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A study of serious adverse event reports (AERs) sent to an IRB from clinical trials of a breakthrough cancer drug revealed they were too often incomplete and inaccurate when compared to the original medical records from which they were taken.
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When a Florida hospital transferred a seriously disabled, undocumented immigrant back to his native Guatemala for care and won a subsequent lawsuit filed by the man's American guardians, the case made national headlines.
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Returning an immigrant to his or her native country for post-acute care is a long and complicated process but one that produces great rewards, says Fred Nenner, MSW, director of social services at Lutheran Medical Center in New York City.
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When hospitalists use discharge communication software, patients and the outpatient doctors who carry out the care have better perceptions of the quality of the discharge process, according to new research published in the August issue of the Journal of Hospital Medicine.
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At Carolinas Medical Center, the management team and a panel of case managers and social workers interview all potential employees and collaborate on who will fit best in the department.
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Hospitals sometimes fail to transition patients to the optimal level of care, which can create issues with quality of care and reimbursement.
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Would it surprise you that the number of patients leaving a hospital against medical advice (AMA) increased 39% between 1997 and 2007? The number totaled 368,000 in 2007, says a new report from the Agency for Healthcare Research and Quality.
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"When faced with an increasing number of immigrants who don't have funding for post-acute care, hospital case managers and social workers must use their ingenuity to come up with creative options that lessen the financial burden of care," says Deborah Cruze, JD, MA, program associate, health sciences and ethics at Emory University's Center for Ethics in Atlanta.
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For Fred Nenner, MSW, and the rest of the staff at Lutheran Medical Center in New York City, successfully returning injured immigrant patients to their family in their native country is one of the most challenging and rewarding jobs they tackle.
