Tag: Patient Safety

Colorectal SSIs plummet with evidence-based care bundles

Surgical site infections (SSIs) not only harm patients, but also can squeeze a hospital’s bottom line through increased costs and reduced reimbursement. Patients undergoing colorectal surgery are particularly at risk for SSIs, according to data from the National Healthcare Safety Network (NHSN), but an effective multidisciplinary team and an evidence-based…

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By: OR Manager
December 14, 2016
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SSIs fall sharply with team-based protocol changes

Surgical site infections (SSIs) are a major cause of morbidity in surgical patients, leading to increased length of stay and healthcare costs. No single intervention has demonstrated efficacy in reducing SSIs. When SSIs rose to a rate of 16.3% in 2013 at St Elizabeth Boardman Hospital in Boardman, Ohio, perioperative…

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By: OR Manager
December 14, 2016
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Huddles help hospitals move toward the goal

Like a football team gathering to confirm tactical details before a play, surgical staff often form a huddle to ensure readiness of the providers, patient, and equipment for the upcoming procedure. In a twist on the traditional huddle the day before surgery, staff at the Hospital of Central Connecticut (HOCC)…

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By: OR Manager
December 14, 2016
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Relationship between safety culture and patient experience

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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By: Judy Mathias
December 13, 2016
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Procedure volume linked to SSIs in CABG, total hip patients

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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By: Judy Mathias
December 13, 2016
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AHRQ: HACs down 21% since 2010

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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By: Judy Mathias
December 13, 2016
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Joint Commission issues new, revised NPSGs on CAUTIs

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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By: Judy Mathias
December 12, 2016
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FDA: Class I recall of Centurion Convenience Kits with Multi-Med Single Lumen Catheters

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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By: Judy Mathias
December 12, 2016
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Effect of Medicare’s nonpayment program on HACs

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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By: Judy Mathias
December 9, 2016
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Growth of anesthesia outside the OR

Editor's Note Nonoperating room anesthesia (NORA) is a growing component of anesthesiology practice, this study finds. The proportion of NORA cases overall increased from 28.3% in 2010 to 35.9% in 2014, and the mean age of NORA patients increased significantly faster than OR patients. Compared with OR cases, more NORA…

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By: Judy Mathias
December 7, 2016
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