Becker's Clinical Leadership & Infection Control

January/February 2018 Issue of Becker's Infection Control & Clinical Quality


Beckers Jan Feb2018 IC Cover


INFECTION CONTROL & PATIENT SAFETY

Buffalo's Mercy Hospital Faces Lawsuits After 2 Patients Die From Sepsis Two Days Apart
The families of two patients who underwent similar routine, minimally invasive surgeries two days apart at Buffalo, N.Y.-based Mercy Hospital in 2016 are suing the hospital after both of them died from sepsis in the days that followed their procedures, according to The Buffalo News. CLICK HERE TO CONTINUE 

Wearing Long Sleeves During OR Patient Skin Prep May Reduce Airborne Contaminants
Using long sleeves and gloves when applying skin preparation solutions decreased particulate and microbial shedding in several of the operating rooms tested for a study published in American Journal of Infection Control. CLICK HERE TO CONTINUE

Video Shows Nursing Home Staff Laughing as Patient Died Gasping for Air
Recently released footage reveals nursing home staff in Georgia laughed as a World War II veteran called for help numerous times, gasped for air and died, according to WXIA. CLICK HERE TO CONTINUE

Suspending Weekend Hospital Services Does Not Hurt Patient Outcomes, Study Finds
Eliminating allied health services — such as speech therapy or dietetics — from hospitals on the weekends does not influence patient outcomes, suggests a study published in PLOS Medicine. CLICK HERE TO CONTINUE

More Hospitals Are Using 'Substitute Physicians' — Are They Safe?
More hospitals are hiring outside physicians to fill in for staff physicians who are sick, on vacation or attending conferences. Initial research from Boston-based Harvard Medical School suggests this practice is safe for patients. CLICK HERE TO CONTINUE

Study: Overlapping Surgeries Boost Complication Risks
Concurrent surgeries in which a surgeon runs two operations at once increase the risk of surgical complications for patients undergoing hip surgery, according to a study published in JAMA Internal Medicine. CLICK HERE TO CONTINUE

Scarlet Fever is Making a Comeback — And No One Knows Why
Scarlet fever is reemerging in certain parts of the world for reasons unknown to researchers and health officials, reports Vox. CLICK HERE TO CONTINUE 

C. Diff Most Frequently Found in Floor Corners After Disinfection
A study, published in Infection Control & Hospital Epidemiology, identified environmental sites where spores of Clostridium difficile persist despite cleaning and hydrogen peroxide aerial decontamination. CLICK HERE TO CONTINUE 


PATIENT EXPERIENCE

85% of Patients, Providers Say Healthcare Costs are Disproportionate to Quality
Both patients and healthcare providers believe issues exist within the U.S. healthcare system and cite concerns over care quality, according to a survey conducted by West and Kelton Global.
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High Levels of Patient Satisfaction Linked With Lower Chance of 30-Day Readmission
Patients who report higher levels of care satisfaction and good communication with their physicians were less likely to experience a readmission within 30 days post-discharge, according to a study published in BMJ Quality & Safety.
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3 Ways Intensive Care Units Can Better Educate Patients
Intensive care units can work to improve patient and family caregiver education through a centralized digital platform, according to a study published in Critical Care Nurse. CLICK HERE TO CONTINUE

Unconscious Patient's 'Do Not Resuscitate' Tattoo Creates Ethical Dilemma for ER Staff
Emergency room staff at a Florida hospital found an unconscious patient with "do not resuscitate" tattooed on his chest, prompting confusion and ethical concern, according to a case report in The New England Journal of Medicine. CLICK HERE TO CONTINUE

Study: One-Day Physician Communication Training Linked to Improved Patient Experience
Hospitals that conduct one-day physician communication skills workshops may record improved patient experience and physician engagement up to six weeks later, according to a study in PXJ. CLICK HERE TO CONTINUE

Geisinger Honors More Than 130 Providers for Excellent Patient Experiences
Danville, Pa.-based Geisinger honored more than 130 caregivers recognized as "the best" by their patients at the health system's annual Top Patient Experience Clinicians Awards Dinner. CLICK HERE TO CONTINUE

