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Though the utility of the rapid response team on decreasing mortality has been questioned in recent literature, no one disputes the importance of early recognition of patient deterioration or subsequent early intervention.
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The Joint Commission issued its first sentinel event alert in August 2009. The issue: Leadership's role in committing to safety and promoting quality care.
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They made every list, accolades coming left and right. A safety culture had been born and bred and things were looking good for Memorial University Medical Center in Savannah, GA.
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Due to continuing reports of wrong-site surgeries and continuing concern from the field, The Joint Commission in 2009 took a look at its Universal Protocol and its No. 1 purpose to prevent wrong-site, wrong-person, or wrong-procedure surgeries.
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The Joint Commission had said it would not be adding any new National Patient Safety Goals for 2010. And it didn't. And most of the changes it did make it characterizes as mostly editorial, clarifying language. But there are some significant changes. Chief among those: Of 20 NPSGs, there are now 11.
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To begin an ongoing journey to prevent health care-associated infections, Orlando-based Florida Hospital's clinical excellence team asked staff what risks they saw.
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Returning an immigrant to his or her native country for post-acute care is a long and complicated process but one that produces great rewards, says Fred Nenner, MSW, director of social services at Lutheran Medical Center in New York City.
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When a Florida hospital transferred a seriously disabled, undocumented immigrant back to his native Guatemala for care and won a subsequent lawsuit filed by the man's American guardians, the case made national headlines.
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A study of serious adverse event reports (AERs) sent to an IRB from clinical trials of a breakthrough cancer drug revealed they were too often incomplete and inaccurate when compared to the original medical records from which they were taken.
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"The AHRQ Informed Consent and Authorization Toolkit for Minimal Risk Research," published in September, 2009, provides very concrete examples of ways investigators and IRBs can improve the informed consent process.