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Hospital Peer Review – December 1, 2020

December 1, 2020

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  • Improve Clinical Decision Support to Alleviate Frustration

    Clinical decision support (CDS) is meant to improve care quality by providing helpful alerts and advice to the electronic health record user. However, too often the result is an annoying proliferation of pop-ups that only frustrate clinicians. When the CDS system interrupts too much with alerts that are not useful, the result can be counterproductive. Clinicians routinely dismiss alerts. In the process, they may ignore those alerts that are useful, say researchers and hospital leaders.

  • Tips for Integrating Medication into Clinical Decision Support

    An expert explains how hospitals can use clinical decision support to improve care while alleviating clinician frustration.

  • Hospital Sharply Reduces CDS Alerts to Address Clinician Concerns

    Indiana University Health realized its clinical decision support system was overwhelming clinicians with alerts. Read on to learn how leaders acted to improve the process.

  • Hospital Reduces High Cesarean Delivery Rate to Below Average

    The American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine both recognize cesarean deliveries can save lives, but they advise vaginal deliveries for most pregnancies because the risk is lower than that of cesarean deliveries. The cesarean delivery rate is considered a key indicator of quality and patient safety. Leapfrog reported the average cesarean rate nationwide in 2018 was 26.1%, although the organization set a target of 23.9%.

  • Improved ICU Physician Staffing Leads to Better Safety Grade

    When Doylestown Hospital in Pennsylvania received a C on the Spring 2016 Leapfrog Hospital Safety Grade, leaders launched a campaign to improve patient safety. A central tactic was adapting its staffing model to meet Leapfrog’s ICU Physician Staffing criteria.

  • COVID-19 May Be Affecting Nursing Discipline, But No Data Yet

    There is some concern about whether the healthcare industry’s response to COVID-19 will affect the way it addresses concerns about nursing performance, similar to recent concerns about an apparent drop in physician discipline since the pandemic began. So far, data related to nursing discipline are not showing any decline.