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A variety of improvement projects are going on throughout your organization. Some are aimed at improving the efficiency of services and some are undertaken in an effort to reduce adverse events. There are also customer satisfaction and documentation improvement projects. And the list goes on...
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A recent development has put greater emphasis on pressure ulcer prevention in hospitals: The Centers for Medicare and Medicaid Services (CMS) will stop reimbursement for certain hospital-acquired conditions, including pressure ulcers, as part of an update to the hospital inpatient prospective payment system.
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During a February 2008 Joint Commission survey at Temple East/Northeastern Hospital, a 187-bed community hospital in Philadelphia, surveyors asked several staff members if they knew how to contact The Joint Commission about quality or safety concerns.
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Nearly half (43%) of hospitals surveyed in the first half of 2007 were not compliant with The Joint Commission's standard requiring medications be properly and safely stored, and 20% were non-compliant with the requirement for medication orders to be written clearly and transcribed accurately.
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Seasonal increases in respiratory illnesses. Overflowing emergency departments (EDs) when other hospitals go on ambulance diversion. Scheduling issues with the operating room. Physicians failing to make timely decisions on transferring patients. Your facility failing to grow in response to the needs of the community.
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At Maimonides Medical Center in Brooklyn, NY, congestive heart failure (CHF) has been among the top discharge diagnoses for many years.
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Do you have an effective system in place to evaluate the quality of care received by children at your organization?
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It could be a routine preoperative check X-ray that shows a suspicious-looking lesion or a STAT blood test suggesting a potentially virulent infection. The test results must be communicated to the ordering physician. When critical test results are not received by the physician in a timely manner there can be tragic results.
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Using a "daily rounding quality checklist," which takes just a few minutes to complete, the Los Angeles County/University of Southern California Hospital increased compliance with "care bundles" to prevent ventilator-associated pneumonia (VAP) and other intensive care unit complications.