CDC: 30% of Outpatient Antibiotics Are Prescribed Inappropriately
A study published in the Journal of the American Medical Association (JAMA) found that approximately 30% of antibiotic prescriptions written in the outpatient setting were inappropriate. Researchers found that several common conditions contributed to the majority of inappropriate antibiotic prescribing. Forty-four percent of outpatient antibiotic prescriptions were written to treat acute respiratory conditions, sinus infections, … Continued
Opioids: What Do Healthcare Professionals Want and Need to Know?
By Patricia McGaffigan, RN, MS; Caitlin Y. Lorincz, MS, MA; and Tejal K. Gandhi, MD, MPH, CPPS
The availability of, and access to effective and safe treatments for pain remain serious problems in the United States (Institute of Medicine, 2011). Opioid medications are important for addressing short-term and chronic pain management. Given the benefits that they provide, usage of opioids has become widespread over the past decade. However, opioid medications also carry substantial risk, and their increased usage has introduced a host of unintended consequences across the care continuum. Given this, opioids have significant implications for patient safety. The National Patient Safety Foundation (NPSF) conducted a convenience flash poll survey to obtain a snapshot of opioid-related patient safety concerns, learning needs, and familiarity with existing seminal publications among healthcare professionals.
ISMP: Key Medication Errors in the Surgical Environment
Medication errors in the perioperative area received widespread media attention with the publication of an article in the journal Anesthesiology (Nanji, Patel, Shaikh, Seger, and Bates, 2016). The perioperative area is one of the most medication-intensive locations in a hospital, often with more medications, particularly high-alert medications, administered per patient than other patient care units. Yet, this area of the hospital often operates with fewer medication safety strategies in place than most other patient care units. For example, the anesthesia provider often selects, prepares, labels, and administers medications without the benefit of electronic clinical decision support, pharmacy review of medication orders prior to administration, barcode scanning of products prior to administration, and other secondary checks by other healthcare providers (Nanji et al., 2016; Brown, 2014). This lack of normal checks and balances, along with the use of multiple medications, time-sensitive tasks, complex and stressful working conditions, distractions, and fatigue all contribute to making the perioperative area particularly error-prone when medications are administered.
Challenge Issued to Promote Precision Medicine for the Underserved
To support President Obama’s Precision Medicine Initiative, the National Health IT Collaborative for the Underserved (NHIT Collaborative) offers a challenge to advance health equity through the development of digital health tools. Proposals are invited for tools that: Address the precision medicine needs of people in underserved and medically underserved communities Facilitate participation of people from … Continued
Opioids: What Do Healthcare Professionals Want and Need to Know?
The availability of, and access to effective and safe treatments for pain remain serious problems in the United States (Institute of Medicine, 2011). Opioid medications are important for addressing short-term and chronic pain management. Given the benefits that they provide, usage of opioids has become widespread over the past decade. However, opioid medications also carry substantial risk, and their increased usage has introduced a host of unintended consequences across the care continuum. Given this, opioids have significant implications for patient safety. The National Patient Safety Foundation (NPSF) conducted a convenience flash poll survey to obtain a snapshot of opioid-related patient safety concerns, learning needs, and familiarity with existing seminal publications among healthcare professionals.
The Safety Culture Issue
The following is a guest article by Dan Scungio, MT (ASCP), SLS, a Laboratory Safety Officer for Sentara Healthcare, a multi-hospital system in the Tidewater region of Virginia. Editor’s Note: This piece originally appeared on HCPro’s OSHA Healthcare Advisor. On which side of the aisle do you stand on the subject of change? Things change … Continued
New York Moves to Electronic-Only Prescriptions
Next week, New York will become the first state to require all prescriptions be written electronically. Physicians who fail to comply will be penalized with fines and/or imprisonment. This is the second part of a 2012 state law, I-Stop, which was designed to help fight prescription opioid abuse. The first part of I-Stop went into … Continued
Hospitals are beginning to rethink opioid prescribing practices
For the last several years, there has been a startling mortality trend emerging in the United States: Each year, middle-aged white Americans are dying at a faster clip than any of their counterparts in different age groups, ethnicities, or countries. It’s a trend that was startling, in part, because researchers couldn’t explain why it was … Continued
Prescriber Training in Medication Management Improves Outcomes, Enhances CMS Quality Metrics
By Gregory A. Hood, MD, MACP; and Lori Dickerson, PharmD, FCCP
Medication management learning-based training helped Quality Independent Physicians (QIP), an accountable care organization (ACO) composed of primary care practices throughout Kentucky and Indiana, decrease hospitalizations across all disease states by 26%. QIP saw a similar drop in admissions for high-risk disease states and a significant reduction in hospital readmissions. The organization’s medication management learning program proved effective in boosting these and other important Centers for Medicare and Medicaid Services (CMS) quality scores, while helping successfully manage key, at-risk patient populations.
With today’s emphasis on healthcare quality, efficiency, and cost-effectiveness, we’re always looking for ways to improve. We needed a focused effort to leverage medications to their maximal benefits, while avoiding difficult and potentially devastating mistakes. Well-researched and timely medication recommendations, a commitment to creating and communicating standardized clinical practice guidelines, and an inclusive atmosphere that encouraged organization-wide clinician buy-in were essential to the program’s results.
From Medicine to the Cloud: Technology in Healthcare
“Technology in healthcare” is a wide-ranging topic. It incorporates tiny bar-coded labels on medication and room-filling MRI machines and robotic surgery suites. Whether your facility is 10 years or 100 years old, its suites and treatment centers have been subjected to a variety of technical changes on a yearly basis. In older hospitals, keeping the … Continued