A U.S. Department of Veterans Affairs Medical Center in Colorado paused heart surgeries for 13 months, and its leaders failed to inform higher-ups. The Department of Veterans Affairs, Office of Inspector General found that the VA medical center in Aurora, Colorado, paused cardiac surgeries for over a year in 2022-2023. The leadership cultivated a "culture of fear" at the hospital, leading to the departure of critical nursing staff. The pauses in heart surgeries were not directly linked to patient harm, but the toxic work environment jeopardized patient safety. The facility was forced to pause heart surgeries again two months later after continued efforts to attract permanent personnel failed. During the second pause, the hospital's entire cardiac surgical staff left. The hospital was able to resume procedures only 13 months later after it contracted with the University of Colorado to provide surgical teams. This incident highlights the importance of effective leadership, staff retention, and transparent communication within healthcare organizations. It underscores the need for a positive work culture that prioritizes patient safety and well-being. #VAhealthcare #PatientSafety #LeadershipFailure #CultureofFear #StaffRetention #HealthcareManagement
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🚨 NEW ARTICLE 🚨 Better ways to protect interventional teams have not kept pace with the rise in #cathlab scatter radiation. "Doctors, nurses, technicians, and other cath lab staff have been increasingly exposed to scatter radiation, but many still use the same outdated heavy-lead apparel they always have. Thankfully, this is beginning to improve as the medical device industry responds to the growing call for more and better caregiver protection." #LightenTheLoad Prof. AVISHAG LAISH-FARKASH, MD, heads the electrophysiology unit at Samson Assuta Ashdod Public Hospital in #Israel and conducted the first #Radiaction system bench test in a live clinical environment. She found Radiaction to reduce overall radiation in the room and reduce exposure to the treating physician's head, neck, and face. #BlockRadiationAtTheSource #NowYouAreProtected Read more in Med Journal 360™ >> https://loom.ly/sMLvWtM #cardiology #medicaldevices #medtech #physicians #nurses #radiographer #technologists #healthcare #hospitals #radiationsafety
When Improved Patient Care Comes at a Cost for Hospital Staff: The Double-Edged Sword of X-ray Advancements in the Cath Lab - Med Journal 360
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Clinical nurse specialists (CNSs) are uniquely qualified to change processes to provide safer and more effective patient care while often saving costs. 🏥 The setting: A large urban academic medical center in Baltimore, Maryland. ❗️ The problem: An increased need for intensive care unit (ICU) beds to care for more complex patients led the identification of patients that traditionally went to the ICU could be placed outside of the ICU. 💡 The solution: Pamela Moss, Symone Everett Day, DNP, ACCNS-AG, CCRN, and their surgery CNS team implemented a patient classification process and developed training for nurses to perform neurological assessments. An algorithm by the vascular surgery team categorized patients as high, medium, or low risk. High-risk patients were admitted directly to the ICU, while low and medium-risk patients went to a post-anesthesia care unit, then a progressive care unit (PCU) for the rest of their stay. 👍 Why it worked: The surgery CNSs were trained to assess workflows, collaborate with experts on improvements, develop training programs, oversee execution, and gather data for evaluation. They created online training, a checklist, and a neurological exam script to help nurses conduct assessments and complete documentation, along with an automated post-surgery patient education plan. 📈 Outcomes: The intervention significantly reduced ICU bed utilization, from 79% to 31%, saving 68.5 ICU days. There were no increases in adverse events after implementation. PCU nurse competency in neurological assessments improved, with more bedside CNS consultations. System-wide, the intervention did not increase overall hospital stays, reduced costs, improved ICU bed availability, and helped the hospital maintain its Comprehensive Stroke Center accreditation. Find out more about how CNSs are making a difference in healthcare in our infographic ➡️ https://brnw.ch/21wMpXw #CNS #ClinicalNurseSpecialists #CNSweek #CaringForHealthCare
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The book that shouldn’t have been written For over 25 years, my colleagues and I have been developing and implementing an intervention “smoothing daily elective admissions”. The results have exceeded our wildest expectations. This intervention has been proven to be a prerequisite to reducing · ED overcrowding https://lnkd.in/gHNpmhtX, · Nursing shortage, https://lnkd.in/d2MmSYt and https://lnkd.in/eB7Aw4xA, · Mortality https://lnkd.in/dENymtQP, · Inequity https://lnkd.in/e-ku2MMh, while improving hospital and outpatient clinic margins by millions for every organization that implemented it, e.g., https://lnkd.in/euCpsY4K All these years, I was constantly being told that I am trying to swim against the current and wasting my time because surgeons wouldn’t ever agree to the surgical smoothing intervention https://lnkd.in/dENymtQP... and hospital C-suite would not agree either until the surgeons agree. This happens not to be true as surgeons and their patients are among the main beneficiaries of this intervention, and the smartest among them have realized this and initiated this intervention at their hospitals. More recently, this intervention has been linked to the survivability of the ACA and election cycles: · https://lnkd.in/ekBp5vX6 · https://lnkd.in/gjgBHSmi This intervention and much more has been summarized in the new book by Mark Taylor that just became available on Amazon: https://lnkd.in/eEKyYJjX. It is based on dozens of interviews with physicians, nurses, surgeons, patient advocates, hospital and outpatient clinic CEOs, policy experts, healthcare IT leaders, etc. from the US, Canada, and the UK, covers almost all of my LinkedIn post placed during last 3-4 years. There’s an audio excerpt here: https://lnkd.in/eazuFxd7. Full disclosure, I am not receiving any proceeds from