Articles Tagged With:
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Ethicists Want to Improve Consults — But More (and Better) Data Are Needed
Quality improvement is uniquely challenging in the ethics field because of lack of time, lack of resources, and, to some extent, the nature of clinical ethics itself.
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Ethics Education Is Inconsistent, But Students Are Interested
Ethics instruction still varies widely at medical schools in terms of the content taught and the amount of time allocated.
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Fraudulent ‘Participants’ Are Ethical Concern — Even in Qualitative Studies
Researchers need to be vigilant in identifying suspicious responses in study samples.
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Difficult Cases, Unclear Boundaries Put Ethicists at Risk for Burnout
Many ethicists play an important role in addressing burnout at their organizations — by identifying moral distress, connecting clinicians with resources, or holding debriefings after difficult cases. Yet ethicists themselves are experiencing burnout.
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Pandemic Fatigue, Disinformation Stunt Uptake of Respiratory Vaccines
A vaccination malaise that has beset much of the public appears to have extended to healthcare workers as well. In addition to citing an abysmal COVID-19 vaccination rate of 17% for healthcare workers during the 2022-2023 flu season, the Centers for Disease Control and Prevention pointed to a “lack of provider recommendation” as one of four key reasons patients are skipping immunizations, with the others being concerns about serious side effects, the occurrence of minor side effects, and a lack of time or forgetfulness.
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CDC: PPE Should be Readily Available for Workers
New draft patient isolation guidelines recently approved by advisors to the Centers for Disease Control and Prevention emphasized that healthcare workers have N95 respirators, masks, eye protection, and other personal protective equipment readily available.
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As OSHA Violence Regulation Stalls, States Move to Protect Healthcare Workers
After more than a decade of urgent calls for federal labor officials to adopt a standard to prevent violence against healthcare workers, 600 determined nurses came to the massive, dome-capped Texas State Capitol in Austin in February 2023. The bipartisan bill that the TNA and the Texas Hospital Association jointly lobbied for was passed into law effective Sept. 1, 2023. Under the conditions of the legislation, healthcare facilities have until Sept 1, 2024, to enact the key provisions.
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Percutaneous Coronary Intervention vs. Placebo for Stable Angina Patients
In this randomized trial of patients with stable angina and objective evidence of ischemia, percutaneous coronary intervention resulted in a significant reduction in angina compared to a placebo procedure.
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Small-Volume Blood Collection May Reduce Transfusion Needs in the ICU
The STRATUS randomized clinical trial was a stepped-wedge cluster randomized trial in 25 adult medical-surgical intensive care units (ICUs) in Canada that studied standard-volume to small-volume vacuum tubes for blood collection in the ICU. In the primary analysis, there was no significant difference in red blood cell transfusion between groups. However, in a pre-specified secondary analysis, red blood cell transfusion decreased after the transition from standard-volume tubes to small-volume tubes.
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Buprenorphine May Be an Effective Alternative to Full Opioids for Pain in the ICU
In a small, single-center, retrospective, propensity-matched cohort study examining enteral oxycodone vs. sublingual buprenorphine in a critically ill population, pain control was equivalent, indicating that sublingual buprenorphine may be an effective and appropriate alternative.