A nurse stealing morphine by replacing it with saline in a medication vial might not have realized she was colonized with Serratia marcescens, a gram negative bacteria that would soon find its way into the bloodstreams of a cluster of patients administered the contaminated solution. The insult of denied pain treatment was followed by the injury of infection, which proved fatal in one patient. That scenario is under investigation at a Wisconsin hospital, the latest in a series of outbreaks linked to drug-diverting healthcare workers. (See second story that follows.)
There is an increasing focus on safe use of needles and vials, which was the subject of a Sentinel Event Alert from The Joint Commission last year, says Vicki Allen, MSN, RN, CIC, infection prevention coordinator at Beaufort (SC) Memorial Hospital.1
A former nurse at the University of Wisconsin (UW) Hospital and Clinics in Madison, who allegedly diverted pain medication for personal use, might be linked to a cluster of infections among patients in the units where she worked, UW officials say.
An outpatient surgery facility gives a research organization a patient’s protected health information (PHI) for recruitment, but it didn’t have the patient’s authorization or a signed waiver of authorization approved by the Institutional Review Board or privacy board.
ERCP (endoscopic retrograde cholangiopancreatography), an upper endoscopy procedure performed on some half a million U.S. patients annually, poses a risk of transmission of practically untreatable carbapenem-resistant Enterobacteriaceae (CRE).
The Centers for Medicare and Medicaid Services (CMS) has provided information on operating room (OR) relative humidity (RH) for ambulatory surgery centers (ASCs) and supplemental information for hospitals and critical access hospitals (CAHs) using the categorical waiver of Life Safety Code (LSC) Anesthetizing Location RH Requirements.
The Measure Applications Partnership has issued a draft recommendation supporting two additional measures in the Ambulatory Surgery Center Quality Reporting Program. The Partnership guides the Centers for Medicare & Medicaid Services (CMS) on performance measures.