patient safety quality healthcare

ABMRS Administers First Exam for MR Safety Certification

On Wednesday, June 24, 2015, the American Board of Magnetic Resonance Safety (ABMRS) administered the first examination to certify individuals with the credentials MR Medical Director/Physician (MRMD) and MR Safety Officer (MRSO). More than 100 radiologists, technologists, and medical physicists took the exam for either the MRMD or MRSO. Only licensed physicians may sit for the MRMD exam. The ABMRS will also offer an MR Safety Expert (MRSE) credential, for which the inaugural exam will be administered on October 21, 2015, in Orlando, Florida. Exams for the MRMD and MRSO credentials will also be offered at that time.

The MRMD and MRSO examinations cover distinct aspects of the same MR safety knowledge domains (e.g., static magnetic fields, gradient magnetic fields, radio frequency energies, contrast agents, bioeffects, etc.). The exams focus directly on the candidates’ knowledge of the underlying MR safety concepts as well as their ability to apply that knowledge to real-world clinical and research situations.

The ABMRS was formed in 2014 to certify healthcare professionals who oversee safety in all magnetic resonance environments. For more information visit the ABMRS website.

See also “New MR Safety Certification Focuses on Radiologists, Technologists, and Physicists.”

Brain and Spine Surgery No More Risky When Physicians-In-Training Participate, Study Finds

Having residents—physicians in training—participate in surgery does not in itself increase a patient’s risk of postoperative complications or of dying within 30 days of the surgery, according to a recent study of more than 16,000 brain and spine surgeries. A report on the study appears in the April issue of the Journal of Neurosurgery.

“Patients often ask whether a resident is going to be involved in their case, and they’re usually not looking to have more residents involved,” says Mohamad Bydon, MD, himself a resident in neurosurgery at The Johns Hopkins Hospital. “Some people have a fear of being treated in a hospital that trains doctors.”

To see whether that fear is borne out by real-world outcomes, Bydon worked with Judy Huang, MD, a professor of neurosurgery and director of the neurosurgery residency program at the Johns Hopkins University School of Medicine, and other collaborators to analyze data from the American College of Surgeons National Surgical Quality Improvement Program database. Specifically, they examined outcomes for all patients who had brain and spine surgeries between 2006 and 2012—16,098 in total.

The initial analysis appeared to affirm the fear, showing that patients operated on by a fully trained physician—known as an attending—plus a resident had a complication rate of 20.12 percent, while patients with only an attending had a complication rate of 11.7 percent. The patients operated on by attendings plus residents also had a slightly higher risk of death within 30 days after the surgery.

But, the research team suspected, that might not be a difference caused by the participation of the residents. Residents are most often found in teaching hospitals associated with academic medical centers, and such hospitals are also the most likely to treat higher risk, more complicated cases. So the team did a deeper analysis of the data, one that took into account patients’ conditions and severity of illness prior to surgery. That analysis showed that having a resident present in the surgery was not an independent risk factor for postsurgical complications or death.

The authors say the study’s results may help physicians reassure nervous patients about the prospect of having a trainee assist with a surgery.

Shulkin Confirmed as Under Secretary of Health for US Department of Veterans Affairs

The U.S. Senate has confirmed David J. Shulkin, MD, as the Under Secretary of Health for Veterans Affairs. As the chief executive of the Veterans Health Administration (VHA), Shulkin will lead the nation’s largest integrated healthcare system with more than 1,700 sites of care, serving 8.76 million veterans each year. VHA is also the nation’s largest provider of graduate medical education and a major contributor of medical research. Shulkin will oversee the 300,000 people who work at the VHA.

Shulkin was nominated by President Obama on March 19, 2015, to serve as under secretary and confirmed by the U.S. Senate on June 23, 2015. The vote to confirm Shulkin comes as Congress has shown concern over issues at the VA over the past year related to access and quality of care.

Shulkin, 55, of Pennsylvania, will replace interim Under Secretary Carolyn Clancy, MD, who took over shortly after Dr. Robert Petzel resigned in 2014.

