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Sentinel events like the transplant error at Duke University Hospital in Durham, NC, often can be traced to a simple human failing by one individual, but risk managers look beyond that to ask how the system allowed the error to go undiscovered.
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Hospitals across the country are taking a hard look at their processes to spot weaknesses similar to those at Duke University Hospital, where a patient died because of a lack of redundancy in the system for matching donated organs.
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Obtaining prescription drugs for patients who cant afford them has been a problem for Athens (GA) Regional Medical Center for the 18 years that Beverly A. Baker, CRC, CCM, has been with the hospital, she says. The situation changed dramatically for the better about a year and a half ago.
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URAC in Washington, DC, recently released a set of Health Insurance Portability and Accountability Act (HIPAA) Privacy Accreditation standards for public comment. When completed later this year, the new program is intended to help health care organizations display a commitment to fair information practices, and to demonstrate that they have taken the necessary steps to protect health information privacy.
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Question: Does the Joint Commissions standard on spiritual assessment apply only to behavioral health or to all health care settings? What are we expected to do in making this spiritual assessment?
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Clinical pathways often are hailed as a premier quality improvement tool, but they also are seen as pie-in-the-sky solutions because they dont do any good if clinicians dont actually use them after all the fanfare of introducing them.
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A root-cause analysis points to a lack of redundancy as the critical failure that allowed organs to be transplanted into a patient with the wrong blood type, according to information from Duke University in Durham, NC, the site of a recent notorious sentinel event.
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Experts will share their proven ideas for successful case management at the 8th Annual Hospital Case Management Conference, Delivering on the Promise of Case Management: Making an Impact in a Challenging Health Care Environment, to be held April 27-29, 2003, in Atlanta.