Quality Initiative Focuses on Cellulitis and the Problem of Diagnostic Error

Cellulitis is a common infection that affects the skin and subcutaneous tissues and results in significant morbidity and associated healthcare costs. In fact, more than $3.7 billion were spent on 240,000 inpatient admissions for cellulitis in the United States in 2004 (Solucient, 2006). In addition to these costs, more than 14.5 million individuals were treated in offices, hospital outpatient clinics, and emergency departments for skin infections in 2005 (Hersh, Chambers, Maselli, & Gonzales, 2008).

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Why So Little Coverage of Improvement?

On May 7, the Dept. of Health and Human Services (HHS) reported on the effects of federal efforts to decrease the rates of hospital-acquired conditions (HACs) and readmissions. These efforts, implemented through a system of Hospital Engagement Networks (HENs), have been supported with funding from the Affordable Care Act (ACA), starting with grants to the HENs in October 2011.

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Truven Health Analytics Acquires Simpler Consulting

Truven Health Analytics, a provider of healthcare analytics and data solutions and services, has acquired Simpler Consulting®, the global leader in providing Lean enterprise transformation services. The strategic acquisition combines Truven’s market-leading cost and quality analytics with Simpler’s performance management consulting capabilities to deliver impactful and tangible performance improvement solutions to healthcare, government, and commercial customers.

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New HHS Data Show Quality Improvements

The Department of Health and Human Services announced that new preliminary data show an overall nine percent decrease in hospital acquired conditions nationally during 2011 and 2012. National reductions in adverse drug events, falls, infections, and other forms of hospital-induced harm are estimated to have prevented nearly 15,000 deaths in hospitals, avoided 560,000 patient injuries, and approximately $4 billion in health spending over the same period.

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Medical Devices: Who Needs to Read Device Instructions?

Essentially all medical devices used in hospitals come with a user instruction manual, commonly called Instructions for Use (IFU) or Directions for Use. Typically an IFU includes basic operational “how to” information as well as pages of warnings, cautions, and other general or device-specific information beyond simply how to operate the device.

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Standardization of Color-Coded Alerts: Time for a National Effort

In 2005, the Pennsylvania Patient Safety Reporting System received a report of a near miss that brought up a new issue in the nursing field. It involved a nurse who worked in two hospital facilities; one facility used yellow wristbands for limb restrictions (do not use this limb) and the other facility used them to indicate DNR (do not resuscitate). This nurse had a patient with arm restrictions. So, well-intentioned, she placed a yellow wristband on the patient’s arm.

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