Becker's Clinical Leadership & Infection Control

September/October Clinical Leadership & Infection Control Issue

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September/October Clinical Leadership & Infection Control Issue



Wrong-site kidney surgery was a ‘mistake,’ say Vanderbilt physicians

Two physicians admitted they mistakenly placed a medical device in the wrong kidney during a 2017 procedure at Nashville, Tenn.-based Vanderbilt University Medical Center, an error for which they are

being investigated by the state health department, according to The Tennessean. CLICK TO CONTINUE

Erlanger VP resigns over patient safety concerns: ‘I can no longer in good conscience remain in my role’

Erlanger Health System’s vice president of patient safety and quality resigned July 12 amid serious patient safety and care quality concerns at the Chattanooga, Tenn.-based system, reported the Times Free Press. CLICK TO CONTINUE

41% of parents would switch providers if practice treated unvaccinated kids

About 4 in 10 parents said they would likely switch providers if their children’s physician practice treated unvaccinated patients, according to the C.S. Mott Children’s Hospital National Poll on Children’s Health. CLICK TO CONTINUE

Patient suicide linked to safety issues at Florida VA hospital, OIG finds

Seniors leaders failed to promptly address “long-standing deficient conditions” and safety concerns at West Palm Beach VA Medical Center, which may have contributed to a patient’s suicide in early 2019, according to an Aug. 22 report from the VA Office of Inspector General. CLICK TO CONTINUE

Second Ben Taub patient found dead in bathroom

A second patient was found dead in a bathroom at Houston-based Ben Taub Hospital after waiting for emergency care, according to the Houston Chronicle. CLICK TO CONTINUE

Hundreds sickened by duodenoscopes: Experts demand change

Hundreds of patients in the U.S. and Europe have been sickened by infections transmitted through duodenoscopes, prompting medical experts to urge the Food and Drug Administration to force manufac­turers to improve the devices or take them off the market, according to The New York Times. CLICK TO CONTINUE

An ‘easy sell’ for leaders: How UTMC is tackling hand hygiene with a new compliance system

In mid-February, the University of Tennessee Medical Center in Knoxville launched a pilot program to test out a new hand hygiene compliance system. CLICK TO CONTINUE

Healthcare workers clap back, but comply, when hand hygiene monitored

Despite healthcare workers’ negative attitudes toward an electronic hand hygiene monitoring system, hand hygiene compliance improved with its implementation, according to a study pub­lished in the American Journal of Infection Control. CLICK TO CONTINUE

Another patient dies at Oregon mental health facility

A patient died July 29 at Unity Center for Behavioral Health less than a year after state and federal officials cleared the Portland, Ore.-based facility of a different patient death investigation, according to The Oregonian. CLICK TO CONTINUE

Connecticut hospital fined $150K over cancer misdiagnoses

CMS fined Yale New Haven Health’s Bridgeport (Conn.) Hospital $150,000 after the facility mixed up eight patients’ test spec­imens, leading to several cancer misdiagnoses, reported The Middletown Press. CLICK TO CONTINUE

MedStar Health researchers to assess patient safety trends with machine learning

MedStar Health Research Institute in Hyattsville, Md., is tapping machine learning to help guide patient safety efforts in Pennsylvania. CLICK TO CONTINUE

Seattle Children’s fixes mold-related violations that killed 1 patient

CMS found patient safety violations at Seattle Children’s hospital related to mold detected in its operating rooms in May, local TV station KING-TV reported. CLICK TO CONTINUE

Patient waited 20 hours to receive urgent test, surgery at Pennsylvania hospital

A patient with a condition that can cause loss of a testicle had to wait nearly a day to undergo testing and surgery at Penn State Milton S. Hershey (Pa.) Medical Center, according to CLICK TO CONTINUE

Global measles cases at 13-year high

With measles cases spreading rapidly worldwide, new data from the World Health Organization shows that there have been more cases in the first six months of 2019 than in any year since 2006. CLICK TO CONTINUE

Connecticut hospital cited after patient swallows batteries

CMS cited Connecticut Valley Hospital in Middletown for failing to properly monitor a psychiatric patient at risk of self-harm, according to the Hartford Courant. CLICK TO CONTINUE

