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Essential Insights

Medication therapy management brings pharmacists, health care providers, and patients together to ensure appropriate medication use.

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policy

The President’s Council of Advisors on Science and Technology outlines strategies to improve patient safety and reduce health care–associated injuries.

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quality

Ahead of Sepsis Awareness Month in September, CDC provides seven core elements to guide the creation of hospital sepsis management programs.

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policy

The National Action Alliance to Advance Patient Safety webinar, on Aug. 22, will highlight how leadership engagement can foster a culture of safety.

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quality

The National Action Alliance to Advance Patient Safety will host three webinars on patient safety and violence prevention in health care settings.

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quality

The agency shared resources for protecting patients and providers from infectious disease threats, such as antimicrobial resistance.

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Essential Insights

Researchers at UW Medicine developed the nanoparticle technology behind a revolutionary RSV vaccine that has so far demonstrated a positive immune response during clinical trials.

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policy

The National Institutes of Health launches the Home Test to Treat program; FDA and CDC report a COVID-19 vaccine safety concern for those ages 65 and older.

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policy

The memo reviews regulatory obligations to care for patients in a safe environment, including the need to identify patients at risk for intentional harm to themselves or others.

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quality

At a Nov. 14 listening session, HHS leaders announced plans to launch in 2023 a learning community focused on patient and health care worker safety.

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policy

CDC recommends that children ages 6 months to 5 years receive a COVID-19 vaccine; Pfizer study data shows Paxlovid failed to alleviate COVID-19 symptoms.

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policy

The National Steering Committee for Patient Safety calls on health care providers to put its 2020 Action Plan into practice.

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policy

FDA extended the shelf life of select lots of bebtelovimab and updated the authorization for Evusheld to include information about hypersensitivity risks.

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institute

Hospitals can promote the use of donor human milk to provide a lifeline for premature infants and reduce racial and ethnic disparities in birth outcomes.

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policy

FDA authorizes a second vaccine booster for older and immunocompromised individuals; OSHA reopens the comment period for its emergency temporary standard.

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quality

The revised site reflects new information, partner feedback, and industry best practices and includes fact sheets on the agency's AR Laboratory Network and innovative investments to respond to AR globally.

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policy

The Office of National Drug Control Policy outlines the Biden administration's drug policy priorities for 2021, including expanding access to evidence-based treatment and prevention services, advancing racial equity, reducing supply of illicit substances, and advancing recovery-ready workplaces.

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policy

The Occupational Safety and Health Administration updated its COVID-19 enforcement plan; CDC updates infection control guidance for vaccinated people in health care facilities.

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policy

CDC releases public health guidelines for fully vaccinated people; CMS invites hospitals to pilot a COVID-19 learning series.

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policy

CDC warns health care providers to stay vigilant amid Ebola outbreaks in the Democratic Republic of the Congo and Guinea.

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state-action

This State Policy Snapshot summarizes actions states are taking to combat human trafficking through task forces, training programs, and protections for trafficked individuals.

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policy

The Joint Commission's latest Quick Safety newsletter offers recommendations to ensure equitable care during the COVID-19 pandemic.

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quality

The Centers for Disease Control and Prevention marks U.S. Antibiotics Awareness Week with a new Antibiotic Use Option Report that synthesizes National Healthcare Safety Network data.

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America’s Essential Hospitals and more than 20 other advocates and federal agencies today announced an action plan on patient safety. The plan recognizes that systemic racism and other societal inequities can cause harm to concentrate in certain populations, and it calls for using safety data to identify gaps related to social determinants of health.

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state-action

Federal guidance details how states can request ventilators; states regulate distribution of chloroquine and hydoxychloroquine and take steps to ensure housing stability.

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policy

FDA will not object to the use of improvised face masks; a CDC tool helps health care providers estimate their personal protective equipment supply.

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policy

CMS releases guidance for hospitals in quality reporting programs; CDC updates guidelines for testing and handling COVID-19 specimens.

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state-action

States open insurance marketplace special enrollment periods; the Association of State and Territorial Health Organizations issues considerations for mobile testing.

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policy

President Trump declared a national emergency as the number of confirmed COVID-19 cases in the U.S. nears 3,500. CMS responds to concerns about complying with Emergency Medical Treatment and Labor Act requirements and CDC released updated infection control guidance for health care providers.