Younger Physicians Linked to More Patient Complaints Than Older Colleagues
Younger ophthalmologists were more likely to receive patient complaints than their older colleagues, according to a study published in JAMA Ophthalmology.  CLICK HERE TO CONTINUE CLICK HERE TO CONTINUE

When Physicians Say 'No' to Requests, Patient Satisfaction Suffers
Patients may report lower satisfaction with their care when physicians deny their requests for referrals, lab tests or prescriptions, according to a study published in JAMA Internal Medicine. CLICK HERE TO CONTINUE

Patients Find Online Portals Difficult to Understand, Study Finds
The majority of patients find test results difficult to interpret when presented in online portals, according to a study published in the Journal of the American Medical Informatics Association. CLICK HERE TO CONTINUE


EXECUTIVE BRIEFING

Allied Against Sepsis: 5 Qs With Amplifire CEO on Eliminating Clinical Misinformation
Amplifire Healthcare Alliance—a provider of outcome-based learning solutions for health systems—sought to improve sepsis care among its members by identifying and addressing clinical misinformation held by clinicians across healthcare. CLICK HERE TO CONTINUE

ANTIBIOTIC RESISTANCE & STEWARDSHIP

Kaiser Achieves 22% Reduction in Antibiotic Use With EHR Alerts
Digital alerts helped physicians at 126 Kaiser Permanente locations in Southern California reduce antibiotic prescriptions for sinusitis, according to a study published in The American Journal of Managed Care. CLICK HERE TO CONTINUE

Antibiotic Stewardship Reduces C. Diff Incidence 32%
A study, published in The Lancet Infectious Diseases, examined the effect of antibiotic stewardship on the incidence of infection and colonization with antibiotic-resistant bacteria as well as Clostridium difficile infections. CLICK HERE TO CONTINUE

Tetracyclines Linked to Lower C. Diff Risk Compared to Other Antibiotics
A study, published in Clinical Infectious Diseases, examined the risk of developing Clostridium difficile infection with tetracyclines compared to other antibiotics. CLICK HERE TO CONTINUE

FDA Website to Improve Management of Antibiotic Use
The FDA launched a new website Wednesday aimed at improving access to timely information about bacteria and fungi susceptibility to drugs, to help healthcare professionals make appropriate choices when prescribing antibiotics and antifungal drugs. CLICK HERE TO CONTINUE


QUALITY IMPROVEMENT & MEASUREMENT

32 Quality Measures CMS is Considering for 2018 Pre-Rulemaking
CMS released its Measures under Consideration list for 2018 pre-rulemaking. The agency sent its list to the National Quality Forum for annual review. The list contains 32 standardized performance measures HHS is considering for use in federal programs. CLICK HERE TO CONTINUE

CMS Adds 4 Measures for Flu Vaccine, MRSA and C. Diff to Provider Compare Sites
CMS added four ratings to its long-term care hospital and inpatient rehabilitation facility compare websites, which allow patients to compare quality data on provider performance. CLICK HERE TO CONTINUE

Leapfrog: Chicago Hospital's Lawsuit is '11th Hour Gambit' to Change Safety Grade
Saint Anthony Hospital in Chicago sued Leapfrog for defamation Oct. 30, alleging the hospital ratings agency knowingly used incorrect information to lower the hospital's letter grade for patient safety.  CLICK HERE TO CONTINUE

How Geisinger, Cleveland Clinic, Others Are Responding to Negative Patient Reviews
While many healthcare organizations agree patients should be able to voice their concerns, hospitals and health systems have begun looking for ways to mitigate the effect of negative provider reviews on various online physician rating platforms such as Yelp or Healthgrades that do not involve seeking litigation against the individual commenter, STAT News reports. CLICK HERE TO CONTINUE

Should Opioid Addiction Be Considered a Hospital-Acquired Condition?
Some medical experts and healthcare administrators are making the case that if an individual's addiction to opioids is directly rooted in hospital-based care, the hospital should be penalized, according to a recent report from NPR. CLICK HERE TO CONTINUE

Readmission Reduction Program Increases Mortality in Medicare Heart Failure Patients, Study Finds
The implementation of the Hospital Readmissions Reduction Program reduced the rate of readmissions, but also simultaneously increased the mortality rate of Medicare patients with heart failure, according to a study published in JAMA. CLICK HERE TO CONTINUE

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