in a complicated abdominal surgery by holding a retractor. He was up all night the previous night. He falls asleep and slides down to the floor. A nurse drags the student out of the way, and a resident takes over the retractor.
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John H. Eichhorn, MD, anesthesiologist at UK Chandler Medical Center and professor at the University of Kentucky, both in Lexington, has been named a recipient in the annual John M. Eisenberg Patient Safety and Quality Awards from the National Quality Forum (NQF) and The Joint Commission.
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Outpatient surgery managers going through accreditation by The Joint Commission and Accreditation Association for Ambulatory Health Care (AAAHC) say the surveyors are targeting two primary areas.
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Incentives for wellness program participation is becoming more common, but "it can be challenging to settle on the optimal design," according to Daniel Buckalew, a health coaching program manager for Minneapolis-based Ceridian, a global business services company.
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"Presenteeism is a measure of productivity. It can be gauged in a number of ways," says Margie Weiss, PhD, CEO and community health advocate at the Weiss Health Group, a Neenah, WI-based consulting company that works with companies and communities on health and wellness.
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More reliable tools are needed to measure the costs of presenteeism, which takes an insidious toll on the work place.