When Nurse Staffing Lags, ER Performance Does, Too
In a retrospective observational review of the electronic medical record database from a high-volume, urban public hospital, researchers compared nursing hours per day with door-to-discharge length of stay, door-to-admission LOS, and the percentage of patients who left without being seen.
ECRI Resuscitates Healthcare Clearinghouse Data
A senior director at ECRI Institute said ECRI has the opportunity to replicate much of NGC’s vast trove of evidence-based medical research and guidelines because it has played an ongoing role in the development and maintenance of the database since its inception in 1998.
IHI Report Calls for Improved Home Care Safety
The report was produced by a panel of subject matter experts convened by IHI and funded by the Gordon and Betty Moore Foundation. It notes that the increase of care provided in the home requires healthcare organizations to be cognizant of the many risks of harm in that setting.
CMS Revises Memo on Requirements to Reduce Risk of Legionella Infection
While there are no new expectations for hospitals or critical access hospitals, be aware it does add a specific statement that “facilities must have water management plans” as well as a new note that testing for waterborne pathogens is left “to the discretion of the provider,” according to the letter to CMS’ Quality, Safety and Oversight group, formerly the Survey & Certification group.
Workplace Culture Could Drive Physician Burnout, Medical Errors
One study by researchers at the NYU School of Medicine found that physicians who work in small, independent primary care practices with five or fewer physicians report dramatically lower levels of burnout than the national average.
Innovative Wound Dressing Could Reduce $10B Cost of Surgical Site Infections
A study published July 4 in Nanomedicine found that electrospun nanofiber-based wound dressings loaded with a bioactive form of vitamin D spur production of an antimicrobial peptide that fights infection naturally.
Hospital Occupancy Impacts Infection Risk in Unexpected Ways
After analyzing data for a new study published in the Journal of Hospital Medicine, they found some surprising results. Patients were more at risk for C. diff infections when the hospital was moderately full.
Study: CMS Penalties for Hospital-Acquired Conditions Have Little Impact
The targeted billing codes were rarely used by hospitals, and the study found that when hospitals billed for HACs during a patient’s stay, it infrequently affected the diagnosis-related group assignment, impacting hospital reimbursement.
Urinary Catheters Pose More Risks Than Just CAUTIs
In-depth interviews and chart reviews from more than 2,000 patients found more than half of catheterized hospital patients experienced a complication of some kind. The issues ranged from pain, bloody urine and activity restrictions while the catheter was in, to problems with urination and sexual function after it was removed.
New Patient Safety Panel Unveils Areas of Focus
The goal of the committee is to provide a coordinated response from the healthcare and public health sectors to reduce medical harm. The committee is creating a national action plan, which it hopes to implement by the start of next year. The group will meet quarterly, with subcommittees to work on the focus areas.