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Updated: 1 hour 49 min ago

Safety Standards Pose Problems for TJC-Accredited Hospitals

Thu, 08/30/2018 - 23:48
Safety-related requirements continue to plague hospitals, according to The Joint Commission’s latest list of most-cited standards data through the first six months of 2018. Released in the September issue of Perspectives, the data was aggregated from 676 applicable Joint Commission hospital surveys from January 1 through June 30. The top-cited standard is LS.02.01.35, related to providing and maintaining fire [...]

IHI Launches Maternal Care Improvement Project

Fri, 08/24/2018 - 00:18
The Institute for Healthcare Improvement (IHI) has begun a three-year project that aims to improve maternal outcomes for women and babies in the U.S. Supported by a grant from Merck for Mothers, the project’s goals are to spread the use of evidence-based care practices to reduce complications such as hemorrhaging, hypertension, and blood clots. It also plans [...]

HFAP ligature risk updates

Wed, 08/22/2018 - 02:45
To keep themselves as closely aligned with CMS as possible, HFAP has updated their Acute Care Manual with new prepublication requirements on removing ligature (hanging) risks in rooms meant for suicidal patients. Several standards have been affected: 04.01.01 – Staff Training – Identification of Patients at Risk for Harm 11.01.01 – Periodic Monitoring for Safety Issues 11.01.02 – Building Safety 11.01.08 [...]

WEBINAR – Preliminary Denial of Accreditation: Actions, Recovery, and Prevention

Mon, 08/20/2018 - 19:04
Presented on: Tuesday, August 28, 2018 |1:00-2:30 p.m. EST Presented by: Kurt A Patton, MS, RPh.\ Register: http://hcmarketplace.com/denial-of-accreditation  When the Joint Commission hands out a Preliminary Denial of Accreditation (PDA) decision, you have a small window to set things right. If you can’t get your hospital to band together to fix the problem, a PDA can cost you your accreditation, reputation, [...]

Catheters Pose More Risks Than Just CAUTIs

Fri, 08/17/2018 - 20:11
Catheter-associated urinary tract infections are a well-known issue related to urinary catheters. However, a new study in JAMA Internal Medicine finds the devices can cause more issues that previously thought. In fact, UTIs are five times less common than non-infectious problems caused by indwelling urinary catheters. In-depth interviews and chart reviews from more than 2,000 patients found more than half of [...]

Study: CMS Penalties for Hospital-Acquired Conditions Have Little Impact

Wed, 08/15/2018 - 20:09
A study published in Infection Control & Hospital Epidemiology found that hospitals may have dodged financial penalties by billing hospital-acquired conditions (HAC) as present at the time of the patient’s admission. The findings showed that a CMS policy to penalize hospitals for preventable complications had minimal impact on the reduction of hospital-associated infections. The targeted billing [...]

CMS Reverses Plan to Cut Reporting of HAIs

Tue, 08/14/2018 - 20:12
The Centers for Medicare & Medicaid Services (CMS) has decided not to carry out a proposal to remove public reporting of hospital-acquired infections (HAI), medical errors, and injuries. Instead, CMS will publish the information on the Hospital Compare site and in a database. After the plan was announced in June, there were complaints from patient safety advocates. A [...]

Survey: 36% of facilities struggle to meet TJC MRI standards

Tue, 08/14/2018 - 11:07
A new survey found that 36% of medical resonance imaging (MRI) providers do not comply with The Joint Commission’s (TJC) standards for diagnostic imaging services, which were released in 2015. The standards, which are in effect for hospital and ambulatory care programs, require that MRI facilities should collect data on incidents where ferromagnetic objects unintentionally entered the MRI scanner [...]

CMS Revises Memo on Requirements to Reduce Risk of Legionella Infection

Mon, 08/13/2018 - 20:09
Be prepared for renewed interest in your water management program and especially how it is designed to prevent the spread of Legionella infection. CMS just updated its memo from last year on requirements to reduce the risk of Legionnaire’s disease, in part to clarify expectations for hospitals and nursing homes (NH). While there are no new expectations for [...]

New CMS guidance on ligature risk says Joint Commission recommendations set the bar

Mon, 08/13/2018 - 20:06
Expect CMS surveyors to be referring to recommendations set out by The Joint Commission last fall when looking for ligature risk and other environmental hazards in the push to make hospitals and psychiatric units safer for patients at-risk of self-harm. For now, assess your hospital’s environmental compliance against those Joint Commission recommendations, regardless of what organization [...]

Human Trafficking and Healthcare

Tue, 07/03/2018 - 20:20
This June, The Joint Commission released Quick Safety Issue 42 on identifying human trafficking victims. The Health and Human Services Department estimates that 88% of trafficking victims visit a healthcare provider at least once during their captivity and aren’t recognized as victims. Misconceptions and a lack of awareness have caused many providers to inadvertently send victims back [...]

Sending Sepsis Patients Home May Not Harm Them

Sat, 06/30/2018 - 00:37
Researchers at Intermountain Healthcare are challenging the conventional wisdom for sepsis treatment in emergency departments. “Based on our data, we are trying to document something that was previously unrecognized in the literature—a significant fraction of patients with clinical sepsis are not admitted to the hospital after presenting to the ED,” says Ithan Peltan, MD, MSc, an attending physician at Intermountain [...]

Hawaii Hospital Investigates Possible Legionella Outbreak

Fri, 06/29/2018 - 00:35
Hawaii health officials are investigating a possible Legionella outbreak at Queen’s Medical Center in Honolulu after one patient died and three others were hospitalized with Legionnaire’s disease, according to KHON-TV. The patient died in May after being admitted with pneumonia-like symptoms and may have had an underlying medical condition. Doctors believe the deceased patient and another who has been [...]

CMS Delays Hospital Star Ratings Update, Again

Wed, 06/27/2018 - 00:34
Citing “stakeholder concerns,” the Centers for Medicare & Medicaid Services has once again postponed an update to its Overall Hospital Quality Star Ratings. “When changes are made to the underlying measures it is vital to take the time needed to understand the impact of those changes and ensure we are giving consumers the most useful information,” [...]

AHRQ Data Shows Drop in Hospital-Acquired Conditions

Wed, 06/27/2018 - 00:33
A new report from the Agency for Healthcare Research and Quality (AHRQ) found that hospital-acquired conditions (HAC) dropped between 2014 and 2016, preventing an estimated 8,000 deaths and saving $2.9 billion. The AHRQ National Scorecard on Hospital-Acquired Conditions estimated that 350,000 HACs, including adverse drug events and injuries from falls, were avoided and the rate was reduced by [...]

Report: Medication Errors Led to Patient Death at Boston Children’s Hospital

Mon, 06/04/2018 - 18:56
Boston Children’s Hospital was threatened with termination from Medicare last year after three patients suffered from serious medication errors. An inspection report revealed that one of the patients waited 14 hours for an antibiotic and later died, while two others suffered overdoses of a powerful anesthetic, according to the Boston Globe. The errors took place between January [...]