Articles Tagged With:
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New Tools to Facilitate Single IRB Process
The intent of the revised Common Rule requiring institutions to rely on a single IRB for review of multisite research was to make the process simpler and prevent redundancies. Yet several years after the requirement became effective, research teams still struggle with frustrating operational challenges.
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How Should Researchers Proceed if They Suspect Neglect or Abuse?
If researchers interview a child during a minimal risk study at a school, and they suspect the child is a victim of abuse or neglect, investigators are ethically obligated to respond to this.
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Ethical Considerations for Trauma-Informed Care
Use the tenets of trauma-informed care by realizing the widespread effects of trauma; recognizing signs and symptoms; responding by including knowledge about trauma in policies, procedures, and practices; and avoiding retraumatization.
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Be Careful About Informed Consent if Pelvic Exams Happen While Patients Are Under Anesthesia
Incorporate explicit discussions with patients about pelvic exams conducted while patients are under anesthesia. These discussions should occur during consent processes for gynecologic procedures. Specifically, patients would be told about the potential for medical student involvement in these exams.
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Financial Conflicts Reported Inconsistently
It might be time to consider another approach to transparency on financial conflicts.
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The Trouble with Electronically Tracking Study Medications
Digital pills allow data to be recorded automatically about patients’ medication adherence, but patients and providers have expressed significant ethical concerns.
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Electronic Orders, Education Boost Requests for Ethics Consults
The electronic order is an important way to streamline ethics consultation requests, but additional, broader efforts will be needed.
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New Checklist Offers Roadmap for Improved Diagnostic Performance
Emergency clinicians spend much time making diagnoses, but knowing they are right is another matter. The Society to Improve Diagnosis in Medicine reports missed or delayed diagnoses are a major public health problem, leading to higher costs, malpractice claims, and potentially adverse outcomes for patients.
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Leapfrog Group Addresses Diagnostic Errors with 29 Best Practices
A new report includes 29 actions hospitals can implement to reduce the risk of patient harm or death from diagnostic errors. The Leapfrog Group recently released what it calls a landmark report, Recognizing Excellence in Diagnosis: Recommended Practices for Hospitals. It was derived from a year of research with clinicians, health plans, and employers.
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Physician Phone Consultation Leads to Potential Liability
This case is an example of how a physician-patient relationship can be formed, even when no direct contact occurs between the physician and patient, or even when the physician is informally consulted by phone.