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The American College of Surgeons (ACS) has published new comprehensive guidelines that define three levels of resources the nations surgical facilities need to perform operations effectively and safely in infants and children.
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There are two key ways to reduce the risk for a malpractice claim: documentation and clear communication, says Carmen Lester, RN, JD, CPHRM, co-owner of Yin Yang Medical Services.
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After a nurse-driven preoperative screening and assessment for reducing day-of-surgery (DOS) cancellations and other protocols were implemented in northeast Pennsylvania ambulatory surgery centers (ASCs), no-show cancellation rates were 120% higher in patients who did not have the preop screening and assessment done.
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Although the rates of serious surgical site infections (SSIs) following outpatient surgery are low, the number of patients who develop these serious infections is substantial and warrants continued quality improvement efforts because outpatient surgery is so common, according to a new study.
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In the last few months of 2013 and the beginning of this year, some ED administrators around the country observed a curious variation in their data.
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It is not always easy to get people to change behaviors. Nathan Rozeboom, RN, MPH, CCRN, a nurse manager at Harborview Medical Center in Seattle, experienced that when he tried to get nurses on a neuro intensive care unit to start giving report in the room with patients and their families. There was always a reason why some nurses just couldnt do it.
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Sometimes the best lessons come when things do not work out as planned. Nathan Rozeboom, RN, MPH, CCRN, a nurse manager at Harborview Medical Center in Seattle, learned that in the aftermath of a project for his masters degree three years ago. At the time, he was assistant manager in a neuro intensive care unit.
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The care managers at St. Vincents Hospital and Saint Josephs Medical Center never know what the day may bring, says John Francis, LSCW, who oversees the care managers.
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In the past, the highest-cost Medicaid patients often received care from a variety of different entities that did not always coordinate with each other and often provided duplicative services, says Deirdre Astin, health program administrator, New York State Department of Health. The health home model aims to change all of that, she says.
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Health homes, a patient-centered initiative that provides coordinated care for high-risk Medicaid beneficiaries with multiple or severe chronic conditions, offer huge new opportunities for case managers, says Margaret Leonard, MS, RN-BC, FNP, senior vice president for clinical services at Hudson Health Plan, in Tarrytown, NY.
