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Does your organization's peer review committee have any ulterior motives? Are any of the members in competition with physician colleagues who are being investigated? Or are there financial incentives of some sort that could interfere with the objectivity of the committee?
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If you were frustrated by a lack of compliance with core measure requirements by medical staff members, would your hospital's CEO get involved? In general, do you feel you are getting more respect from clinical staff?
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Having made infection control and patient safety top priorities in recent years, the Joint Commission on Accreditation of Healthcare Organizations is now taking on the thorny issue of flu vaccinations for health care workers in a new standard that becomes effective next year.
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More than a decade of research in aviation has shown how critical effective teamwork is to flight safety. Both the armed services and commercial aviation organizations have standardized training systems in place for teamwork.
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Lack of consensus on how to measure hand hygiene compliance has made this a daunting challenge for quality professionals. To address this, the Joint Commission has partnered with infection control organizations to identify how to measure compliance with hand hygiene guidelines.
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If you don't measure quality accurately, your organization could face dire consequences ranging from financial problems to plummeting patient satisfaction scores.
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With the growing emphasis on pay for performance initiatives, quality professionals are seeing their roles change very quickly.
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At Sacred Heart Hospital in Allentown, PA, patient-centered collaboration between the case management department and other areas, such as quality, nursing, inpatient and outpatient providers, the residency program, and the legal and finance departments, has had a dramatic impact on quality.
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At Fairview Hospital, a small critical access facility in Great Barrington, MA, a decision was made in spring 2005 to switch to an integrated system for performance measurement and improvement.
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Failure to substantially eliminate the utilization of do not use abbreviations in medication orders remains at 27% one of the most frequent non-compliance findings during JCAHO surveys.