Surveillance Monitoring: Current Challenges and Solutions

Failing to recognize early signs that a patient is deteriorating and respond with effective treatment—“failure to rescue”—has long been a challenge for hospitals, particularly among low-risk patients in low-acuity care delivery areas. Failure to rescue often affects postsurgical patients on opioids, though it is not limited to this narrow patient population. To reduce its occurrence, hospitals have primarily adopted rapid response teams.

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Digital Documentation: More or Less?

Remember the blue book? Starting as early as junior high school, teachers would hand out that pale blue 8” x 8” booklet, giving each student 50 minutes to handwrite everything they knew about a particular subject. Urban legend suggested teachers issued grades based on the number of pages filled rather than the contents of the illegible scribble. Because handwriting did not allow for cutting and pasting, there was no verbatim insertion of multiple Wikipedia pages to “enhance” a test-taker’s spontaneous brilliance. The essay length was determined by the knowledge of the student and the quickness of the pen.

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Vendor Error Leads to Breach

Medicare Compliance Watch CHI Franciscan Health Highline Medical Center (Highline) in Burien, Washington, is notifying more than 18,000 patients of a data breach affecting protected health information (PHI) stored with a vendor, Highline said in a statement. On July 22, R-C Healthcare Management, a vendor that performed services for Highline prior to 2014, informed the … Continued

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Health IT and Diagnostic Safety: Promise and Peril

By Susan Carr   When it comes to information technology (IT), clinicians and hospitals might advise, “Be careful what you wish for.” Embraced as the answer to many of healthcare’s safety problems, technology provides useful tools that may improve but in no way guarantee safety. In fact, health IT can introduce as well as prevent or … Continued

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MACRA Targets Meaningful in Meaningful Use

By Barry P. Chaiken, MD, MPH  The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) opened the way for the U.S. Department of Health and Human Services (DHHS) to streamline the quality improvement and healthcare information technology programs it built over the past several years. Since the passage of the 2009 HITECH Act, the quality … Continued

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