Hospital planning nation’s 1st ‘cancer ER’

From Columbus Business First:

Ohio State University Wexner Medical Center’s new emergency department is expected to open in August – the first space to begin patient care in the 21-story centerpiece of its $1.1 billion expansion.

Next spring the department will add another first – a 16-bed unit within the ED dedicated to emergency care for patients of James Cancer Hospital and Solove Research Institute.

“Research Without Consent in the Emergency Room”

From the Huffington Post:

A new study poses one of the most vexing ethical questions concerning research with human beings: When is it acceptable to conduct research without the consent of the research subject?

In emergency situations, patients often arrive at the hospital unconscious or with severely impaired decision-making capacity. Progress in medical practice depends on results from carefully designed research; yet in these emergency cases such patients are unable to fulfill one of the basic ethical requirements for research — the ability to consent.

Rural health care: efficient, safe and a lot cheaper

From Healthcare Dive:

“I can’t tell you empirically that it’s absolutely because [rural hospitals] manage tighter budgets but I can tell you anecdotally that they are doing it,” Morrow told Healthcare Dive. “They tend to be well run because they don’t have a whole lot of options — they are forced to manage on much smaller budgets.”

The secret, according to Morrow, is a focus on providing the right care in the right setting…

Survey: Many Physicians Regret Career Choice

From Becker’s:

Nearly a quarter of physicians (23 percent) would not choose to become a physician again if they could turn back time, according to a survey by The Medicus Firm.

In fact, looking back on their careers, 21 percent of respondents said that they would not choose a healthcare profession at all.

Strong ties with hospital staff could reduce nursing home ED referrals

From Fierce Healthcare:

Registered nurses who work in nursing homes need to rely on their colleagues in hospitals to determine whether it’s necessary to refer nursing home residents to the emergency department (ED), according to a new study in the Open Journal of Nursing.

They found that when nurses had a distant relationship with their colleagues at hospitals or a previous negative experience, they often felt insecure and alone in their decision-making. Hospital staff, they said, would sometimes question their competence. As a result, they sometimes hesitated to refer patients to the ER and typically turned to their colleagues in the nursing home for advice.