FDA validates revised reprocessing instructions for Model ED-530XT duodenoscopes
FUJIFILM Medical Systems issued revised reprocessing instructions late last month for Model ED-530XT duodenoscopes, according to a safety communication issued by the FDA. The instructions require exacting pre-cleaning, manual cleaning, and high-level disinfection procedures. While these revised reprocessing instructions are for Model ED-530XT duodenoscopes, the FDA is encouraging healthcare facilities that use Fuji’s 250 and … Continued
Study: Discharge notes are often written grades above patient reading levels
A study published in The American Journal of Surgery found that low literacy rates can drive up the number of hospital readmissions. Of the 497 patients studied, researchers found that only 24% had the reading skills necessary to understand their discharge instructions, with 65% reading a lower grade level than what their notes were written … Continued
Massachusetts medical board proposes rules on simultaneous surgeries
Surgeons in the state of Massachusetts will have to document each time they enter and leave the operating room according to a new regulation approved by the Massachusetts Board of Registration in Medicine, according to a recent report in The Boston Globe. Patients rarely know if they are sharing their surgeon with another patient, and … Continued
Nursing has once again been named the most trustworthy profession in America
Trust your nurses, everyone else does Nursing has once again been named the most trustworthy profession in America. In its annual Honesty and Ethics rankings, Gallup Polls found that 85% of Americans rated nurses’ honesty and trustworthiness “very high,” or “high.” The runner-up, pharmacists, only received a “highly trusted” score of 68%. As a manager, … Continued
The Hidden Patient Experience
Alexandra Wilson Pecci, for HealthLeaders Media How well-meaning and clinically important actions can make or break the patient experience, and how leaders at Cleveland Clinic and Mount Sinai Health System are refocusing efforts. During her hospital’s monthly executive leadership rounds, Cleveland Clinic’s executive chief nursing officer, K. Kelly Hancock, MSN, RN, NE-BC, met a patient … Continued
Physical Therapy Joins the Movement
By Susan Carr
This year’s annual conference of the American Physical Therapy Association’s Massachusetts chapter (APTAMA) focused on a microcosm of issues in healthcare improvement: value, collaboration, measurement, and spread. After hearing Alan M. Jette, PT, PhD, FAPTA, deliver the keynote address, “System Thinking to Thrive in a Changing Health Care Environment,” I participated on a panel that included Jette in a discussion of the issues he raised.
Leaders in physical therapy are working hard to inspire practicing physical therapists (PT) to pursue improvement efforts within their profession, in healthcare more broadly, and with consumers directly. Leaders such as Jette and Mary Duffy Zupkus, PT, MPA, president of the APTAMA (and—full disclosure—my PT), believe that physical therapy offers unique opportunities to advance healthcare delivery and must reposition itself as a profession in order to survive the new demands of the healthcare marketplace. The enthusiasm and savvy of those who attended the conference, presented on the panel, and asked insightful questions were reminders that important stakeholders continue to join the improvement movement.
Personal Candor and the Practice of Medicine
Caring for patients is fraught with hazards and risks. As physicians, every time we approach the bedside we bring the potential for benefit and the possibility of harm. Benevolent intentions do not guarantee safe and effective care or highest-quality outcomes. Problems with our systems and processes of care, as well as personal lapses, often result in preventable and even death.
Is Your Facility Bugged?
There are bugs and then there are bugs. Hospitals have long fought against the invisible bugs, bacteria and viruses, but they often overlook the larger kinds such as flies and bedbugs. Environmental services must keep both in mind as they strive to make a facility safe. To maintain the best environment for patient and staff … Continued
Improving Diagnosis: Challenges and Opportunities
Improving Diagnosis in Health Care, a new report by the Institute of Medicine, inspired artists at VisualDx to produce the infographic shown below. VisualDx is a widely used web-based clinical tool used to enhance diagnostic accuracy, aid therapeutic decisions, and improve patient safety. Art Papier, MD, co-founder and CEO of VisualDx, is a member of the board of the Society to Improve Diagnosis in Medicine, which petitioned the IOM to produce the report.
Overcoming Barriers on the Way to Evidence-Based Practice
Although nurses and physicians support evidence-based care in principle, barriers to adoption include resistance from colleagues, nurse leaders, and physicians and more than one-half of physicians do not use available guidelines