Resident Fatigue, Stress Trigger Motor Vehicle Incidents

It appears that long, arduous hours in the hospital are causing more than stress and fatigue among doctors-in-training — they’re crashing, or nearly crashing, their cars after work, according to new Mayo Clinic research. Nearly half of the roughly 300 Mayo Clinic residents polled during the course of their residencies reported nearly getting into a motor vehicle crash during their training, and about 11 percent were actually involved in a traffic accident.

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Minnesota Hospitals Improve Patient Safety

Concluding the first year of a two-year contract from the U.S. Department of Health and Human Services, Minnesota’s hospitals participating in the Partnership for Patients Hospital Engagement Network record the prevention of more than 3,200 readmissions, 463 fewer patients experiencing a fall, and 158 fewer patients experiencing a pressure ulcer. The initiative builds on the Minnesota Hospital Association’s (MHA) award-winning Call-to-Action framework launched in 2007 and the statewide Reducing Avoidable Readmissions Effectively (RARE) campaign.

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Costs of Care Announces Winning Essays: Providing High Value Care

Patients and their caregivers are uniquely positioned to recognize inefficiency in the healthcare system but are seldom empowered with information they need to reduce harmful spending. With the help of New England Journal of Medicine Editor-in-Chief Jeffrey Drazen, former United States Secretary of Health and Human Services Donna Shalala, former White House advisor and bioethicist Zeke Emanuel, and New York Times columnist and surgeon Pauline Chen, Costs of Care (www.CostsOfCare.org) launched an innovative essay contest this fall aimed at elucidating both the challenges and opportunities to save patients’ money with routine, cost- conscious medical decisions.

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Update on Meningitis Outbreak Caused by Mass. Compounding Pharmacy

The Nov/Dec issue of PSQH included news coverage and commentary about the fungal meningitis outbreak caused in late 2012 by contaminated medications that had been shipped throughout the country by a compounding pharmacy in Massachusetts. In The New England Journal of Medicine, Smith et al. report that as of Dec. 10, 2012, the outbreak resulted in 590 reported cases of infection in 19 states and 37 patient deaths. According to the Institute for Safe Medication Practices, this outbreak is one of the most harmful adverse events ever associated with compounding pharmacies in the United States.

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