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The ambulance was 20 minutes into a 60-minute drive, taking a patient with complications of influenza from a clinic to an urban hospital. No lights or sirens. This was a transport, not an emergency run. Suddenly, the driver of a Chevrolet Lumina crossed the center lane. The ambulance driver veered to the right, trying to avoid impact, but the Chevrolet hit the front left portion of the ambulance.
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Ear plugs aren't protection enough from high levels of noise at work.
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Beware of recordkeeping violations. That's a word to the wise based on recent enforcement activity by the U.S. Occupational Safety and Health Administration.
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Recognizing that chronically ill patients benefit from care management beyond the walls of the hospital or their physician's office, Middlesex Hospital in Middletown, CT, has created The Center for Chronic Care Management, which offers four National Committee for Quality Assurance-accredited disease management programs to help patients manage their conditions.
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The advent of true value-based purchasing focused not just on reporting data but on actual outcomes took a major step closer to reality with the issuance of a proposed rule by the Centers for Medicare & Medicaid Services (CMS), the final version of which would take effect starting in fiscal year 2013.
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The proper process for handoffs is outlined in The Joint Commission standard PC.02.0201.EP2, notes Carol Mooney, RN, MSN, senior associate director at the Standards and Interpretation Group, who adds that they formerly were covered under a National Patient Safety Goal.
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As a growing number of quality initiatives have shown, quick change can be effective change, and that certainly appears to be the case with VHA Inc.'s
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