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With the STAAR bill, which in part would establish an Office of Antimicrobial Resistance under the auspices of the Department of Health and Human Services, pending in Congress, what other regulations and requirements could be part of the future for hospital-acquired infection prevention?
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The National Surgical Quality Improvement Program (NSQIP) began in 1994 in response to concern over the quality of care, specifically operative mortality rates, in VA hospitals. Since then it has expanded to all hospital settings and come under the auspices of the American College of Surgeons (ACS).
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Considering the question of whether there are new challenges, new laws, or new ways of looking at ethical decisions for institutional review boards, one major organization chair responsible for IRBs, responds: "I think its kind of ratcheted up over the years, thats for sure."
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From a bioethical perspective, payments to research participants are complicated, an expert says.
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The National Hospice & Palliative Care Organization (NHPCO) has issued a "call to action" and position statement outlining that organizations expectation that palliative care will become available to all patients in critical care settings.
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Access to Palliative Care in Critical Care Settings: A Call to Action
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One health care provider is using its approach to ethics to combat what one ethics leader in the organization calls "a perfect storm" of intense regulatory scrutiny, increased litigation, a large population of chronically ill patients in hospitals for long periods of time, and public mistrust of the health care system.
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Every study participant has seen some variation of this assurance in informed consent documents: "You are free to participate in this research or to withdraw at any time without penalty or loss of benefits you are entitled to receive."
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As with many professional positions, personal referrals from other health care providers are what typically lead to an opportunity to serve on the ethics committee at Beaumont Hospitals in Royal Oak, MI.
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Members of the American Psychological Association in Washington, DC, have approved a resolution to prohibit psychologists from working in settings where "persons are held outside of, or in violation of, either International Law or the U.S. Constitution."
