Nurse-Driven Initiative Cuts CAUTI Rates in the ICU

An initiative at UPMC Williamsport used education and practice-related interventions to quickly reduce CAUTI rates and lay the groundwork for hospital-wide implementation with long-term impact. The bundle included a daily checklist and nurse-driven removal protocol for discontinuing indwelling catheter use.

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In-Person Reviews of ICU Patient Deaths Led to Care Improvements

Data from five years of in-person rapid mortality reviews of 500+ ICU patient deaths at a Los Angeles hospital not only identified immediate concerns related to patient care but also yielded valuable insights on potentially preventable patient deaths and areas for hospital improvement initiatives.

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American College of Surgeons verifies first hospital that meets its standardized quality criteria for geriatric surgery

The American College of Surgeons Geriatric Surgery Verification Program (ACS GSV) has announced that Unity Hospital, Rochester, N.Y., has achieved Level 1—Comprehensive Excellence verification status, which recognizes its commitment to providing optimal care for its older adult surgical patients by meeting the GSV’s program standards.

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Johns Hopkins Medicine Hosts Briefing on COVID-19: One Year Later

A Woman’s Journey will host a 90-minute virtual event, “COVID-19: One Year Later,” during which Johns Hopkins Medicine experts will address important issues related to COVID-19 such as new and available treatments and vaccine safety and efficacy. Registrants will learn about the continued urgency of public health measures to mitigate the pandemic despite the introduction of vaccines, what distinguishes the leading vaccine contenders in their methodology, safety and effectiveness, and symptoms and insights surrounding lingering deficits in physical function, mental health and cognition among COVID-19 survivors.

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AAPM Advances Best Practices for Patient Safety in X-Ray Imaging

Since April 2019, the American Association of Physicists in Medicine has championed a critical way to make X-ray imaging safer and more effective by discontinuing the long-standing practice of placing leaded shields over patient gonads. Today, the National Council on Radiation Protection and Measurements released a statement recommending the discontinuation of routine shielding of patient gonads during X-ray imaging exams and AAPM stands ready to help imaging providers, patients and caregivers to understand and adopt these new best practices – practices that will ensure safer and higher-quality X-ray exams.

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Doctors motivated by both health, malpractice concerns when ordering additional tests

A UCLA-led study has found that dermatopathologists, who specialize in diagnosing skin diseases at the microscopic level, are motivated both by patient safety concerns and by malpractice fears — often simultaneously — when ordering multiple tests and obtaining second opinions, with a higher proportion of these doctors reporting patient safety as a concern.
When ordering additional microscopic tests for patients, 90% of the dermatopathologists surveyed cited patient safety as a concern and 71% of them reported malpractice fears. Similarly, when obtaining second reviews from a consulting pathologist or recommending additional surgical sampling, 91% cited safety concerns and 78% malpractice concerns.

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AQI Receives Support from Edwards Lifesciences to Improve Data Collection and Analysis of Low Blood Pressure

The Anesthesia Quality Institute (AQI), a related organization of the American Society of Anesthesiologists (ASA), announced today a quality-driven initiative dedicated to further developing the National Anesthesia Clinical Outcomes Registry (NACOR), the largest anesthesia registry in the country. The initiative, supported by Edwards Lifesciences, represents a shared vision between AQI and Edwards to improve data collection and analysis, including new tracking and feedback of intraoperative hypotension (low blood pressure), to better inform future quality standards that can positively impact patient outcomes.

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Jersey Shore University Medical Center Achieves Healthgrades 2020 Patient Safety Excellence AwardTM

Hackensack Meridian Jersey Shore University Medical Center in Neptune, NJ, announced it is a recipient of the Healthgrades 2020 Patient Safety Excellence AwardTM. This distinction places the academic medical center among the top 5 percent of all short-term acute care hospitals reporting patient safety data as evaluated by Healthgrades, the leading resource that connects consumers, physicians, and health systems.

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ASTRO survey: Fewer patient visits despite enhanced COVID-19 safety measures for radiation oncology clinics

Despite facing challenges such as limited access to PPE during the COVID-19 outbreak, radiation oncology clinics quickly implemented safety enhancements that allowed them to continue caring for cancer patients, according to a new national survey from the American Society for Radiation Oncology (ASTRO). All 222 physician leaders in the survey collected April 16-30 said their practices continued to provide radiation therapy, yet 85% also reported declines in patient visits, and by an average of one-third.

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Investigators Experiment with Differing Amounts of Anesthetic to Provide Pain Control during Shoulder Surgery and Reduce Chances for Respiratory Complications

Hemidiaphragmatic paresis, or HDP, is a condition in which one side of the diaphragm is weakened, resulting in shortness of breath and reduced respiratory function. It can occur when a patient is given regional anesthesia for shoulder surgery, using the supraclavicular nerve block. Researchers are trying to determine the right amount of anesthesia to use in the supraclavicular block so that the block still works but the chances of developing HDP are low.

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Researchers Looking for the Best Way to Keep Patients Safe During Anesthesia for Shoulder Surgery

Interscalene blocks are a type of regional anesthesia used to relieve pain during and after shoulder surgery. This procedure can lead to numbing of the phrenic nerve as well, however, which can lead to pulmonary complications. Researchers at Stanford University are experimenting with different amounts of saline that can help reverse the phrenic nerve blockade while still maintaining analgesic effect.

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Patient Safety Awareness Week: CRNAs Set the Standard for Safe and Effective Anesthesia Care

In honor of Patient Safety Awareness Week (March 8-14, 2020), Certified Registered Nurse Anesthetists (CRNAs) want patients to know that nurse anesthetists are not only patient safety practitioners, they are patient safety experts. CRNAs plan and implement every step of the anesthesia process with patients’ safety and well-being in mind.

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Recognize an overdose, save a life

Every day nearly 200 people die from an overdose of drugs or from alcohol poisoning, with opioids responsible for the majority. Recognizing the signs and knowing how to respond to medical emergencies, including carrying and administering naloxone in cases of opioid overdose, can save lives says the ASA.

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National CRNA Week: The House of Representatives Recognizes the Contributions of Nurse Anesthetists

In honor of National CRNA Week (Jan. 19-25, 2020), Reps. Jan Schakowsky (D-IL), Lucille Roybal-Allard (D-CA), and Sam Graves (R-MO) today introduced a bipartisan resolution on the House floor, “Recognizing the roles and the contributions of America’s Certified Registered Nurse Anesthetists (CRNAs) and their role in providing quality health care for the public.”

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New AACC Guidance Document Outlines How Healthcare Professionals Can Prevent the Widespread Supplement Biotin From Interfering With Medical Tests

Biotin’s upsurge in popularity has led to a parallel rise in incidents of this health supplement interfering with critical medical tests. A new guidance document from AACC urges clinicians and laboratory experts to collaborate to prevent this potentially harmful test interference, and to ensure that patients taking biotin receive high quality care.

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Registration Opens for Premier Critical Care Nursing Conference

Nurses and other healthcare professionals who care for critically ill patients and their families can now register for the 2020 National Teaching Institute & Critical Care Exposition (NTI) in Indianapolis, May 4-7. The conference offers hundreds of sessions to improve clinical practice, patient outcomes and hospitals’ bottom line, with a comprehensive program that incorporates leading evidence-based education.

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Michigan hospital improves post-CABG outcomes, using proactive amiodarone protocol

A quality improvement project at Beaumont Hospital in Michigan resulted in a decreased incidence of postoperative atrial fibrillation and shorter mean lengths of stay. The results indicate that an amiodarone POAF prophylaxis protocol could significantly reduce costs, improve patient outcomes and increase the overall quality of care.

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American Society of Anesthesiologists Offers Trump Administration Medical Expertise to Protect and Improve Medicare

ASA today offered it medical expertise to the Trump Administration as it works to improve Medicare beneficiaries’ access to physician care, implement transparency and market-based reforms, while reducing cost and regulatory burdens as provided in President Trump’s Executive Order.

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Anesthesia Health Care Groups Join American Academy of Pediatrics in Endorsement of Guidelines for Deep Sedation and Anesthesia During Dental Procedures

In a joint statement, ASA, SPA, ASDA, and SPS join the AAP in endorsing guidelines that recommend that at least two people with specific training and credentials should be present with a pediatric patient undergoing deep sedation or general anesthesia for dental treatment in a dental facility or hospital.

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