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Smaller, community-based hospitals may face many of the same types of patient cases that require ethical decision-making; however, these hospitals often have fewer resources than large urban or academic centers with which to receive training in this area.
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Flagler Hospital - St. Augustine on Florida's east coast may offer practices or lessons for other mid-size to smaller community hospitals.
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A registry that serves as a collection point for Physician Orders for Life-Sustaining Treatment known as POLST forms has collected forms from about 18,000 people in Oregon since the registry went live Dec. 3, 2009, according to Susan Tolle, MD, director of the Center for Ethics in Health Care at Oregon Health & Science University (OHSU) in Portland, OR, and who leads registry educational efforts.
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A study of the roles and responsibilities of patients and their proxies has implications today for hospital ethics committees and associated consult services, particularly with regard to the weight given to the voice of the proxy, according to "Contracts, Covenants and Advance Care Planning: An Empirical Study of the Moral Obligations of Patient and Proxy."
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Online social networking sites have fans ranging from the very young to the very old. Some physicians, including psychiatrists, are not immune to a curious peek into the lives of their patients or at least what they can find online but is that a line that should be crossed in the physician-patient relationship?
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The Nuffield Council on Bioethics in London has set up what that organization terms a working party to study the issue of whether the UK can ethically increase organ or tissue donation by offering incentives.
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Hospital reporting on adverse events is still lacking, according to a report from the Department of Health and Human Services Office of Inspector General (OIG), released in March.
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According to experts Hospital Peer Review spoke with, the two biggest barriers to a robust reporting system are employees' fear of punitive action and a burdensome policy that requires a lot of work.
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Kathleen Rauch, RN, BSN, director, Center for Clinical and Operational Performance Analysis, Risk Management & Infection Control at Princeton Healthcare System, felt pretty good coming out of a recent Joint Commission survey. Because she knew what to expect and what was needed to get ready.