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August 2018

Leveraging Data to Transform Nursing Care: Insights From Nurse Leaders

Our Take In a study to gain insight into how nurse leaders are influencing the use of performance data to improve nursing care, two themes emerged: Getting relevant, reliable, and timely data into the hands of nurses The leaders' ability to “connect the dots” in working with different stakeholders. A…

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By: OR Manager
July 1, 2015
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The Effect of Adding Functional Classification to ASA Status for Predicting 30-Day Mortality

Our Take In this study, functional capacity to perform activities of daily living was an independent predictor of postoperative mortality within each ASA class, indicating that it should be incorporated into routine preoperative evaluations. The likelihood for mortality was significantly lower for patients who were functionally independent than for those…

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By: aadeleke
June 30, 2015
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At Risk Care Plans: A Way to Reduce Readmissions and Adverse Events

Our Take This article describes an “At Risk Care Plan,” the goal of which is to improve safety and quality care by anticipating individual safety and care needs of patients at risk and to communicate those needs to the health care team. This intervention has reduced hospital readmissions, costs, and…

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By: aadeleke
June 30, 2015
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Spending bill in House would end funding for AHRQ

The House Appropriations Committee has approved a draft budget for fiscal 2016 that would terminate funding for HHS' Agency for Healthcare Research and Quality. The proposal would also cut funding for the Centers for Medicare and Medicaid Innovation and Patient-Centered Outcomes Research Institute. Just last week, AHRQ announced plans to…

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By: aadeleke
June 30, 2015
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Study of Ebola Preparedness Resources in U.S. Hospitals: Costs, Benefits and Challenges

The Joint Commission, Department of Health Services Research, and researchers from Rhode Island Hospital and the Society for Healthcare Epidemiology of America are conducting a study that will provide estimates of the costs and benefits of Ebola preparedness to hospitals. For the study, a nationally representative sample of hospitals will be…

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By: aadeleke
June 30, 2015
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Readmission destination and risk of mortality after major surgery: an observational cohort study

Patients who are readmitted after major surgical procedures have improved survival if they return to the same hospital where their surgery took place, finds a study. Readmission to the index hospital was associated with a 26% lower 90-day mortality risk than readmission to a non-index hospital. These findings may have…

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By:
June 25, 2015
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Compliance with Surgical Care Improvement Project for Body Temperature Management (SCIP Inf-10) Is Associated with Improved Clinical Outcomes

Background: In an effort to measure and improve the quality of perioperative care, the Surgical Care Improvement Project (SCIP) was introduced in 2003. Methods: The authors retrospectively analyzed the electronic medical record data from 45,304 inpatients at a single institution to assess whether compliance with SCIP Inf-10 (body temperature management)…

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By:
June 25, 2015
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ECRI Institute releases top 10 list of patient safety concerns

ECRI Institute has released its second annual list of the “Top 10 Patient Safety Concerns for Healthcare Organizations.” Alarm hazards top the list, with data integrity second, and inadequate reprocessing of endoscopes and surgical instruments in eighth place. To compile the list, ECRI Institute reviewed its database of patient safety…

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By: OR Manager
June 17, 2015
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CMS issues final rule on accrediting organizations

The Centers for Medicare & Medicaid Services on May 22 published a final rule on oversight of national accrediting organizations (AOs). The rule revises the procedures for how AOs apply for and maintain accreditation programs in accordance with the Medicare Improvements for Patients and Providers Act of 2008. The rule…

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By: OR Manager
June 17, 2015
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Preop cognitive impairment linked to postop cognitive dysfunction after total hip

Patients with preexisting cognitive impairment have an increased incidence of postoperative cognitive dysfunction and cognitive decline after hip replacement, finds a study. The study included 300 total hip patients and 51 nonsurgical controls. Preoperative cognitive impairment was identified in 32% of patients. It was found to be a good predictor…

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By: OR Manager
June 17, 2015
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