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Aggressive fluid resuscitation, which normally would be used in younger trauma patients, potentially could do serious harm to an elder patient, warns Rhyan Weaver, RN, BSN, CEN, clinical supervisor in the ED at St. Joseph's Hospital and Medical Center in Phoenix, AZ.
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In the Planetree model, staff don't treat patients like they'd want to be treated. Instead, they find out how the patient wants to be treated, says Linda Sharkey, RN, MSN, vice president of patient care services and chief nurse executive at Fauquier Hospital.
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There are any number of reasons why an ED and its hospital would have difficulty complying with The Joint Commission standard regarding egress, says Diana S. Contino, RN, MBA, FAEN, senior manager of health care with Deloitte Consulting in Los Angeles.
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Initial data on the use of cell phone photos of injuries, taken by the patients themselves in the ED at The George Washington University Hospital in Washington, DC, offers the promise that they might have the potential to speed treatment without sacrificing diagnostic accuracy.
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Nurses and patients in the ED at The George Washington University Hospital in Washington, DC, have responded positively to a new study that allows patients to e-mail cell phone photos of their injuries to ED physicians prior to their treatment.
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One of the strangest new areas of research ethics involves how IRBs should handle research that involves Internet communities, including virtual communities.
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Researchers go to all sorts of lengths to attract participants for surveys and other types of non-clinical research recruiting Psych 101 students, posting fliers, handing out gift cards, etc. But a new method of recruitment takes advantage of an existing Internet trend toward outsourcing tasks to thousands of computer users around the world.
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The recent shocking disclosure that U.S. public health officials sanctioned a study in Guatemala 64 years ago in which people were deliberately infected with sexually-transmitted diseases (STDs) for research purposes has brought home the message to IRBs that transparency is absolutely critical in human subjects research.
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IRB members and research offices need to add the Guatemalan experiment to their human subjects research training and redouble efforts to educate the public about the high level of ethics and protections in research projects today, experts say.
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Amazon's Mechanical Turk offers investigators the chance to survey thousands of respondents quickly and cheaply via computer while protecting their anonymity. Once IRBs understand how the system works, approval should be a slam dunk, right?
