By THERESA BROWN, R.N.This year, a Seattle nurse named Kim Hiatt committed suicide. Ms. Hiatt’s death came nearly seven months after she had given an unintended overdose to an infant heart patient, a medical error that was said to have contributed to the child’s death days later.
Ms. Hiatt had been a nurse for 27 years and had often cared for the 8-month-old girl during the child’s stay in the pediatric intensive care unit of her hospital. She had probably drawn up the right dose of the drug hundreds of times in her career. But once, she made a life-changing error. A baby died, and she was suspended, then fired from a profession she loved. And now she’s dead.
Please click on the "VIA" link to read the full article.
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Friday, July 8, 2011
When Nurse Make Mistakes (Theresa Brown, RN) - NYTimes.com
Thursday, April 28, 2011
Nyack Hospital's Code H Spells Safety and Satisfaction | New Jersey Nursing News
Nyack Hospital, Nyack, N.Y., has launched a system where patients and their visitors can trigger levels of rapid response. Impetus for the innovation came after the well-publicized medical error that ended in the death of 18-month-old Josie King at Johns Hopkins in Baltimore, Md., and the resulting focus on patient and family involvement in acute care.
Although patients and families can use the system to alert staff about potential emergency situations, such as chest pain, it also offers the reassurance that help is nearby. This is in case patients experience delays in bedside care, pain medications, and more, according to Ginni Norton, RN, MS, Nursing Performance Improvement, Nyack Hospital, a member of the NewYork-Presbyterian Healthcare System.A team approach
Nyack Hospital patients and their visitors can call 3-1-1-1, which goes directly to hospital operators. The operators have been trained to ask callers questions according to an algorithm. Callers who report something physiological, such as bleeding or chest pain, are be routed immediately to rapid response. The call can trigger a team, including the nurse manager from the patient's unit, house physician, respiratory therapist, critical care nurse, and pharmacist.
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Sunday, April 24, 2011
Medicare Hospital Compare Quality of Care (Thanks @TheresaBrown)
Hospital Compare
Where do you want to find a hospital?
Search Information
e.g. 10009 or New York, NY
Hospital Spotlight
In the future, Hospital Compare will have new information about Hospital Acquired Conditions.Medicare releases new data on Hospital Acquired Conditions. Click here for more information.
You can now visit Medicare's Hospital Value Based Purchasing Program page and learn more about potential future measures.
Additional Information
- View a list of Hospital Compare Contacts - Opens in a new window
- Download the Hospital Compare Database - Opens in a new window (Data Last Updated: April 11, 2011)
Data Last Updated: April 11, 2011
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Monday, April 18, 2011
Patients with do-not-resuscitate orders fare worse | Reuters
A new study could help people with a do-not-resuscitate order make better decisions about what surgeries they are willing to undergo.
About seven in 10 Americans die with such an order, which instructs healthcare workers not to use life-prolonging treatment if a patient's heart or breathing stops.
But other situations that aren't necessarily covered in the do-not-resuscitate, or DNR, orders may also be worth considering, researchers say.
The new report, out Monday in the Archives of Surgery, shows DNR patients have a higher chance of dying following surgery, although not with all kinds of procedures.
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Not Running a Hospital: Painfully slow
You can already imagine the responses. "That's just in North Carolina." "Our patients are sicker." "There are problems with the data."What would prompt that? This New York Times article, citing a forthcoming NEJM study about medical errors in North Carolina. Here's the lede:
Efforts to make safer for patients are falling short, researchers report in the first large study in a decade to analyze harm from medical care and to track it over time.
The study, conducted from 2002 to 2007 in 10 North Carolina hospitals, found that harm to patients was common and that the number of incidents did not decrease over time. The most common problems were complications from procedures or drugs and hospital-acquired infections.
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856-415-9617, (fax) 415-9618
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Monday, April 11, 2011
Patient complaints do not fit the primary care office visit
by Kevin Pho, MD
Primary care physicians often have to see patients with a litany of issues. Often within a span of a 15-minute office visit.
This places the doctor in the middle of a tension — spend more time with the patient to address all of the concerns, but risk the wrath of patients scheduled afterwards, who are then forced to wait.
And, in some cases, it’s simply impossible to adequately address every patient question during a given visit.
It’s a situation that internist Danielle Ofri wrote recently about in the New York Times.
In her essay, she describes a patient, who she initially classified as the “worried well”:
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Andrew Lopez, RN
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Wednesday, March 30, 2011
Why Not The Best (Hospital Benchmark Data)
Comparative Health Care
Performance Data
- See how well U.S. hospitals perform on measures of evidence-based care, patient experience, readmission and mortality rates, and costs
- Compare a hospital's performance with peer organizations and national benchmarks
- Find case studies and tools to help improve the quality of care
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Tuesday, February 15, 2011
Watts, H. David : Starting the I.V.
This poem explores the act of inserting an intravenous line (I.V.) into a patient just prior to induction of anesthesia or sedation. The physician-narrator is initially full of bravado, stating "I am good at this" and "I'm the best". The physicality of the act is detailed: the vein "lies stretched and succulent" and the needle "waits / like a mosquito attached / by its sucker." By the end of the second stanza, however, when the I.V. has been successfully inserted, the significance of this seemingly simple medical intervention is stated: "I am suddenly aware / I am connected to his brain.
Read the rest of the article by clicking on the litmed.med.ny.edu link
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Wednesday, February 9, 2011
Nurses’ Widespread Job Dissatisfaction, Burnout, And Frustration With Health Benefits Signal Problems For Patient Care — Health Aff
Job dissatisfaction among nurses contributes to costly labor disputes, turnover, and risk to patients. Examining survey data from 95,499 nurses, we found much higher job dissatisfaction and burnout among nurses who were directly caring for patients in hospitals and nursing homes than among nurses working in other jobs or settings, such as the pharmaceutical industry. Strikingly, nurses are particularly dissatisfied with their health benefits, which highlights the need for a benefits review to make nurses’ benefits more comparable to those of other white-collar employees. Patient satisfaction levels are lower in hospitals with more nurses who are dissatisfied or burned out—a finding that signals problems with quality of care. Improving nurses’ working conditions may improve both nurses’ and patients’ satisfaction as well as the quality of care.
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Thursday, July 29, 2010
Your most pressing concerns with the profession and healthcar
View previous responses: http://www.nursefriendly.com/concerns/
Donna M. Post, RN, BSN, MBA, HCM, CLNC, LNCP-C , Mid-Valley Legal Nurse Consulting, Inc., California Nurse Entrepreneurs, Legal Nurse Consultants:"Mid-Valley Legal Nurse Consulting has over 24 years of experience clinically and administratively, in cardiac, adult and pediatric critical care, and dialysis. Our experience extends to both the inpatient and outpatient settings. MVLNC provides effective identification of practice standards, regulatory standards, adherence and/or deviations to these standards. Our background provides our clients the added benefit of understanding healthcare infrastructure, budgets, and healthcare labor issues. This extensive experience allows for identification of medical and nursing issues in any case that involves health, illness and injury. The clients we serve are attorneys, insurance companies, healthcare facilities and others. At Mid-Valley Legal Nurse Consulting, our goal is to provide our clients with cost-effective, efficient, review and analysis – providing you with winning services while critically defending your bottom-line.
2491 Alluvial #7
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Category: Consumer Advocates, Healthcare Associations, Organizations, Hospitals, Nursing Associations, Nursing Consultants
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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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