Becker's Infection Control & Clinical Quality

September 2017 Issue of Becker's Infection Control and Clinical Quality

ICCQ 9 2017 cover

ON THE COVER
Lucile Packard Children’s Head of Patient Experience Answers 5 Q’s on $1.1B PatientCentered Expansion
Palo Alto, Calif.-based Lucile Packard Children’s Hospital Stanford will open a five-story, $1.1 billion pediatric and obstetric facility in December. Click here to continue >>


Why Hospitals Need Standards for Reporting Quality Measures: 5 Thoughts From Dr. Peter Pronovost and Colleagues
Peter Pronovost, MD, senior vice president with Baltimore-based Johns Hopkins Medicine and director of the Armstrong Institute for Patient Safety and Quality, believes healthcare providers lack crucial standards to ensure accurate and consistent self-reporting of quality data. Click here to continue >>


A New Warrior in the Sepsis Fight: Dedicated Sepsis Nurses
Orange City, Calif.-based St. Joseph Hoag Health was one of the first systems to implement dedicated sepsis nurses at its hospitals in 2015. Click here to continue >>

INFECTION CONTROL & PATIENT SAFETY
Removing Sinks From ICU Rooms Reduces Bacterial Colonization, Study Finds
Implementing "water-free" patient care and removing sinks from intensive care unit patient rooms can reduce the number of ICU patients colonized with gram-negative bacteria, according to a study published in the journal Antimicrobial Resistance & Infection Control. Click here to continue >>

Swedish Health CEO Dr. Guy Hudson Overhauls Concurrent Surgery Policy
Less than two months into the job, the new CEO of Seattle-based Swedish Health, Guy Hudson, MD, is changing the policy about how many cases surgeons can work on at the same time, he told The Seattle Times. Click here to continue >>

Poor Hand Hygiene Linked to 6 Staph Infections, 1 Death at South Carolina Pain Clinic

3 Things Hospitals Can Do Now to Address Overlapping Surgeries
The prevalence of concurrent and overlapping surgeries came to light for the first time for many Americans in 2015, when The Boston Globe's famed Spotlight Team reported on the practices at Boston-based Massachusetts General Hospital. Click here to continue >>

Do Cellphones in the OR Jeopardize Patient Safety? 5 Thoughts
Manuel Alvarez, MD, adjunct professor of obstetrics and gynecology at New York University School of Medicine in New York City, weighed the pros and cons of physician cellphone use in the operating room in a recent editorial for Fox News Health. Click here to continue >>

Physicians Rarely Clean Stethoscopes Between Patients, Study Finds
Clinicians participating in a quality improvement pilot project failed to sanitize stethoscopes between patient interactions, even after educational interventions, according to a study published in the American Journal of Infection Control. Click here to continue >>

Organ Procurement and Transplant Network Puts Froedtert & the Medical College of Wisconsin’s Transplant Program on Probation
The Organ Procurement and Transplant Network, operated by the United Network for Organ Sharing, placed Froedtert and the Medical College of Wisconsin's transplant program on probation due to an organ allocation concern, according to the Milwaukee Biz Times. Click here to continue >>

Infection Rates Take Center Stage in SEIU, Stanford Fight
Stanford (Calif.) Hospital union workers on Tuesday said the hospital's poor infection control practices jeopardize patient and worker safety, reports The Mercury News. Click here to continue >>

Pro-Vaccine Messages Can Backfire, Study Finds
Current strategies implemented to debunk misconceptions regarding the measles, mumps and rubella vaccine in public health campaigns can unintentionally bolster unfounded misconceptions regarding the vaccine, according to a study published in PLOS One. Click here to continue >>

A New Warrior in the Sepsis Fight: Dedicated Sepsis Nurses
Dubbing herself an "infection babysitter," Dawn Nagel, a nurse at St. Joseph Hospital in Orange, Calif., is part of a growing trend as hospitals look to fight sepsis — she's a dedicated sepsis nurse. Click here to continue >>

Even Perfect Hand Hygiene Can’t Halt MRSA Spread to NICU Babies
Even if healthcare workers wash their hands perfectly, they could still transmit methicillin-resistant Staphylococcus aureus to vulnerable infants in the neonatal intensive care unit, according to new research in Infection Control & Hospital Epidemiology. Click here to continue >>

Most Americans Prefer Paper Towels to Air Dryers After Washing Hands
Nearly 7 in 10 Americans prefer to use paper towels instead of air dryers after washing their hands, according to a survey conducted by Harris Poll and commissioned by the Cintas Corporation. Click here to continue >>

