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Implementing a system to ensure the surgical team uses the most effective practices resulted in significant improvements in operating room (OR) performance, suggests research being presented at the American Society of Anesthesiologists' (ASA) Practice Management 2014 meeting.
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After a patient developed a bacterial infection following arthroscopic knee surgery and sued, a California surgery center was found guilty of negligence and ordered to pay more than half a million dollars to the patient. Three other patients became infected with bacteria, but the center couldn't track which instruments were used on which patients.
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An upper endoscopy procedure performed on some half million patients annually in the United States might pose risk for transmission of the emerging New Delhi variety of carbapenem-resistant Enterobacteriaceae (CRE), even if current cleaning and high level disinfection protocols are followed.
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Tampa General Hospital has created a fund that case managers can use to pay for post-discharge services for unfunded patients when there is no other option.
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A predictable, yet perhaps unwanted, change went into effect on Oct. 1, 2013.
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By making personalized recorded discharge information and educational videos available to patients by telephone or computer, Cullman (AL) Regional Hospital has reduced 30-day readmissions by 15% and increased scores on the discharge section of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) by 63%
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Florida Hospital East Orlando has developed a transitional care program for uninsured patients to coordinate their healthcare needs as they move from the hospital to home.
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Case managers and social workers have to look for creative solutions as hospitals struggle with finding a safe discharge for uninsured, undocumented, and homeless patients.
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As a Level 1 trauma center, Lutheran Medical Center treats a lot of patients who come in unconscious, appear to be homeless, or are confused as to their identify.
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As part of its efforts to facilitate post-acute care for unfunded patients who no longer meet inpatient criteria, Sentara Healthcare has developed an Indigent Care Agreement for Post Acute Services that sets out four levels of bundled payments to the health system's seven skilled nursing facilities when patients who can't pay are transferred.