Articles Tagged With:
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Blood Transfusion After Cardiac Surgery
Due to the cost of blood transfusions and the lack of data supporting liberal transfusion policies, newer guidelines recommend more restrictive transfusion thresholds.
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Ceftolozane/Tazobactam — Formulary Considerations
A focus on the formulary considerations of Ceftolozane/tazobactam.
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Endovascular Intracranial Clot Extraction Benefits Are Confirmed in More Clinical Trials
On April 17, 2015, the New England Journal of Medicine published the results of two randomized clinical trials of endovascular stent-retriever clot extraction for ischemic stroke, simultaneous with their presentation at the European Stroke Conference. These two studies, added to those presented and published at the International Stroke Conference in February, bring the total number of studies to five that have shown dramatic benefits of this therapy in appropriately selected patients with acute ischemic stroke.
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Severe Alcoholic Hepatitis: Prednisolone or Pentoxifylline?
ABSTRACT & COMMENTARY: A clinical trial studied short- and medium-term mortality in patients admitted to the hospital for severe alcoholic hepatitis.
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Getting ready for baby
It’s been nearly 10 years since the Institute of Medicine (IOM) issued a report stating that hospitals needed to be better prepared for the smallest and youngest patients when they came into their emergency departments
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Falls, other harm more likely
You can get a lot of data from more than 350 million hospital admissions. What you hope to find is that the care is equivalent from day to day, patient to patient. But that is not the case. According to a study published in April in BMJ, patients who are admitted on the weekend are more likely to fall or experience some other adverse event.
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Near misses, harm from devices regular occurrence, say nurses
If there is a Sentinel Event and you do a root cause investigation, you may start by looking at what time something occurred. But if you look at an infusion pump, it might give you a completely different time than the heart monitor. Why? Because there is no central device that synchronizes time for devices. This is one of the examples of the lack of interoperability between devices and the potential problems it can cause hospitals.
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Auditing the RAC audits: Data from Sheehy study
RAC audits are good at ferreting out information on what hospitals are doing wrong, but the study that Sheehy et al published on the actual impact of RAC audits and their outcomes is eye opening.
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Feeling put upon by RACs? There is a reason
No one would say that modern medicine is perfect or that it is free of bad actors. Yet, most of those involved in dealing with the repercussions of Recovery Audit Contractor audits have probably sighed in exasperation over the length of time an appeal takes.
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SEA 54: Watch out for Health IT
The Joint Commission recently studied 120 Sentinel Events, a third of which were related to human-computer interface. Think of a case where you chose the wrong item from a drop-down menu, or if you had two files open and clicked the wrong one. Clinical content was nearly a quarter of them. That relates to design issues related to clinical content, like the ability to have two EHRs open at once. Another quarter were workflow and communication issues. Three issues each had 6%: policies/procedures/culture, people (training or failure to follow the procedures in place), and software or hardware issues.