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What Happens When US Hospitals Binge on Nurse Practitioners - Bloomberg
In a 2022 article published on the Kaufman Hall website, Bates praised the practices of industry-leading Emory Critical Care Center at Emory University Hospital in Atlanta. The critical care center employs 200 advanced practice providers and 88 physicians. Not only is that the inverse of the typical staffing, but the supervising physicians don’t roam the wards. They’re sitting in a “centralized system-wide e-command center,” Bates wrote.
Vishal Bakshi, a physician assistant who serves as Emory’s chief advanced practice provider, says the organization has “embraced the idea of having an efficient system of health-care delivery with the APP at the forefront and the physician acting as the manager of the flow,” he says. “There are many ways to do medicine. We are going to do it with APPs as the backbone of the ICU.”
The Hidden Harms of CPR | The New Yorker
Still, less than ten per cent of people who receive CPR outside a hospital survive. Inside hospitals, where CPR begins quickly, the odds are slightly better, but only for those who aren’t in the last stages of life. A mere two per cent of adults over sixty-seven with severe chronic disease, including cancer, are alive six months after CPR, and they often deal with pain, physical debility, and post-traumatic stress disorder. Reversing a death is not the same as restoring a life.
Hospitals Race to Secure Big Credit Lifelines From Wall Street - Bloomberg
“We’ve never seen something where we’re simultaneously fighting a health care crisis at the same time that we’re fighting a financial crisis that’s directly affecting health care,” said Mike Allen, chief financial officer of OSF HealthCare System, which runs acute care centers in Illinois. His company is looking to increase its credit line from the $30 million it typically carries to as much as $250 million to contend with what could be a $330 million hit over the next six months.
Exercise: Psych patients' new primary prescription -- ScienceDaily
Tomasi, in collaboration with UVMMC's Sheri Gates and Emily Reyns, built a gym exclusively for roughly 100 patients in the medical center's inpatient psychiatry unit, and led and introduced 60-minute structured exercise and nutrition education programs into their treatment plans. The psychotherapists surveyed patients on their mood, self-esteem and self-image both before and after the exercise sessions to gauge the effects of exercise on psychiatric symptoms.
Patients reported lower levels of anger, anxiety and depression, higher self-esteem, and overall improved moods. Tomasi, Gates and Reyns found an average of 95 percent of patients reported that their moods improved after doing the structured exercises, while 63 percent of the patients reported being happy or very happy, as opposed to neutral, sad or very sad, after the exercises. An average of 91.8 of patients also reported that they were pleased with the way their bodies felt after doing the structured exercises.
ER patients given ketamine in clinical trials without their consent, FDA finds - STAT
Their report, obtained by Public Citizen through a public records request and shared with STAT, examined additional clinical trials beyond those initially flagged. It found that in four, the hospital IRB “did not determine that informed consent would be sought from each prospective subject” as required by law, while in another five, the IRB granted fast-track review to studies that didn’t qualify for it.
At least three of the studies cited by the FDA inspectors involved people brought to the emergency room with “severe” agitation, as assessed by emergency technicians using criteria developed by the researchers. The study leaders apparently persuaded the IRB that such patients could not provide informed consent, and so could be swept into the trial unknowingly.
In fact, such patients are considered “vulnerable,” said bioethicist Leigh Turner of the University of Minnesota, who signed the Public Citizen letter. According to federal law, they are supposed to receive special safeguards, such as having a family member or other representative give or decline consent. That did not happen.
