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The Joint Commission requires a "thorough and credible" root cause analysis (RCA) for all Sentinel Events, but the process is sometimes less effective than hoped. Quality leaders at the Mayo Clinic came up with a novel solution: An oversight group to keep the process on track.
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With the arrival of the Centers for Medicare & Medicaid's no-pay rules, The Joint Commission's National Patient Safety Goals, and the ever-growing emphasis on quality improvement on patient care, prevention has become the name of the game.
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Increasing the possibility of hospital outbreaks via undiagnosed cases, measles infection has hit the United States at epidemic levels this year. More measles cases were reported in the first seven months of 2008 than during the same period in any year since 1996, according to the Centers for Disease Control and Prevention.
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Editor's note: Peter J. Pronovost, MD, PhD is a professor in the departments of anesthesiology and critical care, surgery, and health policy and management at the Johns Hopkins University School of Medicine.
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If infection preventionists can work their way out of the current wilderness of change, there is some feeling they may be poised for a leadership role in a health care system becoming painfully aware of the power of prevention.
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Joint Commission Resources (JCR) has launched a "Flu Vaccination Challenge" this season targeting health care workers, but organizers only underscored the current woeful situation in setting the immunization goal.
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Proposed state laws in Nevada in the wake of a highly-publicized hepatitis C outbreak in Las Vegas include proposals to hire infection preventionists (IPs) as consultants to oversee practice in freestanding clinics.
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In a finding that will increase national calls for oversight of ambulatory care settings, seven patients reportedly acquired hepatitis C infection while undergoing stress tests at a cardiology practice in Larinburgh, NC.
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Success has raised the bar. No sooner did infection preventionists (IPs) begin demonstrating that it was actually possible to drive certain infection rates down to a vanishing point when federal payers essentially said, "Good, keep them at zero because we are not paying for them."
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Members of the American Psychological Association in Washington, DC, have approved a resolution to prohibit psychologists from working in settings where "persons are held outside of, or in violation of, either International Law or the U.S. Constitution."