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Concerns about the relationship between worker fatigue and patient safety are a relatively new issue for the health care industry. Residents are now limited to working 80 hours a week, and various groups have recommended that nurses should not provide direct patient care for more than 12 hours in any given 24-hour period or in excess of 60 hours in any seven-day period.
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When it comes to discharge planning and other health care challenges, dont be afraid to rock the boat, advises Jonathan Morris, RN, bed management coordinator at Wake Forest University (WFU) Baptist Medical Center in Winston-Salem, NC.
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Consider patient volumes and staff constraints and set a discharge time that makes sense for your facility, suggests Jonathan Morris, RN, bed management coordinator at Wake Forest University (WFU) Baptist Medical Center in Winston-Salem, NC.
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During a recent unannounced Joint Commission survey at Presbyterian Healthcare in Charlotte, NC, staff underwent a rigorous, in-depth process, says Paula Swain, MSN, CPHQ, FNAHQ, director of clinical and regulatory review.
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The software demands of smaller IRBs and larger ones can be very different, and its hard to meet everybodys needs with a single program. So Third Sky Inc. doesnt try.
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Four times a year, staff and board members from IRBs around the St. Louis area get together to talk about the issues that concern them, in an effort to learn from each other and to jointly sponsor educational programs.
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The latest round in the ongoing debate between IRBs and social and behavioral researchers about the scope and effectiveness of IRB review has come in the form of a white paper, Improving the System for Protecting Human Subjects: Counteracting IRB Mission Creep, released late last year by the Center for Advanced Study at the University of Illinois at Urbana-Champaign.
