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You would think that going five years without an incident of wrong-site surgery would bring contentment to any surgery program. At Beth Israel Deaconess Medical Center in Boston, however, leaders are constantly trying to improve, so they have incorporated a script, poster, and checklist into their surgery processes.
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Researchers predict that by as early as 2010, there could be a shortage of 1,300 general surgeons.
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It's when they looked back at what they had accomplished that they realized they really had been organized.
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Venous thromboembolism (VTE) has hit center stage as a major and preventable cause of death in hospitals and now a core measure for The Joint Commission.
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Effective July 1, accredited hospitals will be scored on both the 2009 accreditation standards and the additional requirements released by The Joint Commission in March to bring the accrediting body more in line with CMS Conditions of Participation (CoPs). But that's not the only thing that will be different in the scoring and surveying process.
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Quality care doesn't end when a patient leaves the hospital. And with rehospitalization rates on the top of the list of concerns for the Centers for Medicare & Medicaid Services, managing the care of the patient after he or she is discharged from your facility is not a nicety, it's a necessity.
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David Harlow, a health care lawyer and consultant, is the founder of The Harlow Group LLC and a "blawger" at http://healthblawg.typepad.com.
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With the recognition by hospitalists that improvements needed to be made in transitions in care, primarily focusing on the discharge process to prevent readmissions, the Society of Hospital Medicine has set out to make those improvements.
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Seeking to give a voice to the patients served by its various institutions, Harvard has established the Harvard Community Ethics Committee with one distinct mission: To contribute to ethical decision-making. Now, those decisions are being made with input from members of the community.