this book. My and my colleagues’ only goal is to implement this intervention nationwide (and hopefully internationally), thereby saving many lives and millions of dollars. As you can see in the book, the intervention is a PREREQUISITE to reducing mortality, readmissions, ED overcrowding, nurse shortages, while improving hospital bottom line REGARDLESS TO WHATEVER THEY ARE DOING ALREADY. Sooner or later, with or without help from my colleagues and me, this will be implemented as there is no alternative. Later, however, means thousands lost lives and billions of dollars wasted. If I would've listened to those who recommended me to give up, this book would not have been written. I am glad I was and continue to be “stubborn” and I am lucky continuing to meet many hospital leaders who put patient-centeredness and success of their hospitals first. Please, also be “stubborn” and read the Epilogue to this book that describes what each of us can and should do to save lives and our healthcare delivery. #hhs #cms #hrsa #nhs #ministryofhealth #aca #patientaccess #patientsafety #media #healthcarejournalism #healthcarecosts #healthcareequity
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Medical Surgical Nursing MCQ Question 22:- Question Link- https://lnkd.in/gc_7DwB7 The cranial nerve which regulates heart rate is (a) VII (b) VIII (c) IX (d) X
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Shawna Alfano, MSN, RN aptly stated in a Beckers ASC Review article : "Without anesthesia, it really does not matter whether a center can run successfully from a financial standpoint, as you are not running anything without the proper medical staff to perform the cases." Ensure sure your #hospital or #ASC has the proper anesthesia staff. #Inductience, P.C. and help. https://lnkd.in/eXMfKeSR
How the anesthesiologist shortage impeded care in 2023: 5 notes
beckersasc.com
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FREE WEBINAR BEFORE IT’S MANDATORY: UNDERSTANDING OAS CAHPS Monday, 9/30 @ 11:00AM PT Presented by: Kristi Burgess DNP, RN Director of Business Development, JL Morgan & Associates, Inc. The CMS ASC Quality Reporting (ASCQR) measure, ASC-15 Consumer Assessment of Healthcare Providers and Systems Outpatient and Ambulatory Surgery Survey (OAS CAHPS), collects information about patients’ experiences of care in ambulatory surgery centers (ASCs). This currently voluntary measure will become mandatory in 2025 for all ASCs with noncompliant facilities subjected to a 2% reduction in their annual Medicare payment update. This session will provide the information you need to know regarding CMS-approved survey vendors, survey purpose and details, ASC implementation guidelines, and public reporting. https://lnkd.in/gkh7Pn4
Huddle Webinar Registration 2024
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The craziest fall I'm aware of involved a patient on an IABP (Intra-Aortic Balloon Pump). Quick lesson: IABP is a device that controls blood flow from the heart. It deflates when the heart pumps blood out and inflates when the heart rests between beats. Placement of the device is achieved after a catheter is inserted into the femoral artery (in the upper thigh) and threaded up to the aorta in the chest. While I was tending to my patient having an active heart attack, a loud thud was heard down the hallway. This patient belonged to another nurse not too far off of orientation. Somehow the patient had managed to fall out of bed. Now as a legal nurse that is one chart I wish I could go back to. Since I wasn’t directly involved there’s a lot of questions it’s left me with. Did the balloon rupture or migrate? Was the IABP machine turned off? Was a chest xray obtained to confirm the correct placement of the IABP after the fall? Was the patient in a standard hospital bed or an appropriately sized bariatric bed? How many of the side rails were up? How high was the bed in the air? Was the bed alarm activated? How many other patients did that nurse have? Was the patient confused? Did the nurse receive proper training for IABPs? Etc etc etc Unfortunately, the patient died within 24 hours. Since I was off the next day, I was never able to get a clear answer on what exactly happened. It’s my direct and indirect experiences like this as an ICU nurse that have taught me the questions I now use to search through medical records. Anyone can technically "read" a medical record. But you don’t know, what you don’t know. It's way more than reading a stack of papers. Not to mention, to thoroughly review it takes a skill involving meticulous attention to details that may otherwise be missed. I’ve lived in medical records since I was in 11th grade. That was 15 years ago. As a legal nurse, I can now comb through a chart and quickly identify missing information and pertinent data to cases. __________________________________________________________________________________ Working on a case and want someone to sift through the medical records for you? Let's chat. Message me or book an appointment
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Medical Surgical Nursing MCQ Question 12:- Question Link- https://lnkd.in/gzdR2HHV Number of spinal nerves is (a) 28 pairs (b) 30 pairs (c) 31 pairs (d) 33 pairs
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Orthopaedic surgeries suffer the longest waiting lists of any medical speciality. Unfortunately, it’s just one strand of the NHS hit hard by a total of over 7 million incomplete patient pathways. We’ve delved into this year’s statistics, and from reviews from NHS England and the #GIRFT initiative, to examine the cause for this uptick and how urgent patient assessments and treatment can be better streamlined for the future. 👉 https://lnkd.in/exgZY-TY #healthtech #patientpathways
The need for improved pathways: an evaluation of 2024’s NHS waiting list statistics
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This story mentions how RNAO's #DigiHealth #BPG is redefining nursing practice, professional growth & evidence-based learning in a digital setting. Learn how Humber River Health #BPSO is implementing virtual reality to enhance safety & efficiency: https://lnkd.in/g6FXnNEf
Humber River Health Elevates Orthopedic Surgical Care with PrecisionOS Team Training
northernnews.ca
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