Editor's Note The Department of Veterans Affairs (VA) on December 13 issued a final rule allowing full practice authority for certain advanced practice registered nurses working in VA facilities, including certified nurse practitioners, clinical nurse specialists, and certified nurse midwives. The rule excludes certified registered nurse anesthetists (CRNAs), following lobbying…

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Editor's Note A new blog from the Joint Commission on Infection Prevention & Control covers experiences, case studies, and news for infection preventionists. The latest blog post details the BoosterPak for High-Level Disinfection and Sterilization processes, which is applicable to hospitals, critical access hospitals, plus ambulatory and office-based surgery settings.…

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Editor's Note In this multi-state study examining the relationship between nurse-reported safety culture and the patient experience, researchers found that modifiable aspects of a hospital’s culture can influence the achievement of high HCAHPS scores in nursing and global domains, which directly impact hospital reimbursement. Three safety culture domains were related…

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Editor's Note Surgical site infection (SSI) risk for coronary artery bypass graft (CABG) and hip arthroplasty patients is highest in hospitals with low annual procedure volumes, yet these hospitals are excluded from quality reporting, this study finds. Even for high-volume hospitals, year-to-year variation in SSI rates makes past performance an…

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Editor's Note Hospital-acquired conditions (HACs) fell 21% (3.1 million) between 2010 and 2015, saving nearly 125,000 lives and $28 billion in health care costs, according to a December 12 report from the Agency for Healthcare Research and Quality (AHRQ). Among the findings: Adverse drug events were down 42.3%. Pressure ulcers…

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Editor's Note Giving monthly cost feedback scorecards to surgeons was associated with significantly reduced surgical supply costs, without negatively affecting patient outcomes in this study. Of 249 surgeons representing 10 specialties, 63 were in the intervention group and 186 were in the control group. Surgeons in the intervention group each…

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Editor's Note The Joint Commission on December 9 issued new and revised National Patient Safety Goals (NPSGs) on catheter-associated urinary tract infections (CAUTIs) that will be effective January 1, 2017. The new NPSG will apply to accredited nursing care centers, and the revised NPSGs will apply to accredited hospitals and…

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Editor's Note The Food and Drug Administration (FDA) on December 9 categorized the recall by Centurion Medical Products (Williamston, Michigan) of its Centurion Convenience Kits containing Multi-Med Single Lumen Catheters as Class I, the most serious. There may be excess material at the tip of the catheters from the manufacturing…

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Editor's Note Medicare’s Nonpayment Program of 2008, which withholds hospital reimbursement for costs related to hospital-acquired conditions (HACs), was associated with a decline in the incidence of selected HACs in this study. The decline was greater in hospitals with higher Medicare utilization ratios (MURs). In this analysis of nearly 868,000…

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Editor's Note The Ambulatory Surgery Center Association (ASCA) on December 7 applauded Congress for passing the 21st Century Cures Act, which includes two provisions that benefit Medicare patients and physicians in ambulatory surgery centers (ASCs). The first provision, Section 4012, directs the Department of Health and Human Services (HHS) to…

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