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  • CMS Auditing Electronic Visit Verification Systems

    The Office of Inspector General announced it will audit electronic visit verification systems for personal care services and home healthcare services, creating an obligation to ensure compliance.

  • Risk of Data Breach Doubles Just Before and After a Merger

    Mergers and acquisitions are common in the healthcare industry and carry many challenges for risk managers and compliance officers. One risk is data security. Research indicates the risk of a data breach doubles before and after a merger.

  • DEA Rule Changes for Reporting Lost or Stolen Drugs

    The Drug Enforcement Administration recently released guidance that clears up some ambiguity regarding compliance with the Controlled Substances Act. The guidance regards the reporting requirements for controlled substances that are lost or stolen.

  • IV Failures Becoming Major Malpractice Risk

    Up to half of IVs fail. In many cases, those failures cause serious harm to the patient, ranging from medication dosing errors to amputation and death. Malpractice cases based on IV failures are a growing concern for hospitals and health systems.

  • Hospitals Work Together to Prevent Patient Violence

    A series of violent attacks on personnel has prompted hospitals in San Diego to create a task force to address this serious problem familiar to hospital leaders across the country. The task force works with local law enforcement to develop tactics to keep healthcare workers safe.

  • Managing Anaphylaxis in the Emergency Department

    The incidence of anaphylaxis, a rapidly progressive and potentially fatal disease, is increasing and unfortunately common in children. It is imperative that all acute care providers are prepared to recognize, quickly treat, and ensure appropri­ate follow-up for these patients. The authors focus on anaphylaxis, its presentation, management, and disposition from the ED.

  • Intravenous vs. Nebulized Tranexamic Acid and Hemoptysis: Which Strategy Is Better?

    A pragmatic, open-label, randomized, parallel, single-center pilot trial investigating nebulized vs. intravenous tranexamic acid in patients with non-massive hemoptysis showed that nebulized tranexamic acid may be more effective in reducing the amount of hemoptysis and the need for interventional procedures.

  • Supine Blood Pressure Readings May Reveal Hidden Health Risks

    Measuring a patient’s blood pressure while he or she is lying down could help clinicians learn more about possible underlying heart problems.

  • Midline Catheters May Be a Safe Alternative to PICCS for Vasopressor Infusion

    In this study evaluating safety outcomes of infusing vasopressors through a midline catheter, there was no increase in catheter-related complications when comparing administration of vasopressors through a midline to administration through a peripherally inserted central catheter (PICC) or when compared to midline use with vasopressor infusion via a different catheter. There was an overall greater risk of systemic thromboembolism when midlines were used for vasopressor administration vs. PICCs or midlines with vasopressors administered through a different catheter.

  • Re-Evaluation of Dosing for Venous Thromboembolism Prophylaxis

    Prevention of venous thromboembolism (VTE) is important for all hospitalized patients to prevent additional morbidity and costs during hospitalization. Critically ill patients in the intensive care unit (ICU) may have additional risk factors that predispose them to VTE.