Category Archives: nursing

Patient Safety Through Nurse Workplace Transformation: New RWJF Policy Brief Examines Progress Since 2004 IOM Study

Princeton, NJ — A decade ago, a report from the Institute of Medicine (IOM) offered the startling conclusion that, “the typical work environment of nurses is characterized by many serious threats to patient safety.” The IOM offered a series of specific recommendations about how hospitals and other institutions needed to change to reduce the number of health care errors—recommendations that together constituted a fundamental transformation of nurses’ work environment. Ten years later, a new issue brief from the Robert Wood Johnson Foundation (RWJF) examines progress toward those goals. The IOM report, Keeping Patients Safe: Transforming the Work Environment of Nurses, found [...]

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Friday Rant: The S.A.D. Truth –“The Standard American Diet”

Thomas Finn - August 9, 2013 8:32 AM | Categories: General News and Commentary, nursing

First, regardless of how clever the acronym SAD may be in this usage, Americans should not have to take the rap for humankinds’ propensity to eat what tastes good. While I suppose it’s reasonable for us to take credit for the docudrama, it’s just plain egocentric to think that we’re responsible for poor eating habits. Isn’t it fair to say that we all love red meat, processed meats, fast foods, dairy products, hard drinks and soft drinks? OK, not all of us eat or drink those things in grotesque quantities, and I’m surely not taking a cheap shot at vegetarians, but [...]

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Berwick Delivers his “How to Fix the NHS Report” to Cameron

National Health Service (NHS) Health Secretary Jeremy Hunt and Prime Minister David Cameron have been conspicuously busy attempting to “fix” problems with the NHS. On the heels of the Mid-Staffordshire debacle where as many as 1200 patients may have died from various forms of neglect, Hunt has instituted new policies designed to create “openness and transparency” while Cameron has been pushing the same theme, promoting investigative laywer Robert Francis’s belief that NHS employees should have a “duty of candor.”  Nicely put. One of  Hunt’s first moves was to eliminate the “gag clauses” that were typical of NHS severance agreements. “The [...]

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Patient Satisfaction Scores and Hospital Quality — Study Finds No Meaningful Correlation

Thomas Finn - April 18, 2013 9:03 AM | Categories: doctors, government policy, Healthcare Providers, nursing

I ran across an interesting perspective presented in an article that recently appeared in The Kaiser Health News. Essentially, the story revealed a growing sentiment in healthcare that challenges notions of patient satisfaction survey results, pointing out that patients don’t necessarily know a good thing when they see it. Put another way, the study revealed that there is no statically significant relationship between established measures/ratings for quality care rand patient satisfaction. “At present, little evidence supports the ability of patient satisfaction survey results to predict the quality of surgical care,” Heather Lyu, Dr. Martin Makary and the other researchers wrote [...]

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Nurse Advocacy Helps Improve Patient Outcomes, Cuts Readmissions — Humanizes Standardization Efforts

Thomas Finn - April 3, 2013 7:46 AM | Categories: doctors, Healthcare Providers, nursing

I don’t know if it’s a coincidence, but after doing a post last week suggesting that certain aspects of patient care –like more engaged communications with patients– might benefit from “a little recalibration,” I received a press announcement from the American Sentinel University. American Sentinel “delivers the competitive advantages of accredited online nursing degree programs in nursing, informatics, MBA Health Care, DNP Executive Leadership and DNP Educational Leadership.” But the point of its announcement centered on the unique role(s) that nurses play as patient advocates and how, through their empowerment, better outcomes and lower patient re-admission rates are the result. [...]

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AHRQ Study Reveals Low Hanging Fruit

The Agency for Healthcare Research and Quality (AHRQ) recently published a new report that identifies the most promising practices for improving patient safety in U.S. hospitals. Following up on a similar report published all the way back in 2001, this report includes analyses of a growing body of patient safety research to determine the level of evidence regarding the outcomes, as well as implementation, adoption, and the context in which safety strategies have been used. After analyzing 41 patient safety practices, a panel of experts identified 22 practical strategies. Here are the top 5: Preoperative and anesthesia checklists to help [...]

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Great New Lists: “Five Things Physicians & Patients Should Question”

Healthcare Matters says thanks to the American Board of Internal Medicine: U.S. specialty societies representing more than 500,000 physicians developed lists of Five Things Physicians and Patients Should Question in recognition of the importance of physician and patient conversations to improve care and eliminate unnecessary tests and procedures. These lists represent specific, evidence-based recommendations physicians and patients should discuss to help make wise decisions about the most appropriate care based on their individual situation. Each list provides information on when tests and procedures may be appropriate, as well as the methodology used in its creation. In collaboration with the societies, [...]

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Cloud Computing Putting Nursing Informatics Specialization in High Demand

We know that cloud computing has the potential to revolutionize health care administration by allowing providers to access information from a patient’s medical file at anytime from anywhere and that should mean that patients will receive better and more efficient quality care. “Everything in health care today is so dependent on computers and cloud computing is the repository for all of these transactions,” says Suzanne Richins, DHA, MBA, FACHE, RN, chair, health information management and health care administration at American Sentinel University.  “Cloud computing benefits nurses at point of care because no matter where the patient has a diagnostic test, [...]

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