Mississippi VA hospital cited over patient’s death

Health officials cited Gulf Coast Veterans Health Care System for the 2017 death of a patient whom staff members failed to perform timely resuscitation on, according to a federal report cited by ABC affiliate WLOX. CLICK TO CONTINUE

5 most common sentinel events so far in 2019

Incidents involving retained foreign objects were the most common sentinel event in the first half of 2019, according to data The Joint Commission released Aug. 14. CLICK TO CONTINUE

San Francisco hospital CEO resigns amid patient abuse scandal

Health officials allege six staff members systematically abused patients at a San Francisco hospital between 2016 and 2019, reported the San Francisco Chronicle. CLICK TO CONTINUE

Montana children’s hospital resumes admissions after patient fatally struck by car

Shodair Children’s Hospital resumed admissions after a weeklong pause spurred by the death of a 15-year-old patient at the Helena, Mont.-based facility, reported the Independent Record. CLICK TO CONTINUE

150+ employees potentially exposed to dangerous bacteria at Seattle hospital

One hundred and fifty-eight employees at Seattle-based Harborview Medical Center are receiving tests  and treatments after potential exposure to the Brucella bacteria, which can cause an infectious disease called brucellosis, according to local CBS affiliate KIRO 7. CLICK TO CONTINUE

Veteran’s death ruled homicide at West Virginia VA hospital

Lawyers filed a notice of claim against Clarksburg, W.Va.-based Louis A. Johnson VA Medical Center, alleg­ing the hospital failed to protect a now deceased patient from “foreseeable harm” after at least nine other patients died under similar circumstances, reported WBOY 12News. CLICK TO CONTINUE

3rd physician says he was punished for complaining about patient safety at New York hospital

Herbert Kunkle Jr., MD, is now the third physician to file a lawsuit against Auburn (N.Y.) Community Hospital for allegedly punish­ing him for complaining about patient safety issues, according to CLICK TO CONTINUE

Infection outbreak linked to physician’s wife mishandling vaccines, Kentucky medical board says

A Kentucky-based physician received five years of probation for allegedly allowing his unlicensed wife to improperly handle flu vaccines, which led to a three-state infection outbreak, according to the Lexington Herald Leader. CLICK TO CONTINUE

Former Arkansas physician charged in deaths of 3 patients

Federal prosecutors on Aug. 20 charged a former Veterans Affairs pa­thologist with three counts of involuntary manslaughter in the deaths of three patients, according to The Washington Post. CLICK TO CONTINUE

Sentara Healthcare adopts AI system to predict sepsis

Sentara Healthcare implemented a new sepsis detection system this year to help predict patients who may be at risk for the life-threatening condition, according to The Virginian-Pilot. CLICK TO CONTINUE

OIG: Mississippi VA hospital hired surgeon despite malpractice concerns

Management at Biloxi, Miss.-based Gulf Coast Veterans Health Care System hired a thoracic surgeon in 2013 despite knowing he had a history of licensure and malpractice issues, according to a report from the Office of Inspector General cited by The Sun Herald. CLICK TO CONTINUE

Why vaccine stock photos are getting a makeover

The American Academy of Pediatrics collaborated with SELF magazine to create stock photos that offer a more accurate, positive perception of childhood vaccinations. CLICK TO CONTINUE

Preventable harm affects 1 in 20 patients

One in 20 patients experiences preventable harm in healthcare, according to a meta-analysis published July 17 in the BMJ. CLICK TO CONTINUE



It’s not all about the patient, Vidant Health CXO says

Julie Kennedy Oehlert, DNP, serves as chief experience officer of Greenville, N.C.-based Vidant Health. CLICK TO CONTINUE

Why this New York hospital hosts an annual ‘teddy bear clinic’

MidHudson Regional Hospital in Poughkeepsie, N.Y., is working to make children feel more comfortable in medical environments — one teddy bear at a time, reported The Poughkeepsie Journal. CLICK TO CONTINUE

St. Peter’s Healthcare CXO on aiming higher as bar gets raised on patient satisfaction

Lisa Drumbore, vice president of marketing and communication and chief patient experience officer at Saint Peter’s Healthcare System in New Brunswick, N.J., discusses the increasing emphasis on patient experience within the industry, the importance of an engaged workforce and the value of keeping promises. CLICK TO CONTINUE

MLB pitcher creates therapy dog program at Children’s Hospital Orange County

Los Angeles Angels pitcher Andrew Heaney and his wife, Jordan, implemented a therapy dog program

for pediatric patients at Children’s Hospital Orange County, reported the Los Angeles Times. CLICK TO CONTINUE

How hospitals can stop chasing HCAHPS scores & start getting strategic about patient experience

As one of the first chief experience officers in the U.S. healthcare industry, Diane Hopkins knows what consumers want from their healthcare organizations. CLICK TO CONTINUE

Out-of-pocket costs, wait time have little influence on patients’ choice of care setting

Out-of-pocket costs and wait time did not significantly influence patient preference for the site at which they receive care, according to a study published in Health Services Research. CLICK TO CONTINUE

Hospital groups propose HCAHPS modernization: 5 things to know

The HCAHPS survey must be modernized to better reflect changes in care delivery, healthcare technology and patient expectations, according to a report released July 25 by five major hospital groups. CLICK TO CONTINUE

What a home appliance retailer can teach hospitals about patient satisfaction

A group of Chicagoland hospital leaders took an unlikely field trip to learn about patient satisfaction: They toured a home appliance retailer, reported Chicago Tribune. CLICK TO CONTINUE

Viewpoint: Patient narratives should be part of medical education

Patient voices should play an integral role in healthcare professionals’ education, according to an op-ed in the BMJ written by researchers and a nonprofit leader. CLICK TO CONTINUE

What Northwell Health’s got cooking to create rave patient reviews

Sven Gierlinger serves as senior vice president and chief experience officer at New York City-based Northwell Health. CLICK TO CONTINUE

34% of providers don't reply to negative online feedback: 3 survey findings

Although the majority of healthcare providers worry about receiving negative online reviews from  patients, more than 34 percent either choose not to respond to those reviews or have no process in  place to do so, according to a PatientPop report. CLICK TO CONTINUE

Reunion of Oregon NICU nurses, former patients marks 40th year

A yearly event at Springfield, Ore.-based PeaceHealth Sacred Heart Medical Center at RiverBend allows neonatal intensive care unit nurses to reconnect with the babies they cared for, according to The Register-Guard. CLICK TO CONTINUE

Viewpoint: Patients can drive medical innovation

Patients can play significant roles in medical innovation and fill gaps left by commercial industries, according to an op-ed in STAT by Harold DeMonaco, a visiting professor at MIT’s Sloan School of Management in Boston, and Eric von Hippel, PhD, professor of management and technological innovation at the Sloan School. CLICK TO CONTINUE

Hospitals, stop benching your best players: It’s time to make patients full care team partners

When it comes to patient-centered care, children’s hospitals often have a leg up. CLICK TO CONTINUE

Rhode Island hospital pilots relationship based care program

Warwick, R.I.-based Kent Hospital is working to improve patient experience by piloting the use of relationship-based care in its orthopedic surgery unit, reported the Warwick Beacon. CLICK TO CONTINUE

4 in 10 cancer patients lack support to deal with symptoms, survey finds

Thirty-nine percent of cancer patients lack support in dealing with symptoms and side effects, and about a third feel they don’t have enough information about their cancer and treatment, according to a

survey from the All.Can initiative.  CLICK TO CONTINUE

Harvard/Politico: Americans trust physician offices more than hospitals, payers with their data

While only 7 percent of adults say they trust search engines like Google to keep their data private, sentiment is much different for healthcare organizations, according to a poll by Politico and the Harvard

T.H. Chan School of Public Health in Boston. CLICK TO CONTINUE

Patients often too embarrassed to share health threats with physicians, study finds

People tend to withhold information about imminent health threats they are facing, such as suicidal  thoughts or sexual assault, from their clinicians, citing embarrassment as one reason for not disclosing  the information, according to a study published in JAMA Network Open. CLICK TO CONTINUE

Meet Dr. Lisa Allen, patient experience chief at Johns Hopkins Medicine

Lisa Allen, PhD, is the chief patient experience officer of Baltimore-based Johns Hopkins Medicine. CLICK TO CONTINUE

Music as effective as sedatives in lowering patient anxiety before anesthesia procedures

Music can be an effective tool for reducing anxiety in patients before receiving anesthesia, on par with using sedatives, according to a study published in Regional Anesthesia & Pain Medicine. CLICK TO CONTINUE

