Articles Tagged With:
Adverse Event Investigations Require Focus on Just Culture, Improvements
Adverse events are learning opportunities, but the benefits depend on conducting an optimal investigation that adheres to best practices. Adhering to tenets of just culture and avoiding assumptions are key to yielding the greatest improvements.
New Dashboard Aggregates Hospital Safety Data
The Health and Human Services (HHS) National Action Alliance for Patient and Workforce Safety has launched the National Healthcare Safety Dashboard, which aggregates hospital safety data from four primary measurement sources.
OR Fire Lawsuit Shows Risk of Major Liability
A hospital in Oregon is facing a $900,000 lawsuit after a man’s face caught fire during surgery, highlighting the continuing risks of operating room fires and the substantial liability that can result.
Key Players Have Different Investigation Roles
When investigating adverse events, it is important for each team member to understand their roles.
Treating Hereditary TTR Amyloid Polyneuropathy with Patisiran
A five-year study on patisiran for hereditary transthyretin (TTR) amyloid polyneuropathy found that 65% of patients had stable or improved neuropathy, with better outcomes linked to early treatment. Despite efficacy, 19.4% of patients died. The study underscores the importance of early diagnosis and intervention in managing this progressive disease.
Determinants of Long-Term Outcome After Concussion
This cohort study of U.S. veterans found that mild traumatic brain injuries occurring alongside psychological trauma are associated with long-term post-concussive symptoms and disability. The authors postulate that the traumatic context contributes to the development of post-traumatic stress disorder, which may in turn potentiate long-term sequelae.
Transcranial Magnetic Stimulation and Tai Chi for Older Adults with Sleep Disorders and MCI
This study showed improvement in sleep and cognitive endpoints in patients with sleep disorders and mild cognitive impairment (MCI) treated with a combination of repetitive transcranial magnetic stimulation and tai chi chuan.
Transfusion Therapy in Aneurysmal Subarachnoid Hemorrhage
The SAHARA trial evaluated liberal vs. restrictive red blood cell transfusion strategies in aneurysmal subarachnoid hemorrhage (SAH) patients with anemia. No significant difference in neurological outcomes at 12 months was found. Findings add to existing uncertainty regarding transfusion thresholds in SAH, highlighting the need for further research.
Diagnosis and Outcome of Reversible Cerebral Vasoconstriction Syndrome
Reversible cerebral vasoconstriction syndrome (RCVS) is a rare disorder characterized by thunderclap headaches and cerebral vasoconstriction resolving within 90 days. A retrospective study of 80 patients found favorable outcomes, with most treated using calcium channel blockers. However, challenges in RCVS diagnosis and classification may affect reported outcomes.
From Glucocentricity to a Multi-Risk Strategy: An Updated Approach to Managing Chronic Kidney Disease
This article discusses an important microvascular complication of diabetes mellitus, chronic kidney disease (CKD), which affects more than one-third of patients with diabetes. There is substantial evidence that early diagnosis and management can delay or prevent the progression of CKD, making its prevention, diagnosis, and treatment a priority for the primary care clinician.