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In the face of steadily increasing volumes (13,000 between 2008 and 2009), the ED at Peninsula Regional Medical Center in Salisbury, MD, has improved all of its operating statistics, achieving a 'door-to-bed' time of three minutes and a door-to-doc time of 21 minutes.
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Did a patient wait a long time in your ED, and did that patient have an adverse outcome? If these two events can be linked together by a plaintiff's attorney, it could result in a successful malpractice lawsuit against your staff or your institution.
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In a new Sentinel Event Alert, The Joint Commission focused on an issue to which ED managers are no strangers.
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While there are certain scenarios regarding patient care when what is written in the law may seem to counter what is ethically appropriate, in general, the law and ethics complement each other in the health care arena, according to those interviewed by Medical Ethics Advisor.
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Although most patient care scenarios can be worked out through careful communication with all those involved, there are certain situations where even greater diplomacy may be required on the part of ethics consultants.
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In the days after a child has been diagnosed with leukemia, parents often must wrestle with decisions about participation in clinical trials. It's a busy and stressful period, as family members are still dealing with the trauma of the diagnosis.
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At the University of California, Davis, the legal counsel and the ethics consultation services are "completely separated," according to Alexander A. Kon, MD, CM, FAAP, FCCM, who, among other appointments, serves as the director, clinical bioethics consultation service and chair, bioethics consultation committee.
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One health care lawyer suggests that there will be a phased implementation of the health care reform bill, the Patient Protection and Affordable Care Act, which was passed in March.
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In early April, Compassion & Choices President Barbara Coombs Lee said at a press conference to announce that "aid in dying" more often referred to as assisted suicide is being implemented in Montana following a Montana Supreme Court decision to allow it in late December.
