Nursefriendly.com: Avoidable Complications

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Friday, April 29, 2011

Tough Demands on Nurses Adversely Affect Patients

Better working conditions and better staffing of nurses can significantly improve the care of patients with serious conditions, according to the latest nurse labor study by the University of Maryland School of Nursing.

Several troubling trends in patient outcomes surfaced as researchers analyzed survey data from 633 nurses in 71 hospitals in North Carolina and Illinois concerning patient outcomes, says lead investigator Alison Trinkoff, ScD, FAAN.

For example, pneumonia deaths were significantly more likely in hospitals where nurses reported increased psychological demands and more adverse work schedules. Trinkoff says they measured high psychological demands by very fast work, lack of time to complete work, excessive required work, being slowed by delays from other workers, and frequent interruptions. Another trend was that patients were more likely to develop deep vein thrombosis after surgery in hospitals where nurses reported high psychological demands. Staffing also was controlled in the analysis, so that the effects occurred independent of staffing.

via infectioncontroltoday.com

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Thursday, April 14, 2011

Partnership for Patients - Win, Win, Win for American Healthcare

It's called the Partnership for Patients. (I like it already - it's focused on patients.) It's a program being developed by the federal government, under Secretary of HHS (Health and Human Services) Secretary Kathleen Sebelius, along with CMS (Center for Medicare Services) Dr. Donald Berwick, a man with an impeccable patient safety advocacy record. But they aren't in it alone - they have dozens of private and public organizations backing them, as members of the partnership.

Can this possibly be

A WIN for patients.

A WIN for providers.

And a WIN for payers, too?

via patients.about.com

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Wednesday, March 30, 2011

Hospital worker had deadly blood infection

All Children's Hospital has contacted all the families whose children were exposed to an outpatient therapist who died Monday from a contagious infection that can lead to meningitis.

As they continue to notify staff who may be affected, officials want the public to know the hospital is safe, and the general public is not at risk. However, they do want all of us to be aware of two key facts about the infection that could save lives.

Doctor Juan Dumois, The Director of Pediatric Infectious Diseases at All Children's, has spent the last two days answering questions about a blood infection that likely killed an outpatient therapist. “It’s an organism that we call meningococcal. And this organism has the potential to cause very serious life threatening blood infections and sometimes, once it's in the blood it can get into the brain and that's when we call it meningitis."

via abcactionnews.com

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How safe is your hospital? - chicagotribune.com

Just before it was disclosed that a medical error at the University of Chicago led to the death of James Tyree, a well-known financier and philanthropist being treated for cancer, I was putting together a presentation examining the quality of care at some of the area's best-known hospitals.
Using publicly available data, I told a meeting of local health care executives that there were warning flags at several institutions, including the U. of C. Tyree, ironically, would have known about any actual problems in far greater detail. He served on the board of the hospital where he died from an air embolism in a dialysis catheter, and hospital officials said in an interview that they regularly report safety data to board members.
There's an important distinction between great doctoring and great safety. The U. of C. has a reputation for outstanding cancer care. That's likely the reason that Tyree, suffering from stomach cancer and pneumonia, had a relatively good prognosis when he entered the hospital and why his death so shocked his family and friends. But as a wise physician once warned, "Every hospital should have a plaque at its entrance that reads, 'There are some patients whom we cannot help; there are none whom we cannot harm.'"

via chicagotribune.com

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Monday, March 21, 2011

When Nurse Staffing Drops, Mortality Rates Rise: Study

When nurse staffing levels fell below target levels in a large hospital, more patients died, a new study discovered.

The finding may provide guidance in an era of nursing shortages and cost-cutting, in that the focus should shift from cost to patient safety, said the authors of the research, appearing in the March 17 issue of the New England Journal of Medicine.

"Hospitals need to know what their nursing needs are for their patients, and they need to bring staffing into line," said study senior author Jack Needleman, a professor of health services at the School of Public Health of the University of California Los Angeles.

"Patients are entitled to be safe in the hospital and to have care delivered reliably and to have nurses with enough time to make sure they aren't developing avoidable complications with permanent consequences," Needleman said.

via businessweek.com

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Friday, April 29, 2011

Tough Demands on Nurses Adversely Affect Patients

Thursday, April 14, 2011

Partnership for Patients - Win, Win, Win for American Healthcare

Wednesday, March 30, 2011

Hospital worker had deadly blood infection

How safe is your hospital? - chicagotribune.com

Monday, March 21, 2011

When Nurse Staffing Drops, Mortality Rates Rise: Study

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