PATIENT EXPERIENCE 
Lucile Packard Children’s Head of Patient Experience Answers 5 Q’s on $1.1B Patient-Centered Expansion
Lucile Packard Children's Hospital Stanford will open a 521,000-square-foot pediatric and obstetric facility in December, more than doubling the current size of the Palo Alto, Calif.-based hospital. Click here to continue >>

What Patients Value Most About Having Access to Provider Notes

Why Children’s Hospitals Are Getting Into Snapchat
Snapchat has become an increasingly popular communication medium for children's hospitals in the last three years. Click here to continue >>

Better Patient Experience Linked to Lower Mortality
Readmission rates and patient satisfaction are good measures of quality, according to a recent study conducted by researchers from Boston-based M.I.T. and Nashville, Tenn.-based Vanderbilt University. Click here to continue >>

Patients See Empathetic Physicians as More Competent
The so-called "warmth/competence trade-off" — in which people perceive an inverse relationship between empathy and competence — may not hold true for physicians, according to a recent study from Yale University, published in PLOS ONE. Click here to continue >>

Hospital Loses Patient’s Necklace, Team Digs Through 15 Tons of Waste to Find It
As Samantha LaRochelle was discharged from St. Luke's Hospital in Phillipsburg, N.J., she realized one small but beloved item was unaccounted for — her dual-pendant necklace. Thus began a communitywide search effort that ended, happily and days later, in a waste management plant. Click here to continue >>

The Risks, Rewards of Patients Recording Clinician Visits

10 Steps to Create a Patient-Focused Healthcare Experience Using Technology
SCI Solutions, a provider of patient care management technology, created a 10-point checklist for healthcare providers to make sure patients are getting the right care at the right time. Click here to continue >>

ANTIBIOTIC RESISTANCE & STEWARDSHIP
Do Patients Really Need to Take Their Full Course Of Antibiotics? 4 Thoughts
Physicians should stop instructing patients to take the full course of antibiotics, according to an analysis published in The BMJ. Click here to continue >>

New Antibiotic Class Shows Promise as Possible Gonorrhea Treatment
A new class of antibiotics displayed high levels of efficacy against Neisseria gonorrhoeae infections in the laboratory setting, according to a study published in the journal Antimicrobial Agents and Chemotherapy. Click here to continue >>


1 in 5 Patients Experience Adverse Events From Antibiotics
Twenty percent of hospitalized patients that received antibiotics experienced at least one antibiotic-associated adverse drug event in a study published in JAMA Internal Medicine. Click here to continue >>

Common Household Disinfectant Linked to Antibiotic Resistance
While studying mechanisms of antibiotic resistance, researchers identified a link between drug resistance and the disinfectant triclosan, which is found in common household products, according to a study published in the Journal of Antimicrobial Chemotherapy. Click here to continue >>


MRSA Screening Not Linked to Prolonged Antibiotic Use
Screening for the colonization of methicillin-resistant Staphylococcus aureus in the noses of patients upon admission does not fuel prolonged use of the antibiotic vancomycin, according to a study published in the American Journal of Infection Control. Click here to continue >>

Olympus to Pay Virginia Mason $6.6M for Role in Superbug Outbreak: 7 Things to Know
Jurors on Monday ordered Olympus to pay Seattle-based Virginia Mason Medical Center $6.6 million in damages related to a superbug outbreak that began in 2012. The hospital was ordered to pay $1 million to a deceased patient's family, according to the Los Angeles Times. Click here to continue >>

C. Diff Infections More Common in Acute Than Long-Term Care Settings; Antibiotic Use to Blame Experimental Antibiotic Displays Promise for Treatment of Plague and Superbugs

Unnecessary Prescriptions Drop 8.2% Due to Antimicrobial Stewardship Program in ED
A study, published in the Journal of Hospital Infection, examined the effect of an antimicrobial stewardship program on antibiotic use among outpatients in the emergency department. Click here to continue >>

Antibiotic Stewardship Highly Effective in Reducing Drug-Resistant Bacteria, C. Diff Infections
There is a strong association between antibiotic stewardship programs and lowered rates of antibiotic-resistant bacteria and Clostridium difficile infections among hospital inpatients, a study, published in The Lancet Infectious Diseases, shows. Click here to continue >>

WHO: Antibiotic-Resistant Gonorrhea Becoming More Difficult to Treat

6 Findings on Antibiotic Stewardship Programs at US Hospitals
Small-and medium-sized U.S. hospitals are less likely to feature high-performing antibiotic stewardship programs, according to a survey conducted by Vizient and Virginia Commonwealth University Health in Richmond. Click here to continue >>

