Employee Management
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Pandemic Fatigue, Disinformation Stunt Uptake of Respiratory Vaccines
A vaccination malaise that has beset much of the public appears to have extended to healthcare workers as well. In addition to citing an abysmal COVID-19 vaccination rate of 17% for healthcare workers during the 2022-2023 flu season, the Centers for Disease Control and Prevention pointed to a “lack of provider recommendation” as one of four key reasons patients are skipping immunizations, with the others being concerns about serious side effects, the occurrence of minor side effects, and a lack of time or forgetfulness.
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CDC: PPE Should be Readily Available for Workers
New draft patient isolation guidelines recently approved by advisors to the Centers for Disease Control and Prevention emphasized that healthcare workers have N95 respirators, masks, eye protection, and other personal protective equipment readily available.
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As OSHA Violence Regulation Stalls, States Move to Protect Healthcare Workers
After more than a decade of urgent calls for federal labor officials to adopt a standard to prevent violence against healthcare workers, 600 determined nurses came to the massive, dome-capped Texas State Capitol in Austin in February 2023. The bipartisan bill that the TNA and the Texas Hospital Association jointly lobbied for was passed into law effective Sept. 1, 2023. Under the conditions of the legislation, healthcare facilities have until Sept 1, 2024, to enact the key provisions.
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Higher Mortality for Neurosurgery Patients with Pre-Existing DNRs
Neurosurgeons at University of Rochester Medicine observed that patients with pre-existing do-not-resuscitate (DNR) orders receiving cranial neurosurgery tended to have poor outcomes. To see if their clinical observations were reflected in actual data, the neurosurgeons analyzed 30,384 patients who underwent cranial neurosurgery in 2018-2020.
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Audio Assistance Improves Minorities’ Willingness to Participate in Research
Audio-assisted informed consent forms significantly improved the willingness of a sample of primarily African American patients to participate in a mock clinical trial.
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It Is Not Just Physicians: Residents also Receive Industry Payments
Drug and device makers publicly report all gifts made to physicians and advanced practice providers, as required by the 2010 Physician Payments Sunshine Act. Residents and other trainees are excluded from this requirement — but that does not mean these providers are not receiving payments.
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Informed Consent Practices for Acute Stroke Treatment Vary
Currently, the two cornerstones of acute ischemic stroke treatment are intravenous thrombolysis and, for patients with large vessel occlusions, endovascular thrombectomy. For treating clinicians, the question becomes: How do clinicians ensure that patients (or their surrogate decisionmakers) make an informed decision while avoiding treatment delays that can result in worse outcomes?
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Ethical Decision-Making with Deprescribing for Older Adults
Physicians must consider multiple ethical issues when making decisions on deprescribing for older adults with dementia, a recent study found.
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Ethical Responses if Faculty Object to Teaching Physician-Assisted Death
Multiple recent papers focus on the ethics of conscious objection of providers participating in medical aid in dying. However, there are little to no recommendations or guidelines for conscientious objection to teaching medical aid in dying.
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Ethical Input Needed for Digital Models and Simulations in Healthcare
Digital models and simulations are a quickly evolving technology that, like artificial intelligence tools, will change clinical practice and patient care.