Medical Errors Are The Third Leading Cause of Death: Now What?
Medical errors account for more than 250,000 deaths each year, ranking it third on the CDC’s list of common causes of death behind heart disease and cancer, but ahead of chronic respiratory disease, suicide, and car accidents, according to a recent study published in The BMJ.
How Ohio Hospitals Are Tackling Sepsis
Last year Ohio’s hospitals began a campaign to reduce sepsis encounters and related deaths by 30% by 2018. Nine months into the initiative, the OHA is reporting an 8% reduction in mortality.
Safety for All: Integrated Design for Inpatient Units
By James M. Hunt, AIA, NCARB: and David M. Sine, DrBE, CSP, ARM, CPHRM The concept of integrated healthcare – treating the whole person and all of his or her diagnoses, including mental illness, in one location with one team of clinicians—has gained considerable traction in the literature (U.S. Department of Health & Human … Continued
To Do No Harm, Rethink How to Measure Hand Hygiene
By Paul Alper, BA Primum non nocere is a Latin phrase that means, “First, do no harm.” It is a precept taught to healthcare students around the world and paraphrased in the Hippocratic Oath. Unfortunately, a vast amount of avoidable harm still takes place in healthcare settings worldwide. The good news is that a new … Continued
Community Circles: Transforming Care in Downeast Maine
By Holly Gartmayer-DeYoung, BSN, MBA Each morning, Eastport, Maine, is the first city in the United States to see the sunrise. Among the contiguous United States, Eastport has the deepest natural harbor (Fallows, 2014), one that buzzed with industry and prosperity during the 19th century and well into the 20th. The city’s fortunes have largely … Continued
What Clinical Decision Support Can Offer
By Nancy Zimmerman, RN, BSN Advanced clinical decision support (CDS) systems are playing an increasingly important role in promoting quality and safety in patient care, especially in diagnostic assistance. While arriving at a correct diagnosis will always be a mixture of art and science, with physicians ultimately responsible for all clinical decisions, CDS systems support … Continued
Health IT & Quality: Why Things Matter
By Barry P. Chaiken, MD, MPH Compared to automobiles made just a few years ago, new ones provide an amazing driving experience. Expanding beyond the CD changer and iPod® dongle, automobiles now integrate our smartphones and use voice recognition technology, allowing drivers to keep their hands on the steering wheel. In addition to this … Continued
Using Automated Surveillance to Improve Diagnosis
By Tom Scaletta, MD, CPPS Every day, healthcare becomes more complex, and with that complexity comes a growing need to focus on reducing diagnostic errors. A recent Institute of Medicine (IOM) report, Improving Diagnosis in Healthcare (Balogh, Miller, & Ball, 2015), estimates that 5% of adults seeking outpatient care experience a diagnostic error, while one … Continued
CDC: 30% of Outpatient Antibiotics Are Prescribed Inappropriately
A study published in the Journal of the American Medical Association (JAMA) found that approximately 30% of antibiotic prescriptions written in the outpatient setting were inappropriate. Researchers found that several common conditions contributed to the majority of inappropriate antibiotic prescribing. Forty-four percent of outpatient antibiotic prescriptions were written to treat acute respiratory conditions, sinus infections, … Continued
80% of ER Providers Hesitant to Ask Patients About Gender Sexual Orientation
For emergency medicine clinicians who learned to defer to patients’ privacy on sexual orientation and gender identification, asking questions is a major culture change.