Quick Look: Immediate Jeopardy

It works like this: CMS catches wind of a severe safety violation at your facility and places it under IJ. You are then given a deadline to fix the problem and come up with a plan to ensure it never happens again—and if you don’t, CMS will revoke your facility’s Medicare and Medicaid funding.

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Strategies That Support Effective and Cohesive Wayfinding

With the increased importance placed on patient satisfaction, effective wayfinding has become even more central to supporting care. While signage is an essential part of wayfinding—that spatial art and science of guiding healthcare visitors to their destination—it’s but one of many tactics that form a part of an effective wayfinding strategy.

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Case study: Cutting Overridden Medication Safety Alerts at DeKalb Medical

Last October, the hospital was placed under immediate jeopardy following the death of a patient with dementia. DeKalb Medical officers self-reported the incident to CMS and released a statement saying they “want to make sure it never happens again.” The case has spurred a series of patient safety reforms, many of which seek to reduce overreliance on technology.

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Study: Seasonal Spikes in Antibiotic Misuse

The study authors say their findings suggest that “current initiatives to improve the use of antibiotics in outpatient settings may not be enough to change clinicians’ prescribing practices.” And they feel clinicians must be better equipped “with the tools and knowledge to know when antibiotics are needed.”

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Annual Industry Survey: Quality Improvement Initiatives

Once a quality improvement initiative has been launched, it can be difficult to keep it on track. Survey respondents were asked about the biggest challenges in maintaining quality initiatives in their organizations. The most cited challenge was the complexity of collecting and communicating a mass of rapidly shifting information with 50%.

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Are Second Victims Getting the Help They Need?

A 2013 review of healthcare professionals as second victims, published in Evaluation & The Health Professions, concluded that nearly half of healthcare providers would fit this label at least once in their career. A 2017 survey of surgeons found that 80% recalled having at least one intraoperative adverse event within the past year of their practice. Those affected reported having experienced a substantial emotional impact on their well-being, including strong feelings of sadness, anxiety, and shame.

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