Serious problems can occur when results are delayed. Patients can undergo the wrong operation, be prescribed the wrong medication, or be discharged when they actually require urgent care. A delay in test results can mean the difference between a treatable problem evolving into an inoperable one.
In a series of unannounced compliance audits, the Office of Inspector General found that among 20 surveyed nursing homes, all had severe deficiencies. These included 205 issues related to life safety and 219 issues related to emergency preparedness. In an August 2019 report, the department cited inadequate management and lack of standardized training as the main causes for noncompliance.
The internet of medical things does not supersede doctors’ diagnoses or treatment plans, but it can assist healthcare professionals in confronting stalls or difficulties. All patients can benefit from technology that will lead to more informed decisions; however, cancer patients may benefit the most due to the importance of early intervention and personalized treatment.
Forty-two percent of respondents say communication and the ability to make clinical decisions are important factors impacting the working environment, while 43% indicate professional growth opportunities through career advancement are crucial.
So far, the network has tracked drug diversion at 90 hospitals, 28 nursing homes, and dozens of other types of healthcare facilities, including ambulatory surgical centers, assisted living centers, clinics, compounding pharmacies, medical laboratories, mental health facilities, pain clinics, rehabilitation homes, retail pharmacies, and schools.
Historically, alcohol or drug use has been used as the primary measure of outcome in clinical trials, but how it has been measured has varied. Alcohol and drug use have been measured in varying ways: for example, as a percentage reduction in use over varying periods of time, number of days of abstinence over varying periods of time, or percentage of days abstinent over varying periods of time.
The bills currently working their way through the Massachusetts legislature would require the state Department of Public Health to set regulations that require all Massachusetts hospitals to meet certain criteria to ensure safe patient access at all times to an emergency room or department. These measures would include indoor and outdoor signage, indoor and outdoor lighting, and best-practice wayfinding.
These transfers can be as dramatic as air-lifting a patient to a remote specialty hospital and telling the EMTs that the patient thinks he can fly and will try to jump out of the helicopter, or as mundane as a nurse ending her shift and telling her replacement the patient has been taken off a certain medicine. In both cases, not passing on this information can potentially harm the patient.
These issues challenge healthcare providers and risk managers because not addressing them can result in a distrust of the medical team, a reluctance to disclose critical healthcare concerns out of fear of retaliation or embarrassment, and a greater risk of patient dissatisfaction and litigation.
When ISMP receives a hazard or error report, it is entered into one of our databases and initially reviewed by an ISMP nurse or pharmacy technician analyst. Since most reports submitted to ISMP include the reporter’s email address, ISMP sends an email to the reporter to confirm receipt of the report and to thank him or her for reporting.