Literature Review



10 urgent patient safety challenges in 2024

03/12/24 at 03:00 AM

10 urgent patient safety challenges in 2024 Becker's Clinical Leadership, by Ashleigh Hollowell; 3/11/24While employment for new clinicians was positive in the last year with 96% of new nurses finding work, the issue is transitioning those clinicians from education into bedside and hospital practice, which is the most pressing safety challenge of 2024, according to the ECRI's annual report on patient safety. ... Here are the 10 most urgent patient safety challenges facing providers in 2024 ...

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Carolina Caring House Calls breaks down traditional medical care barriers

03/12/24 at 03:00 AM

Carolina Caring House Calls breaks down traditional medical care barriers Salisbury Post, by Julie Brooks; 3/20/24 County residents now have more access to healthcare providers than ever thanks to Carolina Caring House Calls, a home-based medicine program that offers high-quality medical care in the comfort and safety of patients’ homes. House Calls is designed to serve patients who face barriers to accessing routine medical care, including disabilities, chronic illnesses, mobility problems and more. 

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NYC Health + Hospitals/Bellevue opens new Palliative Care Serenity Unit for patients and families

03/12/24 at 03:00 AM

NYC Health + Hospitals/Bellevue opens new Palliative Care Serenity Unit for patients and families NYC Health+Hospitals Press Release; 3/7/24 NYC Health + Hospitals/Bellevue today announced the opening of a new Palliative Care Serenity Unit for patients and families. ... “We created the Serenity Unit because we noted an increasing number of patients either spending their dying days at the hospital or in need of extra support and symptom management expertise that palliative care provides,” said Susan E. Cohen, MD, director of the Palliative Care Program at NYC Health + Hospitals/Bellevue. “We want to ensure that patients who are here in their final days are being treated with dignity and expertise.”Editor's Note: NYC Health + Hospitals/Bellevue is the oldest hospital in America, tracing their roots back to 1736 when a six-bed infirmary opened on the second floor of the New York City Almshouse.

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Some report images and manifestations of departed loved ones

03/12/24 at 03:00 AM

Some report images and manifestations of departed loved ones Chicaog Daily Herald, by Susan Anderson-Khleif; 3/9/24Not often, but sometimes, a person sees an image of a beloved or dear friend. A visual manifestation of their spirit, one you can actually see while awake. It could be very clear or more in a fog. It happened to me the middle of the night, two years ago. ... I had friends and readers who’ve told me of such happenings — of seeing images of dear ones — sometimes during times of stress, sometimes for seemingly no reason. It could be a voice rather than an image. Or some other sign that assures you they are around. Editor's Note: Susan Anderson-Khleif has a doctorate in family sociology from Harvard, taughts at Wellesley College, and is retired.

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US officials call on UnitedHealth to accelerate payments to providers

03/12/24 at 03:00 AM

US officials call on UnitedHealth to accelerate payments to providers The United Business Journal, by Rahul Kumar; 3/11/24In a recent open letter, officials from the U.S. government expressed urgency for UnitedHealth Group to expedite payments to healthcare providers. This plea came in the wake of a debilitating cyberattack on the insurer’s Change Healthcare tech unit, which severely disrupted medical claims processing and payments. The U.S. Department of Labor and the U.S. Department of Health and Human Services emphasized the critical need for UnitedHealth to take swift action to ensure that healthcare providers do not face financial strain due to the cyberattack.

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Today's Encouragement: Motivation ...

03/12/24 at 03:00 AM

Motivation is what gets you started. Habit is what keeps you going. - Jim Rohn

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How changing reproductive health laws could impact perinatal hospice

03/12/24 at 02:30 AM

How changing reproductive health laws could impact perinatal hospice Hospice News, by Holly Vossel; 3/8/24 Evolutions in reproductive health laws may have reverberating impacts on the demand and delivery of perinatal hospice care. Perinatal hospice care is provided to families choosing to continue a pregnancy following a life-limiting prenatal diagnosis indicating a high risk of mortality before or shortly after birth. This care includes emotional, spiritual and medical support to families navigating the complexities of a terminal illness. Perinatal hospice providers work closely with health care professionals in neonatal intensive care units (NICU) and reproductive health settings. 

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Palliative care: A compassionate approach for mesothelioma patients

03/12/24 at 02:15 AM

Palliative care: A compassionate approach for mesothelioma patientsSurviving Mesothelioma, by Holly Zink; 3/10/24Mesothelioma is a rare and aggressive cancer linked to asbestos exposure. It poses significant challenges to those diagnosed and their loved ones. The disease affects the lining of the lungs (pleura). But it can also occur in the lining of the abdomen (peritoneum) and other organs. Mesothelioma has an average survival rate ranging from 8 to 14 months post-diagnosis. Managing the physical, emotional, and practical aspects of this condition is important.

