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‘Nudge Unit’ Uses Behavior Design to Improve Quality, Patient Safety
A “nudge unit” at the University of Pennsylvania is helping bridge the gap between the study of human behavior and the practice of medicine, devising ways to improve quality of care and patient safety.
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Penetrating Extremity Trauma: Part I
Penetrating extremity trauma is a potentially devastating injury that must be identified and managed expeditiously. Early hemorrhage control may be life-saving. This two-part article comprehensively addresses the approach and management of penetrating extremity trauma, highlighting controversies and advances.
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Quantifying the Occupational Risk of Tuberculosis
The CDC published data on the level of tuberculosis in healthcare workers, which was used in part to support the recent recommendations to drop routine annual TB testing in the absence of an exposure or ongoing transmission. The epidemiology has shifted, with workers coming from countries endemic for TB much more likely to manifest later symptoms. Although it must be underscored that there still is TB in the United States, healthcare workers are not at the risk they once were.
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Healthcare Workers at Risk of Slips, Trips, and Falls
In a study that has implications for preventing slip injuries in healthcare, researchers at the National Institute for Occupational Safety and Health found that wearing slip-resistant shoes dramatically reduced workers’ compensation claims for school food service workers. The study included some 17,000 food service workers from 226 school districts.
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WHO Declares Ebola Outbreak an International Emergency
The World Health Organization (WHO) recently declared an international health emergency for the ongoing Ebola outbreak in the Democratic Republic of Congo after a case appeared in a highly populated city with global air travel. In declaring an international emergency, the WHO is calling for international aid and assistance while emphasizing that it would be counterproductive to shut down travel to the region.
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The Joint Commission: Preventing Nursing Burnout
The Joint Commission (TJC) has identified nurse staffing, recruitment, and retention as “priorities for further evaluation in the coming year” to prevent nursing burnout. TJC recently issued a Quick Safety alert, emphasizing that nursing burnout can worsen patient outcomes, including mortality. The report cited a 2017 literature review on preventing nursing burnout that identified six studies, representing 3,248 nurses worldwide. These studies revealed that the most common factors related to burnout are exclusion from the decision-making process, the need for greater autonomy, security risks, and staffing issues.
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Physician Burnout: Seeking Resilience in a Broken System
Healthcare facilities and employee health professionals have responded to an epidemic of physician burnout with programs to build resiliency, such as yoga and mindfulness meditation. However, even advocates of these approaches say they are not a panacea, as larger system-level problems are driving physician frustration and subsequent burnout.
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AAAHC Leaders Explain Inner Workings of 1095 Learn to Drive Program
A new learning management system for ambulatory healthcare organizations provides easier and immediate access to tools, resources, workshops, and online classes.
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ASCs Can Earn Certification for Total Joints and Spine Surgeries
Certification is for surgery center, but also considers facility competency and surgeons’ proficiency.
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Staff and Surgeon Recruiting
Recruiting staff at surgical facilities, both personnel and surgeons, is not much of a problem for some hospitals and ASCs, but it can be a daunting hassle for most.