Literature Review

The silent crisis of Gen AI anxiety in the workplace HR Perspectives; by Dr. Gleb Tsipursky; 10/27/25 The conversation about generative AI (Gen AI) is unavoidable in today’s business landscape. It’s disruptive, transformative, and packed with potential—both thrilling and intimidating. As organizations adopt Gen AI to streamline operations, develop products, or enhance customer interactions, the inevitable side effect among employees is anxiety. Will jobs vanish? Will expectations shift overnight? Can they keep up with the learning curve? These questions aren’t just whispers in the break room; they’re front and center for many teams. 

Love, loss and last wishes fulfilled at Duke HomeCare & Hospice: Staff members regularly make miracles happen Duke Today, Durham, NC; by Working@Duke; 10/29/25 The bell chimed three times at Hock Family Pavilion, and everyone knew what it meant. Duke HomeCare & Hospice nurses and workers stepped into the hallway of Duke’s 12-person inpatient hospice facility, solemnly waiting in silence. Anthony Wilkie, a Duke Clinical Nurse, had been bracing himself for the moment with a mixture of sorrow and humility. When a bell rings three times at Hock Family Pavilion, a patient has just died and a ritual is about to begin. ...

October is a fallen leaf, but it is also the wider horizon more clearly seen. ~ Hal Borlan

New Joint Commission Guidance on the use of Artificial Intelligence in healthcare The National Law Review; by  Paul R. DeMuro, PhD, Brandon K. von Kriegelstein, Taylor M. Stilwell Katten; 10/28/25 On September 17, 2025, the Joint Commission, in collaboration with the Coalition for Health AI (“CHAI”), issued its first high-level framework on the responsible use of artificial intelligence (“AI”) in healthcare.  The Guidance on the Responsible Use of AI in Healthcare (“Guidance”) is intended to help hospitals and health systems responsibly deploy, govern, and monitor AI tools across organizations.  The goal of the Guidance is to help “…the industry align elements that enhance patient safety by reducing risks associated with AI error and improving administrative, operational, and patient outcomes by leveraging AI’s potential.” ... The seven core elements articulated by the Guidance are:

So you expect to live until age 100? Here are the financial issues you’ll need to address right now NTD; by Brian O'Connell; 10/28/25 Americans are growing used to the notion that they may live to a ripe old age, even as long as 100. According to a new study by Houston-based Corebridge Financial, 50 percent of U.S. adults say they’ll live to 100, and 49 percent say they hope hitting 100 actually happens. ... Living until age 100 brings so-called longevity risk, especially if you live 35 or 40 years after retiring. “That’s why you should focus on three pillars: long-term care planning, dependable lifetime income, and optimized Social Security,” Yehuda Tropper, CEO of Beca Life Settlements, a viatical & life settlement company, told NTD.

Emergency preparedness efforts prevented deaths, serious injuries in massive fire, senior living operator saysMcKnight's Senior Living; by Kimberly Bonvissuto; 10/28/25A massive Friday night fire at a Michigan senior living community displaced 87 residents and staff members, but no serious injuries or deaths were reported thanks to emergency preparedness measures, according to the operator. Multiple fire departments responded to the blaze at American House Southgate in suburban Detroit... In an update provided to McKnight’s Senior Living by American House on Saturday, the company said that staff members and residents reacted quickly and efficiently. “Following their practiced fire drills, the team members and residents evacuated the building without incident,” the statement said, adding that the building’s fire systems all deployed as designed.

10 smart questions to ask before hiring an IT services company DesignRush; by Sergio Oliveira; 10/28/25 A first-hand guide for CEOs on how to vet IT vendors, avoid scope traps, and ensure accountability beyond the pitch. ... Every IT partner looks capable during a pitch — that’s their job. The challenge is separating an agency's confidence from day-to-day reality. I’ve learned that asking the right questions early is the only way to find out how potential agencies will handle change, protect uptime, and keep you in control of your own data. 

Hospice arranges wedding in 24 hours so dying mum could see her daughter get marriedYahoo News UK; by Rachael Davis, Gary Stewart; 10/26/25A mum-of-two is urging people to donate to hospice care, after one organised a last-minute wedding so her terminally-ill mother could watch her marry the love of her life.

Strategies for managing rising healthcare premiums with Jason Bradshaw Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Jason Bradshaw; 10/29/25 In this episode of TCNtalks, host Chris Comeaux welcomes back Jason Bradshaw, a seasoned benefits consultant with USI Insurance Services. Together, they unpack why healthcare premiums are rising, where volatility is coming from, and how employers can regain control without gutting benefits.  Jason shares practical funding models, transparency tools, and a playbook for building a cost culture that actually moves behavior.

What’s next for the healthcare CEO role?Becker's Hospital Review; by Kelly Gooch; 10/24/25Hospital and health system CEOs face mounting pressures and a rapidly evolving healthcare landscape — one that requires them to think critically about their leadership today, but also about how their role will need to evolve in the years ahead. Leaders must navigate various responsibilities — from confronting health disparities and engaging more deeply with their communities and employees, to adopting AI and addressing financial challenges. Becker’s asked [hospital] CEOs to share how they see the role evolving over the next two to five years — and how they are preparing themselves and their organizations for that shift.

New ACP paper provides ethical guidance amid controversies and changing practices in organ transplantation American College of Physicians (ACP), Philadelphia, PA; Press Release; 10/28/25 The American College of Physicians today issued a position paper on ethical considerations surrounding organ transplantation, saying the needs of the donor patient and family must be prioritized and the process should be trustworthy and transparent. “Ethical Issues in Organ Transplantation: A position paper from the American College of Physicians” was published in Annals of Internal Medicine.  It clarifies the duties and roles of care teams of prospective donor-patients, recipient-patients, and organ procurement teams, reaffirming that end-of-life decision making for prospective donor-patients must center on their best interests independent of organ donation potential. ... “This guidance is relevant to all involved in organ transplantation and particularly to internal medicine physicians who advise their patients about advance care planning and organ donation, caring for them prior to organ transplantation,” said Jason M. Goldman, MD, MACP, President, ACP. 

Updated opioid prescribing guidelines: Implications for nurse practitioners The Nurse Practitioner / Lippincott; by Rhond Winegar, PhD, DNP, APRN, FNP-BC, CCRN, CPN; Tara Martin, MSN, RN, CPN; Zhaoli Liu, PhD, FNP-C, CPPS; November 2025 issue. The opioid epidemic remains a significant public health challenge in the United States. Nurse practitioners (NPs) play a crucial role in addressing this crisis. This article discusses the implications for NPs of the Centers for Disease Control and Prevention 2022 updated clinical practice guideline on opioid prescribing, focusing on four key areas: 1) deciding whether to initiate opioids, 2) determining appropriate opioids and dosages, 3) determining treatment duration and follow-up, and 4) implementing risk assessment and mitigation strategies. Adhering to this guideline enables NPs to optimize opioid prescribing practices and deliver patient-centered care that aligns with public health priorities to combat the opioid crisis.