Editor's Note Patients admitted to the hospital for procedures that would not be expected to require admission (ie, low-value procedures) are being harmed, consuming additional hospital resources, and delaying care for patients for whom the services would be appropriate, this Australian study finds. In this analysis of 9,330 episodes of…
Editor's Note The Joint Commission and National Quality Forum (NQF) on March 27 named the recipients of the 2018 John M. Eisenberg Patient Safety and Quality Awards. The Awards recognize innovative approaches to improve patient safety and quality of care. The winners are: Brent C. James, MD, MStat, clinical professor,…
Editor's Note The increased use of tourniquets, blood transfusions, and reduced time to surgical treatment (ie, within 1 hour) were the main factors that reduced mortality 44.2% during military conflicts in Afghanistan and Iraq, this study finds. From October 2001 through December 2017, survival increase three-fold among the most critically…
Editor's Note The Joint Commission on March 27 posted the “Top 5” requirements identified most frequently as “not compliant” during surveys and reviews in 2018. The Top 5 for hospital accreditation are: LS.02.01.35: The hospital provides and maintains systems for extinguishing fires (88.85%). EC.02.05.01: The hospital manages risks associated with…
Editor's Note Better work environments are associated with lower odds of negative outcomes ranging from job dissatisfaction to patient mortality, finds this meta-analysis from the University of Pennsylvania School of Nursing. This analysis of data from 2,677 hospitals, 141 nursing units, 165,024 nurses, and 1,368,420 patients in 22 countries found…
Editor's Note The Food & Drug Administration on March 26 said it will take steps to address potential medical product and device shortages because of the recent closure of a large contract sterilization facility, Sterigenics (Willowbrook, Illinois). Earlier this year, the Illinois Environmental Protection Agency issued an order to stop…
Editor's Note Minimally invasive embolization can be used to effectively treat uterine fibroids with fewer postoperative complications and a lower need for additional treatments than myomectomy, finds this study presented March 25 at the Society of Interventional Radiology’s 2019 Annual Scientific Meeting in Austin, Texas. Of 950 patients analyzed, half…
Editor's Note The Centers for Disease Control and Prevention on March 19 released its current progress report on healthcare-associated infections, which includes state and national level statistics for 2017. Among the findings for acute care hospitals: Clostridium difficile infections declined by 13%. Central line-associated bloodstream infections fell by 9%. Methicillin-resistant…
Editor's Note Educating anesthesia providers on the World Health Organization’s five indications for hand hygiene, increasing access to hand hygiene products in the OR, and monitoring hand hygiene among anesthesia providers can improve hand hygiene compliance, this study finds. Hand hygiene was observed in three phases: Preimplementation, postimplementation, and 60…
Editor's Note The Food & Drug Administration on March 21 issued a Safety Communication on cybersecurity vulnerabilities identified in wireless telemetry technology used for communication between Medtronic’s implantable cardiac devices, clinic programmers, and home monitors. Medtronic (Dublin, Ireland) is working on updates to address the vulnerabilities and recommends that healthcare…