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They just happened to go public at about the same time the Centers for Medicare & Medicaid Services' (CMS') final rule on "meaningful use" as part of the HITECH Act and The Leapfrog Group's study results on computerized physician order entry (CPOE) systems and its subsequent call for action to monitor the safety of such systems and to develop best practices.
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Have you revisited your pain policy? Are you auditing compliance? How will you fare when Joint Commission surveyors come to your facility? Hospital Peer Review spoke with three institutions about the challenges they faced, the interventions they made, and the successes they have seen.
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Paul Arnstein, RN, PhD, clinical nurse specialist for pain relief at Massachusetts General Hospital, is familiar with The Joint Commission's standards on pain. As president of the American Society for Pain Management Nursing and a liaison representing pain management, Arnstein recently attended an annual meeting with TJC.
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A couple enters the emergency department the wife with a black eye and fresh bruises on her arm. She tells registration she fell down the stairs.
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STATEMENT: Healthcare Facilities (HCF's) will implement an interdisciplinary protocol addressing workplace violence prevention and response.
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With its latest survey, beginning May 25, 2010, and ending May 27, Holy Family Memorial had the most surveyors it ever had seven and its first life safety survey. Mary M. Schilder, quality management, accreditation/CME coordinator, and privacy specialist, says the surveyors, who visited "every single clinic and department," were "very educational."
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As of July 1, The Joint Commission's interim staffing effectiveness requirements are in effect for hospital and long-term care organizations, as it continues to research the issues associated with the standards.
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Experts Hospital Peer Review spoke with say some of the most common criminal activity in hospitals involves assaults by patients on other patients or staff; patients in psychiatric units; patients on drugs; prisoner patients; acts prompted by domestic violence; patients on drugs; and gang members or VIP patients. All present unique challenges.
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Assessing your hospital's threats should help you address what type of police or security presence you should have. And just as crimes vary by community, security presence differs by institution.
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The case of Charles Cullen is one of the most egregious cases of serial murder in health care settings, according to Beatrice Yorker, JD, RN, MS, FAAN, dean of the college of health and human services at California State University Los Angeles, who has researched and published in the field of forensic nursing.
