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It wasn't a surgical procedure that almost tripped up the staff at Blue Ridge Surgery Center. It was a pain procedure, says Suzanne L. Broome, RN, director of the Seneca, SC, facility.
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Improper infection control practices at a surgery center in Las Vegas that led to a hepatitis C outbreak, plus the nation's largest number of patient contacts 40,000 for blood exposure, may be replicated at other health care facilities across the country, according to the Centers for Disease Control and Prevention (CDC).
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Regardless of the specifics of an individual contract, outpatient surgery providers are facing decreased reimbursement overall, says Anne Dean Schilling, RN, BSN, consultant with The ADA Group in DeLand, FL. This reduction means you need to reduce overhead, she says.
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Every year in the United States, about 1,500 people have surgical items accidentally left inside them following a surgical procedure.1 About two-thirds of these items are sponges, which can lead to pain, infection, difficulty healing, and additional surgeries.
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The impact of medical devices on the cost of health care was one of the topics addressed at this year's National Health Policy Conference, but, typical for such gatherings, no answers were clearly established.
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The accreditation survey was going well when the surveyor turned to the medical director and asked, "What would you do if the surgery center received a bomb threat or if a fire broke out right now?"
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No one doubts that addicted physicians pose a significant liability risk and threat to patient safety, so risk managers are eager to offer help when asked. But what if the doctor doesn't ask you or anyone else in your organization and instead goes outside for help in beating the addiction?
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The lawsuit filed against Hollywood (CA) Presbyterian Medical Center could affect how hospitals nationwide discharge the homeless, say some legal observers.
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An initiative aimed at standardizing interventions related to the rapid diagnosis and treatment of severe sepsis has significantly improved patient safety at Barnes-Jewish Hospital in St. Louis.
