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Hospital Management

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  • Ambulatory Care Quarterly: Pregnant patient at risk for unnecessary appendectomy

    Pregnant women who come to the ED with abdominal pain often are misdiagnosed and undergo unnecessary appendectomies, says a new study.
  • Heparin error highlights risk and need for health care risk managers to take action

    Heparin continues to pose a significant risk of dosage errors, and the recent tragedy involving actor Dennis Quaid's two young children has brought concern that hospitals have not taken the necessary steps to avoid this mistake even health care providers were warned about the risk a year ago. Risk managers must act now to avoid the same type of error, say medication safety experts.
  • Will staff really speak up if needed?

    The health care community has been urging staff and patients to "speak up" when necessary to protect patient safety, but how do you know if your staff truly will make a stand in a difficult situation? After all, it's easy to say you will do the right thing, but in the heat of the moment, a staff member can be intimidated by superiors and fearful of rocking the boat.
  • Data show staff don't always speak

    The Hospital Survey on Patient Safety Culture: 2007 Comparative Database Report from the Agency for Healthcare Research and Quality (AHRQ) in Rockville, MD, cites "nonpunitive response to error" as one of the areas with potential for improvement for most hospitals.
  • Cell phone used to photograph genitals

    The latest example of how the omnipresent cell phone camera can threaten patient privacy and invite lawsuits comes from Phoenix, where a surgeon is accused of using his cell phone to photograph a patient's tattooed genitals and then distributing the picture to friends.
  • Just one more RN can save lives

    If hospitals added one more full-time registered nurse (RN) on staff to care for patients, the number of hospital-related deaths in the United States could decrease significantly, according to a new review that also acknowledges adding one more RN isn't as easy as it sounds.
  • HIPAA Regulatory Alert: Are HIPAA privacy changes coming?

    With studies indicating researchers and the general public have concerns about HIPAA privacy provisions (although not necessarily the same concerns), the Institute of Medicine has convened a committee to look into the issue. That group is expected to make recommendations for possible changes in the law and for greater guidance from the U.S. Department of Health and Human Services to institutional review boards (IRB) or other groups by this summer.
  • HIPAA Regulatory Alert: HIPAA allows disclosure to state oversight group

    An Ohio federal court has ruled that HIPAA's confidentiality requirements don't excuse the state's Medicaid agency from disclosing patient information sought in a class-action suit to enforce Medicaid's Early Periodic Screening, Diagnosis, and Treatment (EPSDT) requirements.
  • Full February 1, 2008 Issue in PDF

  • Baxter and FDA warned of heparin risk in 2007

    This is an excerpt from the "Important Medi-cation Safety Alert" that was issued on Feb. 6, 2007, by Baxter Healthcare Corp. and the Food and Drug Administration involving Heparin Sodium Injection 10,000 units/mL and HEP-LOCK U/P 10 units/mL: