Researchers examine rates of harm in hospitalized children | ED protocol reduces admissions, LOS for AFib patients | Study: Urologic surgery may raise SICU readmission risk
 
May 21, 2015
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Researchers examine rates of harm in hospitalized children
Two hundred and forty pediatric patient harms were identified in 600 patient charts from six academic children's hospitals, with at least one harm recognized for 23.4% of patients, according to a study in Pediatrics. Researchers said 45% of the harms were potentially or definitely preventable. The most common pediatric patient harms were respiratory distress, pain, constipation, surgical complications, and intravenous catheter infiltrations or burns. BeckersHospitalReview.com (5/18)
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ED protocol reduces admissions, LOS for AFib patients
A collaborative, multidisciplinary program based on best practices helped a hospital emergency department reduce admissions of atrial fibrillation patients and length of stay for those who were admitted, Massachusetts General Hospital researchers told the Heart Rhythm Society's annual meeting. Senior investigator Dr. Moussa Mansour said there isn't a standardized protocol for ER treatment of atrial fibrillation patients, so many end up being admitted to the hospital. Medscape (free registration) (5/18)
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Study: Urologic surgery may raise SICU readmission risk
Study data presented at the American Urological Association's annual meeting showed patients who had elective major urologic surgery were twice as likely as other surgery patients to be readmitted to a surgical intensive care unit. Researchers said respiratory compromise was the main reason for readmission. Renal and Urology News (5/17)
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Other News
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Practice & Hospital Management
Physicians look for better ways to deliver bad news to patients
Training programs try to help physicians do a better job of breaking bad medical news to patients and families, but so far research shows the results have been mixed. Oncology physicians often are faced with delivering a poor prognosis, and oncologist Andrew Epstein at Memorial Sloan Kettering Cancer Center said if doctors fail to balance the physiological and treatment aspects of disease with the psychosocial side, they may alienate patients and families. The Wall Street Journal (tiered subscription model) (5/18)
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Patient-handling equipment and training reduce injuries
Patient-handling equipment and proper employee training at hospitals prevent injuries and can reduce workers' compensation claims by up to 40%, experts say. At the Veterans Health Administration, investments in lifting equipment resulted in fewer musculoskeletal injuries for workers and better outcomes for patients. SHRM Online (5/14)
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FEATURED ARTICLE: 10 Small-Business Predictions for 2015
Things are looking up for small businesses in 2015. We count down the 10 ways you can get ahead in the New Year. Read the article.
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E-Health Watch
Study: IT systems may reduce heart failure readmissions
Researchers at the University of Texas at Dallas said hospitals using cardiology and administrative IT systems were more likely to have lower readmission rates for congestive heart failure than hospitals that did not use the systems. The study was published in the journal Information Systems Research. Health Data Management (5/18)
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Spotlight on Innovation
Preclinical study uses nanosponges to absorb Staphylococcus toxins
Researchers developed an approach to remove methicillin-resistant Staphylococcus aureus toxins in the bloodstream using nanosponges embedded in hydrogel. In a study with mice infected with MRSA bacteria, use of the nanosponge-filled hydrogel, which absorbed MRSA toxins, was associated with reductions in skin lesion size. The nanosponges were designed to mimic red blood cells to attract and absorb the toxins. The study was reported in the journal Advanced Materials. United Press International (5/18)
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Optimize Patient Care With ACC's Clinical Mobile Apps
The ACC has developed numerous mobile apps to help optimize patient care on-the-go. ACC's clinical apps enhance the doctor/patient relationship, drive effective sharing of cardiovascular information, improve the quality of clinical care, and help assess cardiovascular risk in patients. Explore the complete collection at ACC.org/Apps.
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Costs & Reimbursement
CMS continues to support demo projects for dual-eligibles
Enrollment is low in state demonstration projects for managing the health and costs of care for people eligible for both Medicare and Medicaid, but CMS officials say the Financial Alignment Initiative is starting to show positive results. Modern Healthcare (tiered subscription model) (5/15)
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ACC News
PINNACLE India Quality Improvement Program Highlights Feasibility of QI Programs in Resource-Limited Countries
Programs designed to track and monitor the quality of outpatient care for patients with cardiovascular disease are feasible even in resource-limited environments, according to an analysis of data from the ACC's PINNACLE India Quality Improvement Program (PIQIP) -- India's first national outpatient quality-improvement program focused on cardiovascular disease. The analysis, published in the Journal of the American Heart Association, is based on performance measure data captured as part of PIQIP for 68,196 unique patients from 10 Indian cardiology outpatient departments from Jan. 1, 2011 to Feb. 5, 2014. Study authors estimated the prevalence of cardiovascular disease risk factors like hypertension, diabetes, dyslipidemia and current tobacco use, as well as examined adherence to performance measures for coronary artery disease, heart failure and atrial fibrillation (AFib). Read more on ACC.org. For more on the PIQIP effort, read an ACC in Touch Blog post by Nathan Glusenkamp, MA, director of the PINNACLE Registry and William J. Oetgen, MD, MBA, FACC, executive vice president of the ACC's Publication, Education, Science and Quality.
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Population Health: Closing Gaps in Care Around the Globe
In a recent Leadership Page in the Journal of the American College of Cardiology, ACC President Kim Allan Williams Sr., MD, FACC, writes that the ACC has a real role to play in the effort to lower the number of patients with non-communicable diseases—as well as overall efforts to close gaps in cardiovascular care in communities around the world. “With nearly 50,000 members around the globe; a growing network of domestic and international chapters with networks on the ground in countless states, countries, and provinces; and strong partnerships with other medical specialty societies and government agencies, the College can have an effect that few other medical societies can deliver,” he writes. “If we can work together to increase international participation in educational activities, encourage global use and exchange of data, and raise public awareness about cardiovascular disease and its risk factors, progress is well within our grasp.” John Gordon Harold, MD, MACC, former ACC president, also touches upon the ACC’s population health efforts live from the World Health Assembly in Geneva, Switzerland, in a post on the ACC in Touch Blog. Read more.
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This news roundup is provided as a timely update to ACC members and partners interested in quality health care topics in the news media. Links to articles are provided for the convenience of the health care professionals who may find them of use in discussions with patients or colleagues. Opinions expressed in ACC Quality First SmartBrief are those of the identified authors and do not necessarily reflect the opinions or policies of the American College of Cardiology. On occasion, media articles may include or imply incorrect information about the ACC and its policies, positions, or relationships. For clarification on ACC positions and policies, we refer you to http://www.CardioSource.org.
External Resources are not a part of the CardioSource.org website. ACC is not responsible for the content of sites that are external to the ACC. Linking to a website does not constitute an endorsement by ACC of the sponsors or advertisers of the site or the information presented on the site.
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