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policy

As U.S. cases of the new coronavirus rise to more than 400, the agency updates guidelines for testing patients and for health care workers exposed to COVID-19.

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policy

In a memo to state survey agencies and accrediting organizations, CMS announced it will focus survey activities solely on infection control until further notice and provided guidance for patient triage and nursing homes.

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quality

Affected models have a damaged retainer ring that locks the insulin cartridge into the pump's reservoir compartment, resulting in improper insulin dosing.

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policy

America's Essential Hospitals encourages members to share their concerns about the Medicaid Fiscal Accountability Regulation with Congress and CMS. Meanwhile, the House returns to health care business after a one-week recess, and the Senate impeachment trial continues.

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quality

This recall includes more than 9 million gowns designed for use in procedures such as open heart surgery and knee replacements.

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quality

The toolkit includes a decision-making framework for antibiotic prescribing and strategies for developing an antibiotic stewardship program.

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quality

The report shows a 9 percent decrease in central line–associated bloodstream infections, an 8 percent decrease in catheter-associated urinary tract infections, and a 12 percent decrease in hospital-onset Clostridium difficile infections.

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quality

The update covers a wider variety of health care settings and includes guidance for the use of performance measures in infection control quality initiatives.

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quality

This year's theme, Vaccines are Everybody’s Business, highlights the importance of protecting public health through vaccination.

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quality

The agency urges health care providers to use duodenoscopes with disposable endcaps to simplify cleaning and reduce contamination.

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institute

The new web resource includes a rich collection of links to relevant studies and other research, a sidebar of reference materials, and a summary of how various organizations have worked to prevent burnout.

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quality

An expert panel will share the evidence behind current guidance for opioid tapering and how to apply this guidance in practice, as well as case studies and pain management challenges from the field.

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quality

An unauthorized person potentially could wirelessly connect to a nearby MiniMed insulin pump and change the pump settings.

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quality

The Centers for Disease Control and Prevention is expecting a three- to 10-month nationwide shortage of Aplisol, used in tuberculin skin tests.

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policy

The guidance lists warning signs for which hospital staff should be aware, recommendations for active shooter responses, and suggested protective measures.

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policy

Revised guidance clarifies what constitutes a ligature risk and outlines a ligature risk extension process for deficient hospitals; comments are due June 17.

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state-action

Recent laws in Arizona, Colorado, Ohio, Rhode Island, Tennessee, and Virginia require paramedics to transport severe stroke patients directly to a hospital with a comprehensive stroke center licensed to perform thrombectomies.

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state-action

State legislators in Illinois, Michigan, and New York seek to limit the number of patients that hospital nurses can treat at a time.

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institute

This funding opportunity supports the formation of Maternal Mortality Review Committees, which will work with the agency to collect and analyze maternal death data.

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institute

This quality improvement and patient safety forum features expert speakers, transformation strategy workshops, and networking opportunities.

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policy

The revised Appendix Q to the State Operations Manuals includes key changes to the immediate jeopardy definition. CMS also released updated online training and a template to assist surveyors.

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quality

A new Vital Signs report calls on health care providers to increase prevention efforts for Staphylococcus aureus infections.

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state-action

A new report finds that nearly 90 percent of hospitals, on average, within each state are part of a coalition to work with emergency management and public health officials to ensure emergency preparedness in their communities.

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Essential Insights

The Medical Leaders Interest Group gives clinical leaders an opportunity to share work, discuss common topics, and learn from essential hospital peers.

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quality

The hospital-acquired condition rate, which captures 28 patient safety event measures, decreased 13 percent from 2014 to 2017.

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policy

Seven new requirements under the National Patient Safety Goals program require hospitals to screen for suicide risk and standardize treatment procedures.

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quality

A Centers for Disease Control & Prevention toolkit provides educational resources and social media messaging for Antibiotics Awareness Week 2018.

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quality

These no-cost, downloadable cards include ready-to-use infection prevention assessment forms tailored to 19 common themes, environments, or patient populations.

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quality

This yearlong global initiative challenges governments, private industries, and nongovernmental organizations to commit to reducing antibiotic and antimicrobial resistance.

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institute

Essential hospitals MedStar Health, in Washington, D.C., and Christiana Care Health System, in Wilmington, Del., improved communication about patient safety events with a toolkit developed by the Agency for Healthcare Research and Quality.

