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

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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

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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

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Drug Diversion: Partially Filled Vials and Syringes in Sharps Containers Are Key Source of Problems

Partially Filled Vials and Syringes in Sharps Containers Are Key Sources of Problems By the Institute for Safe Medication Practices A 36-year-old hospital care aide (nursing assistant) who had been diverting discarded drugs died after self-administering what she likely thought might be an opioid but was actually a neuromuscular blocking agent (Fayerman, 2016a-c). The aide … Continued

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Transforming the Continuum of Care With Technology

By Sally Graver Judy Murphy, RN, FACMI, FHIMSS, FAAN, has been a leader in health information technology (IT) for more than 25 years. She is currently chief nursing officer (CNO) for IBM Global Healthcare. Prior to joining IBM, Murphy served as CNO and deputy national coordinator for programs and policy at the Office of the … Continued

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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

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