Hospital Management
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Antibiotic Stewardship: Who’s Responsible?
A joint Pew/AMA survey about resistance and prescribing habits sheds light on provider attitudes and the work ahead.
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Chicago ED Accelerates Care, Improves Behavioral Health Prescribing Practices
The emergency department at St. Joseph Hospital in Chicago has implemented a two-pronged approach aimed at improving the way behavioral health patients are managed. This includes a new risk-stratification process that categorizes patients as low-, moderate-, or high-risk based on their diagnosis, and also promotes using newer-generation antipsychotic drugs.
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Nurses Call for OSHA Regulation as Pandemic Takes Bitter Toll
The continuing onslaught of COVID-19 is decimating the ranks of U.S. healthcare workers, leading to calls for the Occupational Safety and Health Administration to issue an infectious disease standard requiring employers to protect medical staff.
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Add More Screening Tools to Case Management Toolbox
Case managers need tremendous tools to help them manage care of chronically ill patients along the continuum, she notes. It is important that case managers use evidence-based tools in their practice, outcomes, and decisions.
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Community-Based Organizations Help with Care Coordination for Patients with Dementia
When most people think of the care continuum, they might imagine it as from the hospital to skilled nursing facilities to home, maybe with a primary care provider visit here and there. But that is not all, and case managers can use many more resources than those.
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Coordinating Care for Patients with Dementia Challenges Case Managers
The proportion of Americans with Alzheimer’s disease and related dementias is expected to grow from 1.6% of the U.S. population in 2014 to 3.3% of the population in 2060. Case managers might see patients who have not been diagnosed with dementia forget their medications, or not eating, exercising, or sleeping well. Their family caregivers might say the patient is driving them crazy, but cannot explain any recent behavioral changes.
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Reprocessing Respirators too Often May Damage Function
As desperate times require desperate measures, many hospitals have adopted reprocessing methods to reuse N95 respirators designed for single use. A recent study on some of these decontamination techniques revealed respirator efficacy may be compromised if they are reprocessed too often.
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New Tuberculosis Testing Guide Supplements CDC Recommendations
The Centers for Disease Control and Prevention dropped annual tuberculosis screening recommendations for healthcare workers last year, saying the disease continues to decline nationwide and healthcare workers appear to be at no greater risk than the general public. However, there are workers who could be exposed at work or in the community, including those from countries with endemic tuberculosis who can be offered new treatments for latent infection.
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What Is the Role of Airborne Transmission in COVID-19 Pandemic?
In the absence of aerosol-generating procedures, the public health consensus has been that large droplet particles emitted by a patient do not travel beyond six feet. However, studies have shown that smaller particles can travel farther distances, although there is some question whether they are infectious.
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CMS Identifies Telemedicine Quality Tracking Measures
It is important to ensure quality measure actions are included in the workflows for telehealth visits, just as they are included for in-person visits.