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policy

The agency will not convene a proposed task force to reduce environmental risks associated with the care of psychiatric inpatients, opting instead to use findings from The Joint Commission special report on suicide prevention in health care settings.

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quality

The resources include a 12-step guide for reducing readmissions and a bilingual guide to aid patients and caregivers following discharge from the hospital.

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quality

The toolkit, released as part of National Immunization Awareness Month, includes sample news releases and articles, social media content, and media outreach tools.

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quality

This second segment of a no-cost, online training course focuses on outpatient antibiotic stewardship and communicating with patients; participants can receive up to eight hours of continuing education credit.

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webinar

Hear how experts at Carilion Clinic created a Quality Performance Indicator Database to standardize and disseminate data and reduce preventable harm.

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quality

The June 19 webinar features a patient perspective on environmental disinfection in dialysis stations, along with strategies for enacting best practices.

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quality

Amid a critical drug shortage, manufacturer Hospira released special handling instructions for lots of Carpuject Luer Lock Glass Syringe products that potentially could contain cracked needle hubs and particulate.

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quality

The funding will be awarded for research on patient safety improvements in perinatal, neonatal, and pediatric care in routine hospital and intensive care settings.

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quality

The agency outlines a five-step containment process and provides resources for health departments, labs, and health care providers.

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quality

The new rules allow surveyors to penalize a hospital for a deficiency if an individual fails to perform hand hygiene in the process of direct patient care.

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quality

This year's theme, We Are All Patients, encourages health care providers to stand with patients and stresses the importance of patient engagement in safe care.

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quality

Three lots of the injectable opioid medication Hydromorphone HCl, distributed by Hospira and Teva, were recalled due to broken and cracked glass vials.

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quality

Health care professionals who complete the four-part web training program are eligible to receive up to eight hours of continuing education credit.

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quality

Cracks in the defibrillator's gas discharge tube can allow gases to escape and the device to malfunction when used in automated external defibrillator mode.

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quality

Administrators must review and sign the updated agreement by April 14 to retain access to the National Healthcare Safety Network.

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policy

The agency expects to release comprehensive ligature risk interpretive guidance later this year for psychiatric units of acute-care hospitals and psychiatric hospitals.

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quality

The agency has found marked progress over a decade in eliminating five health care–associated infections (HAIs), and offers an update on the Department of Health and Human Services' five-year goals to reduce HAIs.

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quality

The Centers for Disease Control and Prevention will observe Antibiotics Awareness Week with a Twitter chat and webinar on Nov. 16.

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quality

These awards will support antibiotic resistance research with a focus on the human microbiome, environmental settings, and health care settings.

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quality

With 153 clinical C. auris cases reported in the United States, the Centers for Disease Control and Prevention issued updated infection control guidelines.

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quality

This video shares strategies to improve injection safety and reduce infection risks in narcotic diversion; participants must sign up for a free Medscape account to view the video.

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quality

The unexpired products by Bella Pharmaceuticals were distributed to health care facilities across the country from April 17 to Aug. 10; if not sterile, they could cause potentially life-threatening infections.

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quality

The voluntary recall has been expanded to include various dietary supplements, such as liquid vitamin D drops and liquid multivitamins marketed for infants and children.

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quality

Health professionals are encouraged to join social media campaigns, attend informational calls and webinars, and review a new fact sheet on Candida auris.

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quality

The funding will support state and local health departments in testing for drug-resistant fungi and promote the use of whole genome sequencing in testing.

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quality

The stool softeners could be contaminated with B. cepacia, a bacteria that could infect patients with compromised immune systems or chronic lung conditions.

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quality

The voluntary recall was issued after a customer reported particulate matter in a container of the product, which later was identified as stainless steel.

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quality

The report outlines programs implemented by hospitals and public health departments across the country to improve antibiotic prescribing practices as part of the agency's Antibiotic Resistance Solutions Initiative.

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quality

Fujifilm will contact all customers by October for replacement parts and loan customers duodenoscopes to use during the replacement period.

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quality

The project seeks to reduce harms caused by inappropriate antibiotic use; registration is open for a one-hour introductory webinar about the project.

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quality

Despite reductions in opioid prescribing, the amount of opioids prescribed in 2015 still was triple the amount prescribed in 1999.

