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In all of your disaster planning, did you imagine that you might have to climb onto the roof in the middle of a hurricane to ensure water drains away and doesnt collapse the roof?
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Like many people after Hurricane Katrina, the staff members at HealthSouth St. Augustine (FL) Surgery Center were feeling devastated and helpless.
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The National Fire Protection Association has approved a change to its regulation allowing hospitals and surgery centers to use alcohol-based skin preps during all procedures, including those involving cautery or electrosurgery, as long as providers follow the amended regulation.
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Are your history and physicals (H&Ps) updated and documented within 24 hours of the procedure? Is communication clear when you are handing off patients from one area to another, such as from the OR to post-op? If not, and you work at a hospital or freestanding surgery center, you are violating requirements from the Joint Commission on Accreditation of Healthcare Organizations.
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Organizations looking for additional guidance on risk analysis and management can find a new educational paper on the Centers for Medicare & Medicaid Services (CMS) web site.
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Allegations that prisoners of war were tortured by American military interrogators at Abu Ghraib and Guantanamo, possibly with the complicity or knowledge of physicians working with interrogators, resurrected a question that has come up in every war for centuries: What role, if any, should health care practitioners play in the interrogation and torture of enemies of their government?
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When a physician discovers that he or she has been party to a medical error that caused harm to a patient, the realization is followed by a succession of emotions that, if not managed appropriately, can cause the physician to react in a way that ruptures the physician/ patient relationship and possibly precipitate a malpractice lawsuit.
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When a frail elderly patient is treated for a serious, chronic illness such as cancer, death is naturally assumed to be a possible outcome. But death is not so easy to accept in young patients, as any health care professional who has had pediatric patients die knows.
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A recently published study of the effects of managed care on delivery of health care and screenings to enrollees found that it appears to improve care across the board. Particularly heartening are indications that the disparity in care given to white enrollees vs. black enrollees was narrowed sharply.