At his Senate confirmation hearing, Shulkin pledged to improve the largest healthcare organization in the U.S. by using his private sector experience to help guide the VA beyond patient access problems that led to waiting lists and falsified records in Phoenix and elsewhere around the country. Dr. Shulkin told senators at his hearing on May 5, 2015, that “VA needs change” and that the time had come to create a “new VA” with “superior access and the highest standards for quality of care.”

Shulkin said that taking care of veterans is a personal mission. His father served as a captain in the Army and his grandfather was chief pharmacist at the Madison Wisconsin Veterans Medical Center. Both Shulkin and his wife, Dr. Merle Bari, worked in a number of VA facilities during their medical training.

Prior to becoming under secretary, Shulkin led a number of healthcare organizations. He most recently served as president of Morristown Medical Center and vice president of Atlantic Health System in Morristown, New Jersey, where he led the hospital during a period of significant growth and transformation. Prior to that, Shulkin was president and CEO of Beth Israel Medical Center in New York City. Shulkin has also served as the chief medical officer of the University of Pennsylvania Health System, Temple University Hospital, and the Medical College of Pennsylvania Hospital.

Shulkin’s expertise includes management in healthcare organizations and integrated delivery systems, medical education, health services research, and health technology. He has been an entrepreneur, author, researcher, and academic leader in the areas of health administration, quality, and patient safety. Dr. Shulkin founded DoctorQuality, Inc., one of the first companies in the country to help consumers choose better quality healthcare.

Shulkin, a general internist, is a graduate of Drexel University School of Medicine and did his medical training at Yale University and the University of Pittsburgh. Shulkin was a Robert Wood Johnson Foundation Clinical Scholar at the University of Pennsylvania. Most recently he has been Professor of Medicine at Mt. Sinai School of Medicine.

New Sentinel Event Alert Examines Safe Use of Health Information Technology

Safe use of health information technology (health IT) is the focus of a new Sentinel Event Alert recently released by The Joint Commission.

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Dr. Gary Kaplan Named Chair of NPSF Lucian Leape Institute

The National Patient Safety Foundation’s Lucian Leape Institute has named Gary S. Kaplan, MD, FACP, FACMPE, FACPE, the next chairman of the Institute.

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Better Communication Key to Lowering Healthcare Costs, Improving Patient Experience: ASQ Survey

Strengthening communication between caregivers and patients should be a top priority for reducing healthcare costs and improving patient experience, according to a new poll of U.S. healthcare quality improvement professionals conducted by ASQ.

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New Guidance on Contact Precautions for Hospital Visitors

Leading infectious diseases experts have released new guidance for healthcare facilities looking to establish precautions for visitors of patients with infectious diseases.

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Alarm Hazards Top ECRI’s Annual List of Top Patient Safety Concerns

Patient safety is a top priority for every healthcare organization, but knowing where to direct initiatives can be daunting. To help organizations decide where to focus their efforts, ECRI Institute has compiled its second annual list of the Top 10 Patient Safety Concerns for Healthcare Organizations.

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ANA Panel Aims to Prevent Violence, Bullying in Healthcare Facilities

The American Nurses Association (ANA) has convened a panel of experts to make recommendations on preventing and reducing workplace violence, bullying, and incivility, behaviors identified by research as particular problems in healthcare settings.

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Obama Administration Releases National Action Plan for Combating Antibiotic-Resistant Bacteria

Despite antibiotics’ powerful ability to save millions of lives each year, drug resistant bacteria are a growing problem, making the treatment and prevention of diseases more difficult.

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Inspire Releases Experts by Experience 2015

Inspire has published "Experts by Experience 2015: A compilation of patients’ stories," a special report developed in cooperation with Stanford Medicine.

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ABQAURP American Society for Quality American Society for Quality Healthcare Division Consumers Advancing Patient Safety
EMPSF Institute for Safe Medical Practices
Medically Induced Trauma Support Services (MITSS) Medication Safety Officers Society NPSF Partnership for Patient Safety Society to Improve Diagnosis in Medicine