Improving patient safety cultures in health care requires involvement and action at the local level by leaders committed to replacing a "tribal" mentality with a shared vision of a health care team, says Peter Pronovost, MD, PhD, director of the Armstrong Institute for Patient Safety and Quality at Johns Hopkins Medicine in Baltimore.
A common perception is that a lot of the toxic culture in health care is directed by physicians toward nurses. Surprisingly, nurses appear to observe a hierarchy within their own ranks that may be just as mean spirited, says Elaine Larson, PhD, RN, FAAN, CIC, associate dean for research at the Columbia School of Nursing in New York.
If not for several patients being hospitalized with highly unusual bacterial infections, a recently reported outbreak in a West Virginia outpatient oncology clinic may have gone undetected, an investigator with the Centers for Disease Control and Prevention reports.
The critical importance of antibiotic stewardship has been emphasized to save the dwindling efficacy of antibiotics, stave off a post-antibiotic era, and cut costs due to unnecessary drug use in the first few years of such programs.
The Centers for Disease Control and Prevention has updated guidelines for preventing surgical site infections, focusing on some difficult issues in an exhaustive and largely futile attempt to find conclusive data on various practices. As a result, "no recommendation" is a recurrent theme in the document, which was the work of the CDC’s Healthcare Infection Control Practices Advisory Committee (HICPAC).
A government-private partnership is breathing new life into the One & Only Campaign, as Indianapolis-based Eli Lilly and Co. is working with the Centers for Disease Control and Prevention to expand its injection safety program.