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What distinguishes high-performing multi-hospital health systems from the rest? With support from The Commonwealth Fund, that's what the Health Research & Educational Trust (HRET) set out to uncover in a yearlong research project.
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Color is everywhere in our world. Think of all the colors we use for navigating traffic and the unrest it would cause if those signs were taken away. But experts say beware of color in health care; they can cause indelible harm, even death.
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An adverse event in the ED at University Medical Center (UMC) in Las Vegas might have drawn negative media coverage and state and federal investigations, but it also led to process changes that the ED managers say have made a world of difference in patient satisfaction and quality.
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As part of its Standards Improvement Initiative, The Joint Commission has moved the National Patient Safety Goal on abbreviations into the information management standard IM.02.02.01, element of performance 2.
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Kathleen Rauch, RN, BSN, director, Center for Clinical and Operational Performance Analysis, Risk Management & Infection Control at Princeton Healthcare System, felt pretty good coming out of a recent Joint Commission survey. Because she knew what to expect and what was needed to get ready.
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According to experts Hospital Peer Review spoke with, the two biggest barriers to a robust reporting system are employees' fear of punitive action and a burdensome policy that requires a lot of work.
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Hospital reporting on adverse events is still lacking, according to a report from the Department of Health and Human Services Office of Inspector General (OIG), released in March.
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In most EDs, the last thing a provider wants is an extra, non-clinical individual "getting in the way."
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A program designed to find a "medical home" for complex pediatric patients can reduce the number of ED visits by 55%, according to a study published in the March 11, 2010, online edition of the Journal of Pediatrics.
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It is not current practice in most EDs, and it is not without controversy. In fact, one ethicist has called the practice "ghoulish." However, a government-funded pilot program at University of Pittsburgh Medical Center (UPMC) Presbyterian Hospital and Allegheny General Hospital, both in Pittsburgh, is seeking to make organ donation from the ED a reality, while at the same time addressing the ethical challenges that have been raised and the logistical challenges that can lower the odds for success.
