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Hospitals need federal oversight to ensure that their medical residents are not working excessive hours that could lead to hazardous levels of fatigue, an Institute of Medicine (IOM) panel has concluded.
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The hazards of working with chemotherapeutic agents aren't always obvious. While pharmacists mixing the agents work in a biological safety cabinet, nurses administering medication and housekeepers cleaning a patient's room must use personal protection. Bodily fluids may be especially hazardous because the drugs become concentrated in the urine.
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On the floors of United Hospital in St. Paul, MN, the people in tan pants and a black scrub top stood for safety. Twice a month, they donned the outfits and walked the halls as "safety coaches," observing practices, investigating injuries, and suggesting solutions.
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"We contend that the proposition that brain death constitutes death of the human being is incoherent and, therefore, not credible."
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The U.S. Department of Health and Human Services issued its guidance on the use of antiviral drugs for pandemic influenza in December 2008, suggesting that health care workers and emergency services personnel who could have direct contact with individuals who are ill during a pandemic should be protected.
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IRBs have an important role to play in improving community involvement in cancer clinical trials everything from increasing their own community membership to working with community advisory boards and pushing for more community-friendly informed consent.
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Recently released data reflecting 2007 usage of hospice indicates that 38.8% of all deaths in the United States were under the care of hospice, up from 35% the previous year.
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The National Association of Social Workers (NASW) and the National Hospice and Palliative Care Organization (NHPCO) have created the advanced certified hospice and palliative social worker credential (ACHP-SW).
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(Editor's note: Medical Ethics Advisor will run monthly items on what leads people to become involved in their hospital ethics committee and/or choose to enter the profession of bioethics.)