72% of men would choose chores over a physician visit

Most men would choose to do household chores rather than visit their physician's office for a check-up, according to a survey from Cleveland Clinic. CLICK TO CONTINUE

Viewpoint: Physician, patient well-being are tightly linked

Physician burnout can contribute to patients’ own burnout as they navigate their care, wrote Aisling Carroll, an ovarian cancer survivor and freelance writer, in an op-ed for STAT. CLICK TO CONTINUE

Seniors with chronic diseases embrace ride-hailing to access care

Better access to ride-hailing services will prompt most senior patients with chronic diseases to use them to attend medical appointments, according to a study published in the Journal of mHealth. CLICK TO CONTINUE



CMS tackles antibiotic resistance with IPPS final rule: 4 things to know

CMS’ Inpatient Prospective Payment System final rule contains several changes to help combat antibiotic resistance among Medicare patients, which CMS Administrator Seema Verma outlined in an

Aug. 2 blog post published in Health Affairs. CLICK TO CONTINUE

AHRQ recruiting 250-500 clinics for antibiotic stewardship program

The Agency for Healthcare Research and Quality seeks 250-500 pediatric/ adult ambulatory clinics to participate in its free 12-month program to decrease patients’ exposure to unnecessary antibiotics,

according to AAFP News. CLICK TO CONTINUE

Why these Columbus hospitals are training South African pharmacists on antibiotic resistance

In August, South African pharmacists underwent training on antibiotic resistance in neonatal intensive care units thanks to a program at The Ohio State University Wexner Medical Center and Nationwide

Children’s Hospital in Columbus, according to The Columbus Dispatch. CLICK TO CONTINUE

Superbugs focus of new coalition of scientists, biotech leaders

A group of scientists, policy experts and biotech leaders launched a coalition Aug. 21 to combat  superbugs. CLICK TO CONTINUE

How scientists are repurposing old drugs to combat antibiotic resistance

Scientists may be able to repurpose older drugs, like bithionol, to kill drug-resistant bacteria, suggest the  findings of a study published in Proceedings of the National Academy of Science. CLICK TO CONTINUE

New drug regimen proves effective against highly resistant TB strain

A clinical trial has had a 90 percent success rate in treating the deadliest strain of tuberculosis, which is resistant to the four types of antibiotics typically used to fight the disease, according to The New York Times. CLICK TO CONTINUE

Core antibiotic stewardship strategy can be implemented successfully at smaller hospitals

Post-prescription audit and review, a key antibiotic stewardship intervention, can be successfully  implemented at community hospitals, which often have limited resources, according to a study published in JAMA Network Open. CLICK TO CONTINUE

9-month experiment eliminates MRSA transmission in NICU

A series of sequential interventions helped a neonatal intensive care unit at a tertiary care hospital achieve zero methicillin-resistant Staphylococcus aureus transmission, according to a study published

in the American Journal of Infection Control. CLICK TO CONTINUE

Hospitals are stepping up antibiotic stewardship efforts, CDC says

More hospitals are operating antibiotic stewardship programs that meet all CDC standards, according to a new report from the agency. CLICK TO CONTINUE

Deadly fungal infection may have been spurred by global warming, researchers say

Candida auris, a deadly fungus that sprung up simultaneously on three continents, may be the first new

fungal disease emerging from climate change, according to researchers from Baltimore- based Johns Hopkins Bloomberg School of Public Health. CLICK TO CONTINUE

3 things we still don’t know about Candida auris

The mysterious fungus Candida auris, first identified in 2009 in Japan, is a growing global problem. CLICK TO CONTINUE

HHS, DOD boost superbug fight with $97M investment: 4 things to know

Federal officials upped their fight against superbugs with a $97 million investment into antibiotic development. CLICK TO CONTINUE

Overusing antibiotics in pneumonia patients doesn’t lower adverse outcomes, study finds

A 43-hospital study published in the Annals of Internal Medicine found nearly 68 percent of pneumonia patients received excess antibiotic therapy and those extra treatments failed to lower adverse outcomes. CLICK TO CONTINUE

Hospitals often delay use of new antibiotics, study finds

Many hospitals wait more than a year to prescribe new antibiotics, which could discourage drugmakers from pursuing further antibiotic development, according to a study published in Diagnostic Microbiology and Infectious Disease. CLICK TO CONTINUE

