Hospice services lower rates of hospital, ICU admissions | NICU dietitian is among Today's Dietitian's top 10 RDs | Hospitals prescribe anger management for misbehaving doctors
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March 8, 2013
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Study shows bedside PDT leads to few complications
Vanderbilt University researchers said data from more than 3,000 bedside percutaneous dilational tracheostomy procedures performed in its ICUs showed there were few complications. The study, reported in the Journal of the American College of Surgeons, involved the use of a protocol for the procedure that includes a designated procedure nurse, a checklist with "time out" and use of extra-long tracheostomy tubes for obese patients. Medscape (free registration)/Reuters (3/5)
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Hospice services lower rates of hospital, ICU admissions
Hospice patients had lower rates of hospital and ICU usage, readmissions, and in-hospital mortality compared with those who did not have the end-of-life care, according to Medicare data that showed savings were achieved across multiple lengths of stay in the program. Researchers reported in Health Affairs that if 1,000 more Medicare patients enrolled in hospice from 15 to 30 days before they died, Medicare could save more than $6.4 million. The Paramus Post (N.J.) (3/6), GeriPal blog (3/5)
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Other News
White Paper: Getting Right With the Joint Commission
Acting quickly on critical results has been part of the Joint Commission's annual goals since 2005. So why has this goal been less successfully implemented? This white paper explores caregiver communications and looks at how to address some common challenges with the help of modern-day technology. Read white paper.
Medicine in the News
Hospitals prescribe anger management for misbehaving doctors
Some hospitals are taking steps such as mandating anger management classes to address disruptive behavior by doctors. Up to 5% of doctors can exhibit inappropriate displays of anger, experts say, and this article cites a surgeon who injured a technician by slamming down a malfunctioning piece of equipment. Regulations adopted in 2009 require hospitals to have policies addressing disruptive behavior. Kaiser Health News/The Washington Post (3/5)
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Trends and Technology
Children's hospital to track ICU data on single screen
Boston Children's Hospital has created an intensive care system that puts data from 10 monitoring devices onto a single screen, uses the information to predict crises and tracks it over time to improve patient care. The application was developed by Arcadia Solutions. American City Business Journals/Boston/BioFlash blog/Mass High Tech (3/5), The Boston Globe (tiered subscription model) (3/4)
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ICU patient management software offers broad view of data
Updated software for Philips' IntelliSpace eCareManager gives ICU staff the ability to see data at a population level. Clinicians can use the patient management software to quickly see patients who need immediate attention or special care. Health Tech Zone (3/11), MedGadget.com (3/6)
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ICD-10 transition to move forward, CMS says
CMS announced that the shift to ICD-10 codes will continue without additional delays, meaning providers must begin using the new codes Oct. 1, 2014. "Many in the health industry are under way with the necessary system changes to transition from ICD-9 to ICD-10. Halting this progress midstream would be costly, burdensome, and would eliminate the impending benefits of these investments," said acting CMS Administrator Marilyn Tavenner. American Medical News (free content) (3/4)
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Hope never abandons you, you abandon it."
-- George Weinberg,
American psychologist, writer and activist
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