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Obstetrics Offers Many Opportunities for Quality Improvement

Maternal and fetal morbidity are ongoing concerns, and hospitals are using an array of evidence-based strategies to improve quality of care, from simple process changes to high-tech virtual reality simulations of obstetric emergencies.

Hospital Standardizes Debriefing After Critical Events

The maternal and fetal medicine team at Sharp Grossmont Women’s Health Center, affiliated with Sharp Grossmont Hospital in La Mesa, CA, improved quality of care recently by implementing a standardized debriefing process for critical events.

Site Infections Reduced for Post-op Cesarean Section Patients

Infection levels in mothers after cesarean sections were reduced at a California hospital with a remarkably simple fix: providing the right size bandage so too-large ones didn’t have to be cut by hand.

Patients Threatened by Gaps in Care When They Change Settings

Patient safety and quality of care are threatened when patients move from one setting to another, but there are strategies that can address those gaps in care.

Meaningful Recognition Reduces Burnout and Improves Satisfaction

Compassion fatigue threatens patient safety and quality of care, but it can be addressed with meaningful recognition of the contributions of nursing staff, according to a recent report.

Administrator Says CMS Working to Reduce Quality Requirements

CMS Administrator Seema Verma said recently that the agency is working to reduce the regulatory burden on hospitals.

Study Finds ACA Penalties Linked to Higher Mortality

Affordable Care Act financial penalties intended to discourage repeat hospitalizations are associated with higher mortality rates for patients with heart failure, according to a recent study.

Thyroidectomy Measures Could Be Good Hospital Metrics

Data from a retrospective cohort study indicated that hospital performance is related to postoperative hypocalcemia and recurrent laryngeal nerve (RLN) injury, a correlation close enough to suggest that the measure could be used to assess overall hospital quality.

Choose Your Value-based Model Wisely, AHA Report Says

A report from the American Hospital Association concluded that although quality and outcomes are gaining prominence in determining revenue for healthcare organizations, determining how to apply them in new reimbursement models is not always clear.

Most Clinicians Admit to Sharing EMR Passwords

A majority of medical staff surveyed recently said they have accessed an electronic medical record (EMR) system using a password improperly supplied by a fellow medical staffer, and explained that strict confidentiality rules can make it difficult to get the data needed to do their jobs properly.

Hospital Peer Review – January 1, 2018

January 1, 2018