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Does consolidation impact quality?; AHRQ launches web tool for states
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In a study published in the February 15 issue of the American Journal of Health-System Pharmacy,1 Agency for Healthcare Research and Quality (AHRQ) researchers, using a national voluntary medication error-reporting database, found that facilities with Computerized Prescriber Order Entry (CPOE) systems in place had fewer hospital-based errors than facilities without a CPOE system.
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Medicare recipients who have a complaint about their quality of care have a means of reporting their complaints but its unlikely they will find out the details of investigations of their complaints, according to the American Health Quality Association (AHQA), which has launched an effort to enact major reforms in the complaints system.
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An intensive care unit nurse recorded a patients daily dose of an antipsychotic agent as 25 mg a day, but the actual dose was one-half a 25 mg tablet. As a result, the patient received a double dosage within 12 hours and became lethargic and confused, resulting in an additional day of hospitalization for observation.
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Worker fatigue can adversely impact every aspect of health care performance. High levels of fatigue cause reduced productivity and an increased risk of adverse events. Fatigued caregivers may not think clearly, which is vital to making patient care decisions.
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If a Joint Commission surveyor asked a physician at your organization about patient safety initiatives or recently performed root cause analyses, would the surveyor get a detailed, enthusiastic response or a blank look?
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There is a big difference between implementing computerized physician order entry (CPOE) and doing so with clinical decision support systems in place, emphasizes Margaret Quinn, MD, chief medical information officer at Neptune, NJ-based Meridian Health.
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At Seattle-based Swedish Medical Center, stroke outcomes improved dramatically as a result of a comprehensive program that deploys a coordinated team to assure comprehensive, timely, and efficient acute stroke care.
