Hospital Management
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Physicians Unlikely to Reveal Errors to Patients, Study Says
Primary care physicians are willing to report medical errors within the healthcare organization, but are not as likely to tell the patients, according to a recent study from the School of Public Health at Georgia State University in Atlanta.
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C. Difficile Reduced 75% with Targeted Interventions
A hospital in Medford, OR, reduced its rates of C. difficile infections by three-fourths with a targeted approach intended to identify exactly what strategy is the most effective after previous attempts left hospital leaders wondering which of several interventions had worked.
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Look for Variations in Data, Seek Out Causes
Studying a range of data sets at your hospital may reveal opportunities to improve outcomes and cut costs, says Nancy Lakier, RN, BSN, MBA, CEO and managing principal of Novia Strategies, a consulting company based in Poway, CA. The outliers and unusual numbers will point you toward issues that need more investigation, she says.
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Reduce Clinical Variation to Improve Quality, Resource Use
Clinical variation is the bane of many healthcare leaders, including quality leaders who realize it’s not acceptable to have better processes and outcomes in some areas but not in others. Standardizing clinical resources and processes can significantly improve quality while also reducing costs and resource use.
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Geriatric-Friendly EDs Improve Quality, Outcomes and Satisfaction
Hospitals are finding that EDs designated specifically for geriatric patients can improve quality of care and patient satisfaction for an aging population, but it also is possible to make existing EDs more geriatric-friendly and reap the same benefits.
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People with Mental Illness Often Excluded from Clinical Trials
If a medication for major depression has a dangerous adverse interaction with a different medication that’s being studied in a clinical trial, will it be discovered by researchers and reported in the literature? Not likely, if no one enrolled in the study has major depression.
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IRB Designs Process to Separate QI from HSR
The most commonly asked question of the Intermountain Healthcare IRB in Salt Lake City has been: “Is this quality improvement or is it research?”
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When it was Time to Standardize, IRB Went With a P&G Committee
Collaboration and consolidation of IRBs likely will be an ongoing trend that necessitates action to reduce problems and improve streamlining — in other words, best practices.
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Meeting Management ABCs From an Expert IRB Chair
After 32 years as an IRB member and 20 years as chair, one IRB expert says the key to IRB meeting success could be boiled down to one word: Respect.
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Research on Brain Scan Risk of Alzheimer’s an Ethical Challenge
While different than genetic signs for dementia, biomarker information found in research brain scans also can suggest heightened risk for developing Alzheimer’s disease, and thus the disclosure or withholding of results raises ethical questions for IRBs and investigators.