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The Centers for Disease Control and Prevention (CDC) has completed a massive update and revision of its 1981 guidelines to prevent catheter-associated urinary tract infections (CA-UTIs).
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Not too long ago, Irwin Army Community Hospital, in Fort Riley, KS, had an obvious quality issue; more than 30% of its "board" results results used to determine if there are adequate medical reasons to "separate" a soldier from the military were being returned, which in many cases required a repeat of the process.
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Citing the elusiveness of "standardized and reliable measurement tools" for patient handoffs, a group of researchers has come up with a set of seven "framings," or interventions, they say can be used to improve them:
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When research suggests changes in standard medical practice, the public health community expects physicians and hospitals to adopt the new way and help improve patient outcomes.
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The Centers for Disease Control and Prevention (CDC) recommends that infection preventionists implement quality improvement (QI) programs or strategies to enhance appropriate use of indwelling catheters and to reduce the risk of CA-UTI based on a facility risk assessment.
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A new rule from the Centers for Medicare & Medicaid Services (CMS) makes it imperative that case managers and/or discharge planners be familiar with new coverage requirements for inpatient rehabilitation facilities and that they begin discharge planning earlier with inpatient stay, says Jackie Birmingham, RN, MSN, MS, vice president of regulatory monitoring and clinical leadership at Curaspan Health Group.
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Elderly heart failure patients who are at risk for rehospitalization are getting help following their treatment plan after discharge through a collaborative effort of The Methodist Hospital in Houston and Care for Elders, a community coalition of 80 private and public agencies that develops and tests pilot projects serving older adults.
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In the first year of Stony Brook University (NY)Medical Center care management department's interdisciplinary project to reduce the length of stay for long-stay patients, aggregate patients days dropped from 4,400 to just more than 3,000 in a year, resulting in a revenue opportunity of approximately $4 million.
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A new study published in the Journal of Hospital Medicine highlights the problem of hospital patients being unaware of their own medications.1