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Too many patients are getting injured from falls at your organization, and you've got the data to prove it. You've drilled down to identify specific units with the highest fall rates, and zeroed in on the exact shift and type of patient that are most at risk.
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Concerns about the relationship between worker fatigue and patient safety are a relatively new issue for the health care industry. Residents are now limited to working 80 hours a week, and various groups have recommended that nurses should not provide direct patient care for more than 12 hours in any given 24-hour period or in excess of 60 hours in any seven-day period.
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When it comes to discharge planning and other health care challenges, dont be afraid to rock the boat, advises Jonathan Morris, RN, bed management coordinator at Wake Forest University (WFU) Baptist Medical Center in Winston-Salem, NC.
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Consider patient volumes and staff constraints and set a discharge time that makes sense for your facility, suggests Jonathan Morris, RN, bed management coordinator at Wake Forest University (WFU) Baptist Medical Center in Winston-Salem, NC.
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During a recent unannounced Joint Commission survey at Presbyterian Healthcare in Charlotte, NC, staff underwent a rigorous, in-depth process, says Paula Swain, MSN, CPHQ, FNAHQ, director of clinical and regulatory review.
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Is your organization's rapid response team getting enough calls? Are the calls coming early enough to make a difference? Are outcomes such as mortality rates improving?
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A group of well-dressed people walk into the main entrance of a southern California hospital and announce they're going to do a walk-through before a JCAHO survey. In another California facility, a professional-looking man comes to the lobby and explains that he is with JCAHO and needs access to several clinics.
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In the process of collecting restraint data, you learn that certain physicians are not signing daily orders. Other data being collected show that patient education is being documented 97 times out of 100.
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Tubing from a portable blood pressure monitoring device is inadvertently connected to a patient's intravenous (IV) line, and a fatal air embolism results.