Hospital
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New Role for Case Managers Opens Up with Payment Reform
Somebody has to coordinate the post-discharge care now that hospitals are beginning to bear risk for what happens to patients after discharge, but inpatient case managers are already swamped and don’t have the time to do the job well, experts say.
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Close Ties Between Surgeons and Device Reps Raises Ethical Concerns
“I often felt like I’m driving up the costs of the healthcare system …We used to sell an implant that has 99% survivorship at 15 years, which is great, right? "
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People with Mental Illness Often Excluded from Clinical Trials
If a medication for major depression has a dangerous adverse interaction with a different medication that’s being studied in a clinical trial, will it be discovered by researchers and reported in the literature? Not likely, if no one enrolled in the study has major depression.
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Physicians Have New Guidance on Ethics of Telemedicine
A patient asks her physician, whom she’s never seen previously, a particularly sensitive medical question. How does this interaction differ if the patient is at home, viewing the doctor’s response on a computer screen?
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Intense Competition, Inadequate Assessment are Factors in Research Misconduct
The number of retractions in scientific journals has increased significantly in recent years, according to research.1 Sometimes, it’s due to honest mistakes — researchers realize they made an error and want to correct the scientific record.
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Ethical Controversy Erupts Over Human-animal Embryo Research
Do animals with partly human brains, or producing human embryos, sound like science fiction? Some worry that creating “chimeras”— embryos with cells from more than one species — opens the door to just such possibilities.
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C. difficile Burden Varies By Facility, Sometimes Only Miles Apart
While the risks for Clostridium difficile infection (CDI) are well-recognized, the basis for the significant variation in CDI incidence found in long-term care across the United States is poorly understood. These authors examined regional risk factors for CDI across Veteran Health Administration long-term care facilities (LTCFs) from 2006 to 2012. VHA is divided into 86 different regions, and there are significant differences between them in the risk of CDI.
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FDA Bans Over-the-Counter Antibacterial Washes
Citing a lack of efficacy data, the FDA has banned marketing of over-the-counter consumer antiseptic and antibacterial hand and body wash products in a final rule that will not affect healthcare settings.
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FDA: States Should Begin Testing Blood for Zika
Underscoring the threat of Zika virus transmission via the blood supply, the FDA is calling for all states to screen donations, with Florida to do so immediately.
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MERS Still Simmers on the Back Burner
While the disease du jour remains Zika, another virus with a much greater ability to spread in hospitals continues to simmer in an arid region a plane ride away: Middle East Respiratory Syndrome (MERS) coronavirus.