Patient Safety Monitor

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Issue 20, May 15, 2013

• Where patient rights and patient safety meet

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Issue 19, May 8, 2013

• Strong for Surgery initiative takes patient safety outside the OR

  Conducting a timeout, including the use of a checklist, before beginning a surgery is a well-known...

Issue 18, May 1, 2013

• Drug safety education and teamwork exercises lacking in many hospitals

  Hospitals may be missing opportunities to enhance patient safety strategies and avoid costly...

• CMS releases 2014 IPPS Proposed Rule

  CMS added new quality measures and penalties for new categories of readmitted patients, emphasizing...

Issue 17, April 24, 2013

• Mandatory glove wearing may reduce risk of hospital-acquired infections

  Infection rates are reduced when physicians are required to wear gloves, according to a study...

• Hospital Compare enhances search, adds data

  The latest upgrade includes embedded spreadsheets containing data on a variety of measures...

• Diagnostic errors common, costly, and harmful

  Wrong site surgeries and medication mishaps get all the gory malpractice headlines, but...

Issue 16, April 17, 2013

• Video cameras in the OR may be inevitable

  Most doctors think having video cameras and microphones in their ORs to record surgical procedures...

• Hospitals can use predictive approach to prevent triple aim failures

  Read about the recommendations in a recent study for reducing triple aim failures and improving...

• CMS begins prepayment meaningful use audits

  The Centers for Medicare & Medicaid Services have begun auditing physicians and other...

Issue 15, April 10, 2013

• Joint Commission issues Sentinel Event Alert on medical device alarm safety

  The Joint Commission issued a Sentinel Event Alert on April 8 warning hospitals against alarm...

• HIT errors ’tip of the iceberg,’ says ECRI

  Healthcare systems' transitions from paper records to electronic ones are causing harm and in so...

Issue 14, April 3, 2013

• Researchers identify 12 steps for effectively reducing readmissions

  The 12 steps of the Re-engineered Discharge (RED) toolkit published by the Agency for Healthcare...

• Patients in N.Y. sue over syringe reuse

  Fourteen patients have filed a lawsuit against a N.Y. hospital for possible exposure to hepatitis...

Issue 13, March 27, 2013

• Roadmap for improving patient care laid out in study

  A group of interdisciplinary research teams conducted 40 studies that investigate how nurses...

• Recall alert: "Foreign matter" found in Massachusetts compounding pharmacy vials

  Another compounding pharmacy, this time in Massachusetts, was forced to recall a number of...

• FDA alert: Popular antibiotic can cause fatal heart arrhythmias

  The FDA issued a warning that a common antibiotic could cause abnormal changes in the electrical...

• Medical error risk rises under shorter medical intern shifts

  By shortening the amount of time that hospital internal medicine trainees can continuously work...

Issue 12, March 20, 2013

• Lethal "superbug" still at the forefront of CDC concerns

  The CDC is warning providers nationwide about a lethal germ called carbapenem-resistant...

• Connecticut hospitals looking to the aviation industry for safety help

  Hospitals in Connecticut are taking an unorthodox approach when it comes to looking for safety help...

• FDA alert: Compounding pharmacy recall

  The FDA has issued a warning on another compounding pharmacy recall, this time in New Jersey. The...

• ACIP considers revising Tdap revaccination recommendations

  As a result of increases in pertussis in recent years, a group is reviewing some preliminary data...

• Association for Healthcare Accreditation Professionals Conference

  The 7th Annual AHAP Conference will take place on June 6-7 in Las Vegas. Session topics include...