Viewpoint: Antibiotic resistance should not make us feel helpless

The healthcare community can combat antibiotic resistance through “a sustained, coordinated, multifront campaign” despite legitimate fears about the looming crisis, wrote Michelle A. Williams, ScD, dean of the Harvard T.H. Chan School of Public Health, in an op-ed for The Washington Post. CLICK TO CONTINUE

Drug-resistant urinary tract infections are on the rise: 5 things to know

Drug-resistant strains of urinary tract infections have been on the rise, resulting in more hospitalizations, serious illnesses and prolonged discomfort for patients, according to The New York Times. CLICK TO CONTINUE

Nonprescription antibiotic use is common, study finds

Using antibiotics without a prescription is a common  practice in the U.S., according to a study published in Annals of Internal Medicine. CLICK TO CONTINUE

WHO reports global increase in drug-resistant HIV

Health authorities have discovered a worldwide increase in resistance to HIV drugs, according to Nature. CLICK TO CONTINUE

Extra focus on antibiotic stewardship helps residents stick to prescribing guidelines

Adding dedicated antibiotic stewardship-focused training rounds into the medical education curriculum helped increase adherence to guidelines governing the duration of antibiotic therapy, according to a study published in Infection Control & Hospital Epidemiology. CLICK TO CONTINUE

4 ways scientists are fighting superbugs

Multidrug resistant infections are on the rise and could kill up to 10 million people a year by 2050, the UN warned in an April 2019 report. In response, researchers are working to develop new treatments for superbugs and improve on existing treatments. CLICK TO CONTINUE

Ohio senator reintroduces bill to tackle antibiotic resistance

Sen. Sherrod Brown, D-Ohio, on Aug. 13 reintroduced a bill that outlines a multipronged approach to improve federal surveillance, prevention, control and research into antibiotic resistance. CLICK TO CONTINUE

CDC: Drug-resistant salmonella infects 255 people

A strain of salmonella that may be resistant to antibiotic treatment had sickened over 250 people in 32 states, the CDC announced Aug. 22.  CLICK TO CONTINUE



Build an army of problem solvers: How hospitals can tap process improvement for better patient  experience

Sustaining long-term process improvements can be a challenge for many hospitals. CLICK TO CONTINUE

Nurse-led initiative lowers hypoglycemia among critical care patients

A nurse-led root cause analysis intervention helped lower hypoglycemia rates in a critical care unit, according to a study published in Critical Care Nurse. CLICK TO CONTINUE

How UVA Health System is reducing unnecessary testing

The University of Virginia Health System in Charlottesville has implemented a task force focused on eliminating unnecessary laboratory testing, which could serve as a national model for other hospitals

to improve lab utilization. CLICK TO CONTINUE

BJC HealthCare achieves 75% drop in patient harm events

St. Louis-based BJC HealthCare credited a systemwide quality improvement effort for the health system’s dramatic reduction in patient harm events over the last decade, according to a study

published in The Joint Commission Journal on Quality and Patient Safety. CLICK TO CONTINUE

Banning hospital advertising could increase readmissions, study finds

In response to ongoing discussions about a potential ban on hospital advertising, a new study suggests that putting an end to hospital ads could disrupt patient flow and, ultimately, lead to an increase in readmissions. CLICK TO CONTINUE

Study: Surgical volume standards not linked to better outcomes for some procedures

Hospitals’ adherence to surgical volume standards does not always correlate with better patient outcomes, suggest the findings of a study published in JAMA Surgery. CLICK TO CONTINUE

Physician viewpoint: Hospitals should report minimally invasive surgery rates

Hospitals have a moral obligation to publicly release data on how often they opt for minimally invasive surgery, wrote Ira Leeds, MD, and Martin Makary, MD, who are both surgeons at Johns Hopkins Hospital in Baltimore, in an op-ed for U.S. News & World Report. CLICK TO CONTINUE

Study casts doubt on ‘July effect’ in heart surgeries

Heart surgery patients do not demonstrate worse outcomes in July when medical school graduates start their residencies, according to a study published in The Annals of Thoracic Surgery. CLICK TO CONTINUE

