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Measles and Mumps: Old Diseases, New Outbreaks
Measles and mumps are back ... and not in a good way. Until now, many clinicians had only heard of these almost-eradicated diseases. Unfortunately, the reality is clinicians may see children with these diseases. It is critical to identify them early, recognize potential high-risk exposures, and manage the disease and its complications effectively. Involvement of public health resources and early appropriate isolation are necessary to limit the spread of these two infections. The author provides a timely review of all critical aspects of both of these diseases.
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Patient Experience Put Front and Center at Indiana University Health
The health system has invested heavily in patient experience initiatives, appointing an executive director of experience design and eight regional experience design leaders.
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Agile Management Making Inroads in Healthcare Quality
Agile management is an approach that has become popular in many business circles, but it is only now gaining more attention in healthcare. Some Agile experts say quality leaders should consider this management method for the strengths it can offer in improving patient care and safety.
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Piedmont Healthcare’s QI Changes Also Affected Peer Review Process
The health system standardized its peer review process so that it is handled the same way in every facility. Previously, the process varied considerably from one facility to the next.
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Unusual Implementation Model Boosts QI Success
Prior to going live with the process change, a list of tasks must be completed, such as staff members finishing a training module. The system also schedules a go-live readiness call for leaders to go over everything related to the change.
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Hospital Responds to Poor Safety Grade by Revamping QI Department
A low patient safety score at an Atlanta hospital spurred Piedmont Healthcare to revamp infection control systemwide, leading to dramatic improvements that included reducing catheter-associated urinary tract infections by 65% over two years.
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Plaintiff Expert Looks for ‘Smoking Gun,’ But Often Finds No Evidence of Malpractice
Often, plaintiff experts are viewed as people who are out to get the EP. In reality, most of the time they find no evidence of malpractice.
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Venting to Colleague About Med/Mal Case Can Trigger Subpoena
A more realistic instruction might be: Don’t tell anyone anything about an active lawsuit that you wouldn’t want the jury to hear.
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Consults, Studies Recommended By Others Carry Med/Mal Implications for EPs
Somewhere in the ED chart, somebody recommends involvement of a particular specialist, or that a specific study should be conducted. When this kind of recommendation is documented but never acted on, it can mean legal trouble for the EP.
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Study: 1 in 5 EMTALA Settlements Involves Psychiatric Emergencies
One expert says EDs should address mental health emergencies with the same vigor as trauma, cardiac, and stroke episodes.