The Hospital Safety Score, issued twice yearly, uses national performance measures from the Leapfrog Hospital Survey, the Agency for Healthcare Research and Quality, the Centers for Disease Control and Prevention, the Centers for Medicare & Medicaid Services (CMS), and the American Hospital Association. Leapfrog rated 2,571 hospitals on their ability…
Healthcare is striving to become an industry of high-reliability organizations. Part of being a high-reliability industry means staying vigilant and identifying problems proactively. That’s one function of patient safety organizations (PSOs), such as ECRI Institute PSO, and one of the reasons ECRI produces its annual Top 10 list of patient…
Editor's Note By 2035, cardiothoracic surgeons will be responsible for more than 850,000 surgical patients, a 61% increase from 2010, according to this study presented May 17 at the annual meeting of the American Association for Thoracic Surgery in Baltimore. Cases per surgeon per year in 2010 averaged 135 for…
Type 1 natural rubber latex allergic reactions are avoidable in the OR. Typically, surgical gloves are the last products remaining in the OR that contain natural rubber latex (NRL). Higher-cost, clinically acceptable synthetic latex surgical gloves are readily available. However, OR leaders can encounter significant resistance from hospital administrators when…
Editor's Note Common measures used to rate hospital safety, such as the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators and the Centers for Medicare & Medicaid Services (CMS) Hospital-acquired Conditions, do not accurately capture the quality of care provided, this study finds. Only one measure out of…
Editor's Note The American Hospital Association (AHA) on April 29 asked the Centers for Medicare & Medicaid Services (CMS) to suspend their pain-related questions in the Value-Based Purchasing (VBP) Program until concerns are addressed that the questions may contribute to the opioid epidemic, AHA News Now reports. The AHA says…
Editor's Note Female RNs working a rotating night shift for 5 years or more was associated with a statistically significant increased risk of coronary heart disease (CHD) in this study. The analysis included nearly 190,000 RNs involved in the Nurses’ Health Studies (NHS), who were followed over 24 years in…
Editor's Note After six consecutive night shifts, anesthesia residents experienced significantly impaired control of all driving variables including speed, lane position, throttle, and steering in a driving simulator. They also were more likely to be involved in collisions. In addition, reaction times increased with a significant increase in the number of minor…
Editor's Note Working 46 hours per week or more increases the long-term risk of cardiovascular disease (CVD), this study finds. Beginning at 46 hours, increasing work hours were progressively associated with increased risk of CVD (ie, angina, coronary disease, heart failure, heart attack, high blood pressure, or stroke). Compared to…
Editor's Note A positive safety and teamwork culture and engaged hospital management were associated with lower surgical site infection (SSI) rates after colon surgery in this study. Researchers, led by Martin Makary, MD, from Johns Hopkins University, Baltimore, measured 12 dimensions of safety culture and colon SSI rates in surgical…