Hospital Management
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COVID-19 May Be Affecting Nursing Discipline, But No Data Yet
There is some concern about whether the healthcare industry’s response to COVID-19 will affect the way it addresses concerns about nursing performance, similar to recent concerns about an apparent drop in physician discipline since the pandemic began. So far, data related to nursing discipline are not showing any decline.
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COVID-19 Vaccine Imminent, but No Magic Bullet Expected
As the continuing global pandemic threatens to overwhelm the medical response, there are tempered expectations about an imminent SARS-CoV-2 vaccine to protect the battered healthcare workforce. The Food and Drug Administration is not expecting a magic bullet, saying it would accept a vaccine with 50% efficacy as long as they are confident it would be no lower than 30% effective.
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Improved ICU Physician Staffing Leads to Better Safety Grade
When Doylestown Hospital in Pennsylvania received a C on the Spring 2016 Leapfrog Hospital Safety Grade, leaders launched a campaign to improve patient safety. A central tactic was adapting its staffing model to meet Leapfrog’s ICU Physician Staffing criteria.
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Hospital Reduces High Cesarean Delivery Rate to Below Average
The American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine both recognize cesarean deliveries can save lives, but they advise vaginal deliveries for most pregnancies because the risk is lower than that of cesarean deliveries. The cesarean delivery rate is considered a key indicator of quality and patient safety. Leapfrog reported the average cesarean rate nationwide in 2018 was 26.1%, although the organization set a target of 23.9%.
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Hospital Sharply Reduces CDS Alerts to Address Clinician Concerns
Indiana University Health realized its clinical decision support system was overwhelming clinicians with alerts. Read on to learn how leaders acted to improve the process.
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Tips for Integrating Medication into Clinical Decision Support
An expert explains how hospitals can use clinical decision support to improve care while alleviating clinician frustration.
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Improve Clinical Decision Support to Alleviate Frustration
Clinical decision support (CDS) is meant to improve care quality by providing helpful alerts and advice to the electronic health record user. However, too often the result is an annoying proliferation of pop-ups that only frustrate clinicians. When the CDS system interrupts too much with alerts that are not useful, the result can be counterproductive. Clinicians routinely dismiss alerts. In the process, they may ignore those alerts that are useful, say researchers and hospital leaders.
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Analysis: ASCs Saved Nearly $29 Billion in Medicare Costs 2011-2018
The authors estimated ambulatory surgery centers could reduce program costs by another $73.4 billion from 2019 to 2028.
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AAAHC Takes Pragmatic Approach in Latest Edition of Handbook
There are notable updates regarding surgical site marking, high-alert medications, and quality improvement projects.
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Hospitals Without Walls
In April, CMS unveiled “Hospitals Without Walls,” a COVID-19 pandemic-specific policy likely to affect both hospitals and surgery centers. It provides a path for a Medicare-approved ASC to change its status to a hospital, thus allowing just about any Medicare-approved procedure permitted in a hospital to be performed in a surgery center — and at hospital reimbursement rates.