Showing posts with label Deep Venous Thrombosis (DVT). Show all posts
Showing posts with label Deep Venous Thrombosis (DVT). Show all posts

Monday, March 14, 2011

Hospitals Could Save Millions By Eliminating Five Hospital-Acquired Conditions

An average 200-bed hospital could save approximately $2 million annually if it eliminates common but high-cost hospital-acquired conditions among inpatients, according to the Healthcare Management Council, Inc. (HMC), a Needham, MA-based company focusing on hospital and healthcare performance improvement.

The information was compiled using federal Agency for Healthcare Research and Quality (AHRQ) indicators and recent proprietary cost-benchmarking information, according to Shelley Burns, HMC's director of knowledge management. HMC has reviewed the performance of hundreds of facilities ranging in size from 75 beds to more than 800 beds.

"The cost of quality is what we call it, but bringing that number [together] for our folks to see lets us align the financial side of the house and the clinical side of the house so they can work together [on this issue]," Burns says

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Wednesday, February 23, 2011

Inflammatory Bowel Disease Raises Clot Risk

Inflammatory bowel disease may more than double the risk of a serious blood clot in the legs or lungs, according to a new study.

Inflammatory bowel disease (IBD) is an umbrella term that includes a variety of intestinal disorders, such as Crohn’s disease and ulcerative colitis.

Researchers found that children and adults with IBD were more than twice as likely to develop a dangerous type of blood clot that develops in the leg, known as deep vein thrombosis (DVT), or lung, called pulmonary embolism (PE).

These types of blood clots affect about two out of every 1,000 people in developed countries each year, and the risk generally increases with age.

But in this study, researchers found the results showed the relative risk of blood clots associated with IBD was particularly high among young people.

In people aged 20 and younger, the relative risk of a pulmonary embolism was six times higher among people with inflammatory bowel disease, compared to similarly aged people without IBD.

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Wednesday, February 2, 2011

Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis -- Lipitz-Snyderman et al. 342 -- bmj.com

The US Institute of Medicine highlighted the serious problem of patient safety and importance of evidence based quality improvement initiatives to reduce adverse events.1 Evidence that quality improvement initiatives intended to reduce adverse events result in a measurable impact on other important outcomes, such as mortality and length of hospital stay, is limited. Without this evidence, hospitals and healthcare payers face uncertainty about whether investment in any specific quality improvement intervention will significantly benefit patients and represent a good use of limited financial resources.

The Michigan Health and Hospital Association Keystone ICU (intensive care unit) project, developed by researchers at Johns Hopkins and undertaken by the Michigan Health and Hospital Association, about 80 of its member hospitals, and researchers at Johns Hopkins Medical Institutions, is a recent example of a successful, large scale quality improvement initiative.2 3 4 The project adopted a comprehensive approach to improving patient safety that included promoting a culture of safety, improving communication between providers, and implementing evidence based practices to reduce rates of catheter related bloodstream infections and ventilator associated pneumonia. Evidence based interventions for preventing catheter related bloodstream infections were promoting handwashing, full barrier precautions, skin antisepsis with chlorhexidine, avoiding the femoral site during catheter insertion, and removing unnecessary catheters. Interventions to prevent ventilator associated pneumonia included a mechanical ventilator “bundle” consisting of use of semirecumbent positioning, daily interruption of sedation infusions, and prophylaxis for peptic ulcer disease and deep venous thrombosis.5 The project showed that measures of culture and infection rates in the intensive care unit were substantially improved for up to 36 months after implementing the quality improvement measures.2 4 5 6

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