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I have little time left. I hope my goodbye inspires you.

03/12/24 at 02:00 AM

I have little time left. I hope my goodbye inspires you. The Washington Post, by Amy Ettinger; 3/9/24 This past summer, at age 49, I was diagnosed with a rare, incurable cancer called leiomyosarcoma. ... My symptoms were getting worse. I had swelling in my abdomen and legs that couldn’t be treated. After a while, I could no longer walk up the stairs of my house. I decided I wanted comfort, and this week I made the decision to transition to hospice. After choosing this path, I reflected on some of the things I was able to do since my diagnosis: ... People are often afraid when they hear the word “hospice,” but for me it’s been a positive experience. Editor's Note: Read and share this inspiring personal story about choosing hospice care. This is not about Medical Assistance In Dying (MAID), thus eliminating controversial perspectives.

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Patients with metastatic cancer state more accurate prognosis when in poor health

03/12/24 at 02:00 AM

Patients with metastatic cancer state more accurate prognosis when in poor healthMedscape / YouTube, Dr. Maurie Markman; 3/7/24Dr. Maurie Markman discusses a paper focused on the controversial oncology topic of prognosis beliefs among patients with metastatic cancer.Editor's Note: For the transcript, click on the link beneath the YouTube's description that has the text "medscape.com/viewarticle." 

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Ohio’s Hospice cuts unnamed number of staff, CEO confirms

03/11/24 at 03:30 AM

Ohio’s Hospice cuts unnamed number of staff, CEO confirms Journal-News Butler County; by Samantha Wildow; 3/8/24Ohio’s Hospice has reduced its staff by an unnamed number of employees, the CEO confirmed to the Dayton Daily News. Ohio’s Hospice is a partnership of nonprofit hospices in Ohio committed to “a shared vision of strengthening and preserving community-based hospices,” the organization said.  “Since our beginning, our focus has been and will always be on the patients and families we have the privilege of serving,” said Kent Anderson, CEO of Ohio’s Hospice. The nonprofit has faced “inflationary pressures,” he said, which have impacted labor, energy and other costs.

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Programmatic palliative care consultations in pediatric heart transplant evaluations

03/11/24 at 03:00 AM

Programmatic palliative care consultations in pediatric heart transplant evaluations Pediatr Cardiol, by Erika J Mejia, Rui Xiao, Jennifer K Walter, Chris Feudtner, Kimberly Y Lin, Aaron G DeWitt, Meeta Prasad Kerlin; 3/8/24 Guidelines advocate for integrating palliative care into the management of heart failure (HF) and of children with life-limiting disease. The potential impact of palliative care integration into pediatric HF on patient-centered outcomes is poorly understood. The present study sought to assess the association of programmatic implementation of palliative care into the heart transplant evaluation process with hospital-free days (HFD) and end of life (EOL) treatment choices. 

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Mayo's plan to expand AI tool access in 2024

03/11/24 at 03:00 AM

Mayo's plan to expand AI tool access in 2024 Becker's Health IT, by Naomi Diaz; 3/7/24Rochester, MN-based Mayo Clinic has saved its nurses 30 seconds per In Basket message using generative AI. ... This AI-driven system assists clinicians by generating initial responses to patient messages that have nonurgent medical questions. ... The tool has been able to generate draft responses to 3.9 million patient messages in 11 months saving nurses approximately 30 seconds per message, leading to potential monthly time savings of 1,500 hours across the organization, according to the post. Editor's Note: Even without purchasing expensive AI software, many basic software systems / email systems have similar systems to generate sample response phrases, e.g. Microsoft Outlook and Google's Gmail. Your clinicians are sure to have honed out numerous time-savers. Ask! Compile results, assess best practices and reward their input. 

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Compassionate extubation and beyond: Is there a need for more guidance in managing end-of-life in the intensive care unit?

03/11/24 at 03:00 AM

Compassionate extubation and beyond: Is there a need for more guidance in managing end-of-life in the intensive care unit? Chest Physician, by Angela L. Birdwell, DO, MA; Nehan Sher, MD  Approximately 20% of deaths in the United States occur during or shortly after a stay in the ICU and approximately 40% of ICU deaths involve withdrawal of artificial life support (WOALS) or compassionate extubation. ... How the team approaches WOALS can make a difference to both patients and decision-makers. Unfortunately, there is striking variation in practice and lack of guidance in navigating issues that arise at end-of-life in the ICU. 

