New Resources Aim to Simplify Stewardship Implementation
A finalized Joint Commission standard, along with proposed CMS regulations, place more emphasis on program leadership and providing resources for measurement and action.
Joint Commission and CDC Team Up on Ambulatory Infection Prevention
The Joint Commission and the Centers for Disease Control and Prevention (CDC) are working on a new initiative to improve infection control in ambulatory care settings. The Adaptation and Dissemination Outpatient Infection PrevenTion (ADOPT) project will promote existing CDC infection prevention (IP) guidance while also making updated and alterations.
Delay on Texting Ban Repeal
This spring, The Joint Commission reversed its ban on texting medical orders, citing critical improvements in the technology’s security. The accreditor has now announced it will delay the repeal until it can create additional guidance on appropriate texting policies, according to an article in the July issue of Joint Commission Perspectives. The Joint Commission and … Continued
MACRA Comment Period Ends With Burst of Feedback
Reaction to CMS’s proposed rule includes from MGMA that the proposal “provides almost no opportunities for medical groups to begin the shift away from fee-for-service reimbursement.”
CMS Proposes Making Antibiotic Stewardship Programs Mandatory
Last week, CMS published a list of proposed rule changes for hospitals and laboratories. One of the more notable proposals would make antibiotic stewardship programs (ASP) mandatory. ASPs are considered a way to prevent antibiotic misuse and the spread of drug-resistant disease.
“We propose to change the introductory paragraph (in Infection Control Condition of Participation §482.42) to require that a hospital’s infection prevention and control of antibiotic stewardship programs be active and hospital wide for the surveillance, prevention, and control of HAIs and other infectious diseases, and for the optimization of antibiotic use through stewardship,” according to the proposed rule.
Joint Commission Finalizes New Requirements for CAUTI NPSG
Proposed Joint Commission NPSG focuses on risks of pediatric CT scans
Radiology experts are split on whether the focus on head and chest scan is a valuable use of resources
A proposed National Patient Safety Goal (NPSG) released by The Joint Commission in February takes aim at judicious use of computed tomography (CT) imaging among pediatric patients, requiring hospitals to follow evidence-based guidelines when considering CTs for minor head trauma.
The proposed standard, released as NPSG.17.01.01, would apply to hospitals, ambulatory care facilities, and critical access hospitals. The Joint Commission accepted comments on the proposed requirement through the end of March.
Fall Prevention: Stand Up to Falls
“Why do we fall? So we can learn to pick ourselves back up.” That inspirational quote is designed to focus on lessons that can be learned in order to move forward effectively and ultimately succeed.
When a fall is approached as an opportunity to learn, new knowledge is gained, informing changes that can lead to improvement. Learning is at the heart of improvement, innovation, and growth. But when a patient fall is treated as a failure, the learning stops.
Opioids: What Do Healthcare Professionals Want and Need to Know?
The availability of, and access to effective and safe treatments for pain remain serious problems in the United States (Institute of Medicine, 2011). Opioid medications are important for addressing short-term and chronic pain management. Given the benefits that they provide, usage of opioids has become widespread over the past decade. However, opioid medications also carry substantial risk, and their increased usage has introduced a host of unintended consequences across the care continuum. Given this, opioids have significant implications for patient safety. The National Patient Safety Foundation (NPSF) conducted a convenience flash poll survey to obtain a snapshot of opioid-related patient safety concerns, learning needs, and familiarity with existing seminal publications among healthcare professionals.
AORN Guideline Updates Focus on Counting, Communication to Prevent RSIs
Using a new evidence review model, AORN highlights key safety concerns, while one expert calls for more emphasis on human error.
Using a new evidence review model, updated guidelines released by one of the nation’s leading surgical associations underscore the importance of clear communication and strong counting procedures to prevent the occurrence of retained surgical items (RSI).
The Association of periOperative Registered Nurses (AORN) released updates to its Guideline for Prevention of Retained Surgical Items effective January 15, 2016. The updated guidelines take the place of previous recommendations released in 2012.
Hospitals continue to struggle with RSIs. In January, The Joint Commission released a “Quick Safety” report building on its 2013 Sentinel Event Alert on unintended retained foreign objects (URFO). The Joint Commission reported that URFOs accounted for 115 of the sentinel events reported in 2015 and 112 in 2014, up from 102 in 2013.
Safety Issues Dominate Joint Commission List of Most-Cited Standards of 2015
The Joint Commission’s latest list of most-cited standards was dominated by safety issues. Following a multi-year trend, eight of the top 10 cited standards came from the Environment of Care, Life Safety or Infection Control chapters, with most of them merely swapping places within the top 10. The standards are those most frequently found not … Continued