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Every parent of a toddler knows that a time-out isn't so much a punishment for the child as a moment to breathe for the parent. It's this moment of calm that is the basis for the use of time-outs in a variety of fields, including surgical medicine. It's a chance to stop and make sure the path you are on is correct. And it's a tool that anyone can use, says Vicki Hess, RN, MS, principle at Catalyst Consulting, based in Baltimore, MD.
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Wrong-site surgery: 20 times a week. Wrong surgery on a patient: 20 times a week. Object left in a patient: nearly 40 times a week. Surgical "never events": more than 4,000 times a year. Those statistics were reported in a study published in April in the journal Surgery.1 With such statistics, there will never be a single solution that makes surgery safer.
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No one expects everyone to read through the 1,000-plus pages of the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) proposals for 2014. But there are parts of the proposal that impact quality departments, and they demand some study.
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Get ready, IRBs data collection for financial conflicts of interest (FCOIs) is about to get more complicated.
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The University of California Los Angeles (UCLA) recently updated its guidance on reporting unanticipated problems (UPs), adverse events (AEs), and other incidents in human subject research, providing a model for IRBs.
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The IRB office at the University of Utah in Salt Lake City takes its standard operating procedures (SOPs) very seriously. The IRB even dedicates one highly experienced, part-time professional to make frequent revisions and improvements to the SOPs and guidance.
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Human research protection offices have found that adopting policies and procedures regarding the reporting of unanticipated problems (UPs) has helped to reduce IRB busywork and improve the research communitys understanding of when to report problems, experts say.
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For IRBs at mid-sized institutions, monthly meetings can go for hours and involve many protocols. This can be very time-consuming and cumbersome for IRB members and investigators alike. Protocol discussions may not get the time they need, and members simply may not have enough time to review all the agenda items.
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The newly accredited MaGil IRB in Rockville, MD, has review process timelines that might seem impossible to other organizations, including a self-imposed deadline of four hours from the time an IRB review submission is made to the time it is seen by IRB members.
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Open enrollment for coverage under the new healthcare marketplaces is set to open in about three month, and opponents of the law are raising new concerns with the plans.