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Western Slope lawmakers introduce bill to license funeral home operators

03/11/24 at 03:00 AM

Western Slope lawmakers introduce bill to license funeral home operatorsGrand Junction (CO) Daily Sentinel, by Elliott Wenzler; 3/6/24[CO Senate Bill 173] would address one glaring issue with the funeral home industry in Colorado — it’s the only state in the country that doesn’t license funeral home operators.Publisher's note: This legislative action is part of a broad response to the Return to Nature Funeral Home felony charges following discovery of 189 improperly stored bodies detailed in this Colorado Springs Gazette story.

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Today's Encouragement: What lies behind us ...

03/11/24 at 03:00 AM

What lies behind us and what lies before us are tiny matters compared to what lies within us. - Henry S. Haskins

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CMS reports

03/11/24 at 03:00 AM

CMS reportsCMS email; 3/8/24

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Samaritan gala raises record amount: Event helps fund services to the seriously ill and their families

03/11/24 at 03:00 AM

Samaritan gala raises record amount: Event helps fund services to the seriously ill and their families The Sun Newspapers, by Christine Harkinson; 3/7/24 Samaritan’s 2024 Celebration of Life Gala in Cherry Hill raised $275,000 last month to support the nonprofit’s life-enhancing services. ... Founded in Moorestown in 1980 as one of the first hospices in the country, Samaritan is now among New Jersey’s leading providers of hospice care, palliative (comfort) medicine, at-home primary care, grief support and other services. 

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The states where most Medicare beneficiaries have Medicare Advantage plans

03/11/24 at 03:00 AM

The states where most Medicare beneficiaries have Medicare Advantage plans Becker's Payer Issues, by Andrew Cass; 3/6/24 Twenty-six states now have more than half of their Medicare enrollees in Medicare Advantage plans, according to a March 5 report from Chartis, a healthcare advisory services firm. Nationwide, half of Medicare-eligible beneficiaries are now enrolled in Medicare Advantage plans. [Click on the title's link for] the 26 states where Medicare Advantage market penetration exceeds 50%. 

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Scary ‘state’: Two-thirds of nursing home operators fear closure without staffing relief

03/11/24 at 03:00 AM

Scary ‘state’: Two-thirds of nursing home operators fear closure without staffing relief McKnights Long-Term Care News, by Josh Henreckson; 3/6/24Of nearly 450 nursing home providers surveyed, two-thirds are concerned that escalating workforce challenges may force them to close their facility. More than 70% of nursing homes reported staffing levels lower than before the COVID-19 pandemic, with fully 99% saying they are hiring for open positions.

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100+ hospitals, health systems among Newsweek's greatest workplaces for women

03/11/24 at 03:00 AM

100+ hospitals, health systems among Newsweek's greatest workplaces for women Newsweek / Becker's Hospital Review, by Kelly Gooch; 3/7/24 Newsweek has published its 2024 "America's Greatest Workplaces for Women" ranking, which includes hospitals and health systems. ... The best companies in the tiers of large companies (5,000+ employees), mid-size companies (1,000 to 4,999 employees) and small companies (500 to 999 employees) were recognized among the 1,000 greatest workplaces for women.  ... [Click on the link above to the list gleaned by Becker's of hospitals and health systems.]  

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Nursing homes bury 63 percent of profits in related-party tunnels, but not all play the game: study

03/11/24 at 03:00 AM

Nursing homes bury 63 percent of profits in related-party tunnels, but not all play the game: study McKnights Long-Term Care News, by Josh Henreckson; 3/8/24 As much as 63% of nursing home profits in Illinois were hidden from state regulators using related party transactions in 2019, according to the results of a new study from UCLA and Lehigh University researchers. Those results are likely indicative of a nationwide trend that has continued through the pandemic and into 2024, experts told McKnight’s Long-Term Care News Thursday.

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How CON laws influence hospice quality, program integrity

03/11/24 at 03:00 AM

How CON laws influence hospice quality, program integrityHospice News, by Holly Vossel; 3/8/24Variations in hospice certificate of need (CON) state laws are raising program integrity concerns.Notable mentions: Susan Ponder-Stansel, President and CEO of Alivia Care; Paul Ledford, President and CEO of the Florida Hospice & Palliative Care Association; Eddie Belluomini, COO of 1Care Hospice & 1Care Kids; Paula Sanders, Executive Director of the Georgia Hospice and Palliative Care Organization; Matt Hansen, Executive Director of the Homecare & Hospice Association of Utah.

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Editorial: ‘Right to die’ debate comes to Illinois. Both sides have merit, but we would vote no.

03/11/24 at 03:00 AM

Editorial: ‘Right to die’ debate comes to Illinois. Both sides have merit, but we would vote no.

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Medicare Hospice – exploding in size but riddled with quality concerns

03/11/24 at 03:00 AM

Medicare Hospice – exploding in size but riddled with quality concerns Penn LDI, by Hoag Levins; 3/8/24 Five top experts on hospice care convened in a virtual discussion of the Medicare Hospice program. This video is the full session.

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