Hospital Peer Review – May 1, 2019
May 1, 2019
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Overmonitoring Addressed With EHR Order Set, Adherence to Best Practices
A Minnesota hospital is addressing the problem of overmonitoring patients with an order set in the electronic health record that prompts clinicians to limit monitoring and unit assignments to only what is needed. Introducing the system was not without challenges, however.
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Study Finds Variety of Methods to Reduce Telemetry Use
A recent report in JAMA Internal Medicine found that hospitals are using various approaches to reducing unnecessary telemetry for cardiac monitoring, but not enough are using the American Heart Association (AHA) guidelines.
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ABCDEF Bundle Improves Care in ICU, but EHR Can Be Hurdle
The ABCDEF bundle is gaining acceptance as an effective way to improve the care of critically ill patients, but some hospitals find implementation difficult. One hospital’s experience illustrates some of the challenges — and the strategies that can help overcome them. -
Analysis Finds ABCDEF Bundle Is Game-Changer for ICU
Researchers at Vanderbilt University Medical Center in Nashville, TN, and other institutions assessed the ABCDEF bundle in 2018 and concluded that it “represents one method of approaching the organizational changes that create a culture shift in treatment of ICU patients.” The benefits outweigh the associated costs and required coordination, the researchers concluded. -
Quick Wins in Quality: Hand Hygiene, Disinfection, Sepsis Reduction
Quality improvement professionals are reporting more “quick wins” in which a relatively simple change in processes and procedures yields significant advances in patient care and safety. Germ-zapping robots and handwashing monitors can both be introduced with minimal effort and bring great advances in quality of care. -
Press Ganey Finds Higher Engagement Tied to Better Outcomes
Having healthcare employees who are more engaged with their jobs leads to better quality scores, according to Press Ganey’s recent 2019 Strategic Insights white paper, “Accelerating Transformation: Translating Strategy into Action.” -
Net Promoter Scores Used to Address Patient Satisfaction, Quality
A healthcare organization is finding success with using a measure of customer satisfaction to drive quality improvement. -
Leapfrog Group Finds Hospitals Implementing Safety Systems but Not Fully Utilizing
A majority of hospitals are meeting the standards for computerized physician order entry set by the The Leapfrog Group, based in Washington, DC, according to a recent report from the group.