QUALITY IMPROVEMENT & MEASUREMENT
CMS to Punish More Than 2.5k Hospitals for 30-Day Readmissions: 7 Things to Know
Despite the political tumult over a potential ACA repeal, CMS is set to enforce the health law's readmission rule by penalizing 2,573 hospitals for having too many Medicare patients readmitted within 30 days, according to federal data released Wednesday cited in a Kaiser Health News report. Click here to continue >>

Adjusting Healthcare Performance Measures for Social Risk Factors Proves Feasible, NQF Finds
The National Quality Forum conducted a two-year trial demonstrating the feasibility of incorporating social risk factors into healthcare performance measures. Click here to continue >>

Why Hospitals Need Standards for Reporting Quality Measures: 5 Thoughts From Dr. Peter Pronovost and Colleagues
Physicians and healthcare organizations should follow an agreed upon set of standards for publicly reporting quality data that is enforced by an outside entity, according to an op-ed published in JAMA. Click here to continue >>

3 Quality Measures That Most Influence Overall HCAHPS Scores
The percentage of HCAHPS survey respondents who assign their hospitals top scores steadily increased from 2013 to 2017, according to a new report from Boston-based patient experience solutions provider Press Ganey. Click here to continue >>

16 Large Hospitals With the Lowest C-Section Rates
Whether a pregnant woman has a cesarean section is largely dictated by the hospital in which she chooses to give birth, according to Consumer Reports. Click here to continue >>

Hospital Reputation Isn’t Always Reliable Indicator of Surgical Care Quality
Some U.S. hospitals consistently included on lists for top overall performance and patient safety do not provide the highest quality care for certain surgical procedures, according to an analysis by MPIRICA, a startup focused on quality transparency in the healthcare industry. Click here to continue >>

NAHQ: 10k Professionals Now Certified in Healthcare Quality
More than 10,000 healthcare professionals now hold a Certified Professional in Healthcare Quality certification from the National Association for Healthcare Quality. Click here to continue >>

AHA Asks CMS to Suspend Hospital Star Ratings
In a letter issued to CMS Administrator Seema Verma Tuesday, the American Hospital Association urged the agency to suspend its "deeply flawed" overall star ratings program, which is less than 1 year old. Click here to continue >>

Readmission Penalties Have Not Harmed Patients, Study Finds

Press Ganey Releases 1st Quality Indicator to Measure Assaults on Nurses
The performance analytics provider Press Ganey created the first quality indicator to measure assaults on nursing personnel. Click here to continue >>


SPOTLIGHT ON THE OPIOID EPIDEMIC
Physicians From Lower-Tier Med Schools Prescribe More Opioids
Physicians educated at top medical schools prescribe fewer opioids than those educated at lower-ranked medical schools, according to a working paper published by the National Bureau of Economic Research. Click here to continue >>

Surgeons Shun Opioids, Turn to Tylenol and Anesthetics Instead
Surgeons and anesthesiologists across the country are relying on alternative pain treatments to limit the use of opioids post-surgery, reports Bloomberg. Click here to continue >>

CDC: Physicians Prescribed 3 Times More Opioids in 2015 Than 1999
While opioid prescriptions have declined since 2010, the amount of opioids prescribed in 2015 was still three times higher than in 1999, according to the CDC's most recent Morbidity and Mortality Weekly Report. Click here to continue >>

OIG: 1 in 3 Medicare Part D Beneficiaries Received Opioids in 2016
Heavy opioid use among beneficiaries and questionable opioid prescribing practices poses an issue for Medicare, according to a new report from the HHS Office of Inspector General. Click here to continue >>

Primary Care-Focused Intervention Cuts Prescription Drug Use Among Chronic Pain Patients
A study, published in JAMA Internal Medicine, detailed a new team-based model that lowered prescription opioid use among patients with chronic pain by almost half. Click here to continue >>

Man Kills Indiana Physician Who Refused to Prescribe Wife Opioids
An Indiana man killed himself on July 26 shortly after shooting and killing a local physician who refused to prescribe opioids to his wife, according to The Washington Post. Click here to continue >>

How Hospitals Can Fight the Opioid Epidemic and More: 5 Qs With Former White House 'Drug Czar' Michael Botticelli Opioid Overdose Deaths Could Be Higher Than CDC Numbers Indicate, Study Finds


Boston Medical Center in March received $25 million, the largest private donation in its history, to launch the Grayken Center for Addiction Medicine. BMC promptly tapped Michael Botticelli, former director of the White House Office of National Drug Control Policy under the Obama administration, to lead the center. Click here to continue >>

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