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An anonymous survey of investigators, research administrators, and project managers found that principal investigators and co-investigators tend have a less favorable impression of IRBs and IRB staff than do the research assistants and project managers.
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A recent development has put greater emphasis on pressure ulcer prevention in hospitals: The Centers for Medicare and Medicaid Services (CMS) will stop reimbursement for certain hospital-acquired conditions, including pressure ulcers, as part of an update to the hospital inpatient prospective payment system.
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A variety of improvement projects are going on throughout your organization. Some are aimed at improving the efficiency of services and some are undertaken in an effort to reduce adverse events. There are also customer satisfaction and documentation improvement projects. And the list goes on...
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Seasonal increases in respiratory illnesses. Overflowing emergency departments (EDs) when other hospitals go on ambulance diversion. Scheduling issues with the operating room. Physicians failing to make timely decisions on transferring patients. Your facility failing to grow in response to the needs of the community.
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Nearly half (43%) of hospitals surveyed in the first half of 2007 were not compliant with The Joint Commission's standard requiring medications be properly and safely stored, and 20% were non-compliant with the requirement for medication orders to be written clearly and transcribed accurately.
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During a February 2008 Joint Commission survey at Temple East/Northeastern Hospital, a 187-bed community hospital in Philadelphia, surveyors asked several staff members if they knew how to contact The Joint Commission about quality or safety concerns.
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The proton pump inhibitor rabeprazole is said to provide rapid acid inhibition, but clinical implications of this have been uncertain. This study shows that a single dose of rabeprazole 20 mg administered 5 hours before therapeutic dosing of aspirin significantly decreases gastroduodenal damage.