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quality

Centers for Disease Control and Prevention data show incidence of Clostridium difficile in hospitals and nursing homes fell for the first time in decades.

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quality

The video is the third in a series by the Centers for Disease Control and Prevention about challenges to preventing health care-associated infections.

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quality

The list includes reusable medical devices with the greatest risk of transmitting an infection or performing poorly if not properly reprocessed.

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policy

The Vital Signs report notes ways to prevent the bacterial lung infection, which is fatal in 25 percent of people who contract it at a health care facility.

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quality

This year, 77 U.S. cases of Candida auris have been reported; the Centers for Disease Control and Prevention is assisting health agencies in affected areas.

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quality

Magellan Diagnostics' LeadCare Analyzers could produce inaccurate blood lead test results when used with venous blood samples.

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quality

The new guidance updates recommendations issued in 1999; recommendations are categorized based on the quality of available supporting evidence.

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policy

Hospitals have until May 5 to review overall Hospital Compare star rating and until May 10 to review value-based purchasing hospital-specific reports.

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quality

The Phillips HeartStart MRx Monitor/Defibrillator might not power up, charge, or deliver electrical shock therapy, and could unexpectedly stop pacing.

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quality

Electronic health record information management is the top patient safety concern of 2017, according to a report released by the ECRI Institute on March 13.

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policy

In addition to the merger, the organizations announced the release of a public health framework to guide patient safety efforts.

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quality

CDC recommends hospitals clean rooms of patients with Candida auris daily and post-discharge with a disinfectant that is effective against C. diff.

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quality

The course runs March 20–24 in Atlanta and includes expert content on different infection or event types, as well as antibiotic stewardship.

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quality

Crew resource management, which focuses on situations prone to negative outcomes by human error, helped the Columbus, Ohio, essential hospital improve performance and generate savings.

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quality

The annual event encourages relevant stakeholders and the general public to engage in antibiotic stewardship in outpatient and inpatient settings.

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policy

The proposed revisions would update requirements on patient safety and quality improvement, physician well-being, team-based care & resident work hours.

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quality

Hospitals will have the opportunity to discuss the potential contamination of heater-cooler devices used during cardiopulmonary bypass procedures.

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quality

The FDA says the recalled electrodes might not connect properly to certain AEDs, delaying electrical therapy and potentially resulting in serious patient harm.

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quality

Stӧckert 3T heater-cooler devices used during cardiopulmonary bypass procedures might have been contaminated with M. Chimaera in the manufacturing process.

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quality

An archived recording of an Oct. 11 hospital quality call with the Centers for Disease Control and Prevention and Food and Drug Administration is now available for members of America's Essential Hospitals.

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quality

The guidance outlines nine steps hospitals should take, focusing on identifying symptoms, educating patients, and reporting Zika cases to health agencies.

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quality

FDA said hospitals by now should have transitioned to alternative duodenoscope cleaning methods after a recall last year.

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quality

Funding will support work related to CDC Antibiotic Resistance Solutions Initiative, National Action Plan for Combating Antibiotic-Resistant Bacteria.

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quality

Agency will use measure to calculate the proportion of adult patients with active, concurrent prescriptions for opioids or for an opioid and benzodiazepine at discharge.

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quality

The funding was distributed as part of the Prevention Epicenters Program, which aims to develop and test new approaches to patient safety and infection prevention.

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quality

CDC has received multiple reports of Burkholderia cepacia (B. cepacia) infection clusters in pediatric intensive care units.

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quality

The HAC reports might have contained the incorrect hospital name in one table. CMS will distribute new reports to affected hospitals.

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quality

CDC's June Vital Signs finds that the number of U.S. residents with Legionnaires' disease and Pontiac fever increased 286 percent from 2000 to 2014.

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policy

The new provisions include updated sprinkler requirements and increased flexibility to allow for facility modernization. Hospitals and other health care facilities must comply with the regulations by July 3.

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quality

To prevent spread, agency recommends personal protective equipment (PPE) for labor and delivery personnel and delays in conception, sexual activity for those with symptoms.

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policy

The new recommendations are based on principles that promote alternative therapies and minimum effective opioid dosage. CDC also released fact sheets and other resources.

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quality

Guide gives providers best practices in fight against central line-associated bloodstream infection (CLABSI), one of the most deadly health care-associated infections annually in the United States.

