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Hospital Management

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  • TJC: Surgical Fires Remain a Serious Threat to Safety

    Despite attention in recent years, surgical fires continue to pose a serious threat to patients and staff, according to a recent Sentinel Event Alert from The Joint Commission.

  • How to Educate the Board on Quality and Safety as QAPI Expects

    The Quality Assessment and Performance Improvement (QAPI) program from the Centers for Medicare & Medicaid Services specifies that hospital boards are responsible for oversight of the QAPI program and that hospital administrators are responsible for educating the board on quality and safety issues. But how does a risk manager educate and update the board on these issues?

  • Risk Managers Valued in Compliance Program Guidance from OIG

    The Department of Health and Human Services Office of Inspector General recently issued its new General Compliance Program Guidance, the first of a series of compliance guidelines expected from the OIG, providing guidance, tools, and references addressed to federal healthcare program providers and suppliers. OIG makes clear that risk managers are an integral part of the effort.

  • ‘Take Care of Maya’ Verdict Could Have Chilling Effect

    A recent $261 million judgment against a hospital could have a chilling effect on hospitals trying to weigh the obligation to protect minor patients against the parents’ rights to see the child. The case received substantial media attention, which could influence the way clinicians and administrators handle such cases.

  • Calling ED Boarding a Public Health Crisis, ACEP Pushes Policymakers to Act

    Too many EDs are bursting at the seams with patients who have been admitted but languish in the emergency setting for hours, days, or even weeks before they are moved to an inpatient bed. That is the message the American College of Emergency of Physicians is urgently sending to policymakers, saying the situation with ED boarding has become a public health crisis.

  • Has the Pandemic Increased the Likelihood of Bioterror?

    Has the global disruption and widespread death caused by SARS-CoV-2 made biological pathogens a more compelling and/or attainable goal by bioterrorists? There are differing views on this question, although all can agree that this is the last thing healthcare workers need to deal with.

  • Sleep Woes Are a Work Problem, but HCWs Must Be Proactive

    Sleep disturbance is an all-too-common problem for healthcare workers, particularly if caused by alternating work shifts from day to night. While the workplace system is the primary driver of insomnia, there are steps healthcare workers can take to reduce the effects, which can be considerable. But has the pendulum swung too far?

  • New Normal in Occupational Health: Telework, Equity, Humility

    What is the post-pandemic “new normal” in occupational health? Changes that seem here to stay for employee health professionals and their colleagues include telework and telehealth.

  • Hospitals, Healthcare Workers Are ‘Soft Targets’ for Shooters

    A hospital is not a fortress barricaded against violent entry. Quite the opposite — its raison d’etre is to “admit” people and heal them. But it has become increasingly apparent that mass shooters and their violent ilk see healthcare facilities, much like schools, as soft targets.

  • Many Patients Perceive Discrimination at ED Visit

    Is a patient unhappy with the way they were treated in the ED? Some patients might assume they received poor care because of their race, gender, or age, or because of their appearance, income, or health literacy level.