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Rhode Island Hospital, the teaching hospital for Brown University's Alpert Medical School in Providence, is facing unprecedented sanctions from the state health department after its fifth wrong-site surgery since 2007.
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When Mendocino Coast Hospital in Fort Bragg, CA, recently underwent its accreditation survey by The Joint Commission, the biggest surprise was the scrutiny on and large amount of time spent in the operating room in the surgery area vs. the nurses' floor, says Susan Bivins, RN, the director of quality and risk management.
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The clear conclusion of a recently published study is preoperative cleansing of the patient's skin with chlorhexidine-alcohol is hands-down better to cleansing with povidone-iodine for preventing surgical-site infection after clean-contaminated surgery.1 Now it gets interesting.
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Inpatient surgery is on the fifth floor. L&D is on the third floor. The GI center is near the ED in the first floor. The outpatient surgery center is on two. The lithotripsy is in a trailer in the parking lot.
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By working closely with a carefully chosen network of skilled nursing facilities, The Methodist Hospital in Houston has smoothed the transitions in care for patients being discharged to the facilities.
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When patients don't follow their discharge instructions and end up back in the hospital, it may be that they simply don't understand what they were supposed to do at home.
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Whether patients are being discharged from the hospital to home, another level of care, or transferred to the care of another health care provider, communication is crucial to ensure a safe discharge or transition, says Hussein Tahan, DNSc, MSN, RN, CNA, executive director, international health services at New York Presbyterian Hospital in New York City.
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Mission Hospital in Asheville, NC, has teamed up with seven employers in the community to provide face-to-face disease management for chronically ill employees.
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No one likes change, and ED managers often face a tough challenge when introducing new processes to their staff.
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If the experiences of the first hospitals targeted by the Zoned Program Integrity Contractors (ZPICs) are any indication, at some point this year, your hospital may receive a surprise visit from an investigator with a law enforcement background who will request medical records to be examined for possible waste, abuse, or fraud.