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quality

The CDC has organized two events for Patient Safety Awareness Week, March 13-19, and is releasing new patient safety–focused materials on its website.

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quality

New instructions are validated by the FDA to ensure they meet proper guidelines to avoid transmission of antibiotic resistant bacteria.

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quality

New journal article notes challenges remain since IOM published report, but also points out progress, including reducing CLABSI rates nationwide.

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policy

The guidance, open for a 30-day public comment period, will give providers more clarity on the appropriate use of opioid prescriptions outside of cancer and palliative care; comments are due Jan. 13.

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quality

Hospitals must establish and implement policies and procedures for managing alarms starting Jan. 1, 2016.

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quality

Benefits of coated, intravascular devices outweigh risks, but hospitals and other providers should remain vigilant and report adverse events, agency says

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policy

Obama administration proposal would add drug utilization review and restriction program to Medicare to fight opioid overuse.

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quality

FDA cites violations of federal law that could result in an increased risk of infection transmission by company's equipment.

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quality

New report from ECRI Institute also lists failure to respond to clinical alarms, unsafe injection practices, and insufficient training among top hazards.

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policy

Report on National Strategy for Quality Improvement in Health Care details progress made toward better care, lower costs, and improved health.

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quality

Initiative seeks to strengthen healthcare-associated venous thromboembolism (VTE) prevention, raise awareness of successful strategies, and recognize investment in VTE prevention.

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policy

Tool gives physicians, nurses, and other health care professionals access to geographic comparisons of opioid prescribing habits and use.

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quality

Hospitals should assess units to ensure they are safe and properly maintained and not contaminated with non-tuberculosis mycobacterium. Patients who may have been exposed to NTM should monitor signs of potential infection for several years.

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quality

International Infection Prevention Week, Oct. 18-24, raises awareness of patient and family engagement, hand hygiene in infection prevention and patient safety

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quality

Agencies say anecdotal reports of intentional nonreporting of infection data have prompted them to emphasize the importance of accurate reporting through strict adherence to NHSN definitions.

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quality

CDC and FDA remove language from guidelines that requires health care facilities to verify that vendors involved in maintaining, cleaning, disinfecting, and sterilizing reusable medical devices are certified by the manufacturer.

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quality

The CDC and FDA issued a health advisory alerting providers and facilities to properly maintain, clean, disinfect, and sterilize reusable medical devices. Noncompliance creates a gap in patient safety.

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Essential Insights

We're making progress in the fight against sepsis - and essential hospitals are doing their part - but we still have much work left to do.

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webinar

Webinar on reducing sepsis through early detection, patient and family engagement, and evidence-based management

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webinar

Effort, spearheaded by Women & Infants Hospital of Rhode Island, virtually eliminated early term deliveries with patient, physician engagement

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quality

The CDC has added a tool to the NHSN that will rank hospital facilities and units by HAI rate so staff can see areas most in need of help.

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policy

Announcement follows recent "superbug" outbreaks at two Los Angeles hospitals that occurred without identified lapses of infection control

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Essential Insights

Growing evidence shows that engaging patients and their families in care produces safer patient care and better outcomes

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Essential Insights

Amid troubling reports, essential hospitals work diligently to improve patient safety and reduce medical errors - and succeed

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policy

Preliminary estimates show that hospital patients experienced 1.3 million fewer hospital-acquired conditions from 2010 to 2013.

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webinar

Members took an in-depth look at UHC's quality and accountability study to see how association members compare to nonmembers

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quality

Jacobi Medical Center implements multiple proven solutions and systemwide communication to reduce CAUTIs

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institute

Using a diligent campaign of education, communication, and process changes aimed at reducing hospital-acquired infections, Maricopa Integrated Health System improved patient safety, reduced the incidence of infection, and shortened patients’ length of stay.

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quality

Numerous essential hospitals were named to Hospitals & Health Networks magazine's list of 2014 most wired hospitals

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institute

Recent articles from Health Affairs, the Joint Commission Journal on Quality and Patient Safety, the Journal for Healthcare Quality, and The New England Journal of Medicine explore efforts to reduce readmissions and infection rates, improve patient safety, and more.

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institute

Journal articles from the March and April editions of the New England Journal of Medicine explore issues including the usefulness of surgical safety checklists, the importance of promoting financial stewardship, and the impact of Medicaid cost sharing.

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