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  • Parents weren't told link between error and death

    The question of whether to inform patients of a previous provider's error was highlighted recently in a discussion posted by the Agency for Healthcare Research and Quality (AHRQ). Thomas H. Gallagher, MD, associate professor in the Departments of Medicine and Bioethics and Humanities at the University of Washington in Seattle, discussed the case of a 4-year-old boy whose brain swelling was not detected in a CT scan.
  • OB/GYN gearing up for QI push?

    When the American College of Obstetrics and Gynecology released an opinion on preparing for clinical emergencies last April1, it was part of what one physician thinks is a ramp-up of emphasis on improved patient safety and quality improvement initiatives in the specialty.
  • CMS rule raises bar on quality

    In August, the Centers for Medicare & Medicaid Services (CMS) released the final rule regarding Medicare payment policies and rates for next year.
  • TJC readies new standard for ORYX measures

    Most accredited hospitals have been reporting ORYX performance data to the Joint Commission (JC) on a monthly basis since 2002. But beginning on January 1, 2012, the JC is putting teeth behind these measures, requiring an 85% compliance rate on a single composite rate, reflecting all accountability measures, in order to meet accreditation standards.
  • Two states put radiology on patient safety radar

    Patient safety organizations in both Pennsylvania and Massachusetts issued alerts over the summer related to patient safety in radiology.
  • Florida hospitals link to improve surgical care

    The Florida Hospital Association (FHA) has partnered with the American College of Surgeons and its National Surgical Quality Improvement Program (NSQIP) to improve the care surgical patients get through increased use of data.
  • CLABSI reduction projects with a twist

    There have been nearly 200 studies about central line-associated bloodstream infections (CLABSI) published since the start of 2011.
  • Accreditation field report

    Three years ago, when Baptist Hospital in Pensacola, FL, had its Joint Commission survey, the 392-bed facility did not have a great result.
  • For current materials, establish regular review

    On any given day, there are 1,000 titles on the revision list for written educational materials, and it is the job of the patient education department to keep up with it, says Diane Moyer, BSN, MS, RN, associate director of patient education at The Ohio State University Medical Center in Columbus.
  • Do staff speak up about patient dangers?

    A new nurse was called into the OR for a lengthy case. At the end of the case, the nurse turned to break down the back table and noticed the indicator strip in the instrument pan had not changed.