What keeps IU Health’s VP of quality, safety and performance improvement up at night — and makes

her get out of bed in the AM

Michele Saysana, MD, has served as vice president of quality, safety and performance improvement at Indianapolis-based Indiana University Health since 2017. CLICK TO CONTINUE

Patient death risk increases when RN, nursing support staffing is low

Low levels of support staffing for nurses, such as licensed practical nurses and nurse’s aides, as well as

low registered nurse staffing levels are linked to an increase in patient deaths, according to a study published in BMJ Quality & Safety. CLICK TO CONTINUE

 ‘Off-service’ patient placements linked to worse outcomes, study finds

Patients placed “off-service” in wards specializing in areas of care they do not require have longer

hospital stays and a higher chance of being readmitted within 30 days of discharge, according to a study

published in the journal Management Science. CLICK TO CONTINUE

CMS to update hospital validation survey processes

CMS is seeking to simplify the process for validating hospital accreditation surveys, according to an

Aug. 22 blog post from The Joint Commission. CLICK TO CONTINUE

Depressed residents more likely to make medical errors, study finds

Pediatric resident physicians who tested positive in depression screenings are three times more likely than those who tested negative to commit harmful medical errors, according to a study published in Academic Medicine. CLICK TO CONTINUE

Increase in BMI linked to higher risk of surgical site infection

An increase in body mass index increases the likelihood of developing surgical site infections, according to a study published in Infection Control & Hospital Epidemiology. CLICK TO CONTINUE

How an Indiana clinic is beating the odds on patient-care stats

Goshen, Ind.-based Maple City Health Care Center boasts patient-care metrics that are astronomically higher than those of many other federally funded clinics throughout the state and the nation, according to Kaiser Health News. CLICK TO CONTINUE

Sepsis readmissions decrease with home nursing visits, physician follow-up

Sepsis survivors are less likely to be readmitted to the hospital if they are provided with a combination of home nursing care and early physician follow-up after discharge, according to a study published in Medical Care. CLICK TO CONTINUE

Quality rating systems get low marks from researchers

Hospital quality ratings systems can misclassify hospital performance and provide conflicting information for healthcare consumers, eight physician leaders and researchers wrote in a commentary published in NEJM Catalyst. CLICK TO CONTINUE

UTHealth, Cerner launch data science competition to tackle sepsis

Cerner teamed up with the University of Texas Health Science Center at Houston School of Biomedical  Informatics on a competition to develop ways to use de-identified data to improve patient safety and care. CLICK TO CONTINUE

CMS to update star ratings methodology in 2021

CMS will update its methodology for the Overall Hospital Quality Star Ratings in 2021, the agency announced Aug. 19. CLICK TO CONTINUE

How Cincinnati Children's cut hospitalization rates 20% among high-risk youth

A population health initiative targeting Ohio children in high-risk neighborhoods could be used as a

national model to help reduce pediatric hospitalizations, according to a study published in Health Affairs. CLICK TO CONTINUE

Viewpoint: How to improve screening for social determinants of health

As professional societies increasingly call for clinicians to screen patients for social determinants of health, it is important to review and evaluate the best practices for these screenings, wrote Karina W. Davidson, PhD, and Thomas McGinn, MD, in an opinion piece for JAMA. CLICK TO CONTINUE

The Joint Commission releases maternal care safety standards

The Joint Commission has released two new maternal care safety standards, which aim to reduce  postpartum hemorrhage and severe hypertension/pre-eclampsia in pregnant women and mothers,

according to U.S. News & World Report. CLICK TO CONTINUE

Leapfrog: Most hospitals don’t meet surgical volume standards for safety

Most hospitals do not meet The Leapfrog Group’s surgical volume standards, which outline the  minimum number of surgeries a hospital must report annually to limit the risk of patient harm, according to the group’s 2019 Inpatient Surgery Report. CLICK TO CONTINUE

49% of healthcare professionals feel equipped to achieve zero harm

Nearly 2 million healthcare professionals do not feel they have the resources and training needed to achieve zero harm in their workplace, according to a new survey from The Joint Commission Center for

Transforming Healthcare. CLICK TO CONTINUE

More than half of adverse surgical events due to human error, study finds

More than half of adverse surgical events are due to human error, meaning those events could have been prevented, according to a study published July 31 in JAMA Network Open. CLICK TO CONTINUE

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