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Healthcare Risk Management

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  • OIG says no problem with patient gift cards

    If you want to give patients gift cards as a way to say "sorry" for that long wait in the emergency department or anything else that left them unhappy, feel free. The government says you're not violating any prohibitions on improper remuneration.
  • Legal Review & Commentary: Hospital's failure to diagnose pulmonary embolism leads to $1 million settlement in New York

    A man with a prior medical history of atrial fibrillation experienced shortness of breath and seizure-like activity two days after breaking his leg. Doctors ordered an ECG, chest X-ray, and CT scan, although there was a four-hour delay in obtaining the results of the CT scan.
  • New law addresses how homeless are discharged

    In response to several high-profile incidents of homeless patients being discharged in a less-than-dignified manner, the city of Los Angeles has enacted a new law that requires obtaining written consent to transport a patient anywhere other than his or her legal residence. Violating the law could result in a misdemeanor conviction.
  • Hospitals use RRTs to cut peds codes

    A protocol built around the use of rapid response teams (RRTs) has reduced incidences of preventable codes among pediatric patients by 20% at a group of hospitals in Ohio, one of the best demonstrations yet of the success of that approach in improving patient safety. One hospital even saw a drop of 40%.
  • Data show many codes outside ICU

    The Ohio Children's Hospital Association (OCHA) and its six member hospitals studied where pediatric codes occur and found that many occur outside the neonatal and intensive care units. To improve safety, the group focused on reducing preventable codes occurring outside those areas.
  • Don't rely too much on triggers for RRTs

    Terry Davis, MD, interim medical director at Nationwide Children's Hospital in Columbus, OH, says the hospital had to clarify some initial misunderstandings about when to call its rapid response team (RRT). At first, the clinicians were confused as to when the RRT should be called, as opposed to calling for a pediatric intensive care consult.
  • Unlabeled syringes are common safety threat

    Injectable medications pose one of the highest risks for medication errors, and the risk often is related to identifying the proper drug and dosage in the syringe before administering it.
  • Health records exposed by security breach

    A security breach involving the Walter Reed Army Medical Center in Washington, DC, and other military hospitals exposed sensitive information on about 1,000 patients, according to a statement released by the Army.
  • HIPAA Regulatory Alert: AAHC: HIPAA deterring biomedical research

    Research vice presidents for academic health centers agree HIPAA has serious and often detrimental effects on biomedical research.
  • HIPAA Regulatory Alert: House health IT bill seeks to protect health information

    A House subcommittee approved and sent on to the full Energy and Commerce Committee H.R. 6357, the "Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology Act of 2008," known as the PRO(TECH)T Act, which is intended to strengthen the quality of health care, reduce medical errors and costs by encouraging adoption of health information technology, and further protect the privacy and security of health information in the electronic age.