Tag: Quality Improvement

Trends in infection prevention practices in VA hospitals

Editor's Note From 2005 to 2017, use of 12 infection prevention practices significantly increased in US Veterans Affairs (VA) hospitals, and the adoption of many practices was higher than in non-VA hospitals, this study finds. A total of 320 surveys were completed by infection preventionists in VA hospitals. Between 92%…

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By: Judy Mathias
February 6, 2020
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Joint Commission launches Accelerate PI dashboard report for hospitals

Editor's Note The Joint Commission on February 5 announced that a new performance improvement (PI) Accelerate PI dashboard is now available for accredited hospitals. It is posted in the “Resources and Tools” section of the Joint Commission Connect extranet site. The dashboard, which is intended to be a springboard for…

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By: Judy Mathias
February 6, 2020
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Frailty as a predictor of postop mortality, new disability

Editor's Note In this Canadian study, older patients with frailty were significantly more likely to die or experience a new disability within 90 days after surgery. This prospective multicenter study included 702 patients, 65 years or older, having elective noncardiac surgery; 645 patients completed follow up. Frailty status was determined…

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By: Judy Mathias
February 6, 2020
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Effectiveness of charge nurse training on leadership style, resiliency

Editor's Note This study finds that a charge nurse orientation and professional development program is effective and improves leadership style and resiliency. A random sample of charge nurses was selected from an 11-hospital healthcare system to pilot a standardized charge nurse leadership training program. The sample included 19 control and…

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By: Judy Mathias
February 5, 2020
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ECRI Institute announces Coronavirus Outbreak Preparedness Center

Editor's Note The ECRI Institute on February 5 announced the launch of its Coronavirus Outbreak Preparedness Center, which was developed to help hospitals protect healthcare workers and patients as the coronavirus spreads across the world. Included in this free compendium of resources are: Preparation and patient handling checklists Equipment and…

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By: Judy Mathias
February 5, 2020
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Standardized pathway for outpatient ambulatory fracture surgery

Editor's Note In this study, an outpatient fracture pathway greatly improved the efficiency and timeliness of care, and it reduced costs. A total of 187 patients during the preintervention period and 308 patients during the intervention period were eligible for the ambulatory pathway. Those managed as outpatients increased from 1.6%…

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By: Judy Mathias
February 3, 2020
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Joint Commission: R3 Report details changes for total joint certification program

Editor's Note The Joint commission on January 29 announced a new R3 report detailing changes to the Advanced Certification for Total Hip and Total Knee Replacement program. Effective July 1, there will be 11 new and 11 revised elements of performance (EPs) that will be applicable to all accredited ambulatory…

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By: Judy Mathias
February 3, 2020
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Medicare may overpay for postop care

Editor's Note Medicare may be overpaying surgeons for postoperative care they provide to patients, according to a new Rand Corporation analysis in the January 23 New England Journal of Medicine. The authors of the analysis suggest that federal officials should incorporate ways to more objectively measure the amount of postoperative…

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By: Judy Mathias
January 23, 2020
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Examining timing of TKA

Editor's Note The timing of total knee arthroplasty (TKA) is important to optimize its benefits, but 90% of patients are waiting too long to have it and getting less benefits, and some 25% of patients are having it prematurely when the benefits are  minimal, this study finds. Of 3,417 knees…

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By: Judy Mathias
January 23, 2020
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AHRQ Safety Program for ISCR to include emergency general surgery in 2020

Editor's Note In this article, the American College of Surgeons and the Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality, which launched the Agency for Healthcare Research and Quality (AHRQ) Safety Program for Improving Surgical Care and Recovery (ISCR) in 2016, announce that they are expanding the scope…

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By: Judy Mathias
January 21, 2020
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