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
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)
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
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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)
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
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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
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.
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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