Tag Archives: Patient safety

Edmond A. Hooker, MD, DrPH and Nancy Foster, VP, Quality and Patient Safety Policy, American Hospital Association Discuss the CMS 2019 Inpatient Prospective Payment System (IPPS) on ‘C.diff. Spores and More’ Radio on July 3rd

Listen in on Tuesday, July 3rd at 1:00 p.m. ET

C. diff. Spores and More Global Broadcasting Network©

www.cdiffradio.com

Hosted by the C Diff Foundation   brought to you by VoiceAmerica and sponsored by Clorox Healthcare

Our guests Edmond A. Hooker, MD, DrPH and Nancy Foster, Vice President, Quality and Patient Safety Policy, American Hospital Association will be discussing the Centers for Medicare and Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services,  CMS 2019 Inpatient Prospective Payment System (IPPS) proposed rule – which includes proposals to de-duplicate measures across the five hospital quality reporting programs.

This special live broadcast discussion will be about the CMS’ recent proposals for Healthcare-associated infection (HAI) measures and to provide facts that will bring forth a better understanding of the proposed rule.

Guest Information:

Eddie Hooker, MD, DrPH,  is currently an Assistant Professor in the Department of Health Services Administration at Xavier University in Cincinnati, Ohio. He is also an Associate Clinical Professor in the Department of Emergency Medicine at the University of Louisville and at Wright State University. His areas of expertise include emergency medicine, epidemiology, health-services management, and public health.

Dr. Hooker received his BS degree from Hampden-Sydney College in Virginia. He earned his MD degree from Eastern Virginia Medical School. He then completed his residency training in Emergency Medicine at the University of Louisville. As a full-time faculty member at the University of Louisville from 1991 until 1996, Dr. Hooker served as an Associate Professor and Director of Resident Research. He was very active in brain trauma and stroke research. Dr. Hooker most recently practiced emergency medicine at a private hospital in Cincinnati, Ohio, where he was active cardiac research.   Since 2005, Dr. Hooker has been teaching in the Department of Health Services Administration at Xavier University. In the spring of 2007, Dr. Hooker earned his Doctorate in Public Health from the University of Kentucky.

Dr. Hooker continues to be active in emergency medicine and public-health research. He has authored more than 20 publications in leading emergency-medicine journals, published many book chapters, and continues to have an active research agenda. Dr. Hooker serves as an editor for Emedicine, an online clinical knowledge base. He is the medical advisor for Indian Hill Schools.

……………..

Nancy Foster is the Vice President for Quality and Patient Safety Policy at the American Hospital Association. In this role, she provides advice to public policymakers on legislation and regulations intended to improve patient safety and quality in America’s hospitals. Foster is the AHA’s point person at the National Quality Forum, the Hospital Workgroup of the Measures Application Partnership, and is the liaison to the Joint Commission’s Board, and represents hospital perspectives at many national meetings.

Prior to joining the AHA, Foster was the Coordinator for Quality Activities at the Agency for Healthcare Research and Quality (AHRQ). In this role, she was the principal staff person for the Quality Interagency Coordination Task Force, which brought Federal agencies with health care responsibilities together to coordinate their work and engage in projects to improve quality and safety. She also led the development of patient safety research agenda for AHRQ and managed a portfolio of quality and safety research grants in excess of $10 million.

She is a graduate of Princeton University and has completed graduate work at Chapman University and Johns Hopkins University. In 2000, she was chosen as an Excellence in Government Leadership Fellow.

C. diff. Spores and More ™“ spotlights world renowned topic experts, research scientists, healthcare professionals, organization representatives, C. diff. survivors, board members, and their volunteers who are all creating positive changes in the
C. diff.
community and more.

Through their interviews, the C Diff Foundation mission will connect, educate, and empower listeners worldwide.

Take our show on the go…………..download a mobile app today

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  • This live broadcast will be archived in the ‘C.diff. Spores and More’ library and can be easily accessed at your leisure.   www.cdiffradio.com

California Hemet Valley Medical Center Adds UV Technology to Enhance Patient Safety

Hemet Valley Medical Center has implemented innovative ultraviolet technology with the addition of the Clorox Healthcare® Optimum-UV® System. The system helps remove harmful bacteria and pathogens that can jeopardize health, providing patients, visitors and staff with an additional layer of safety and protection.

Medical Mattresses; Healthcare-acquired Infections and How Hospital Bedding Is Involved

Our guests Dr. Edmond Hooker, MD with Bruce Rippe, CEO of Trinity Guardion and  J. Darrel Hicks, BA, Master REH, CHESP joined us on C. diff. Spores and More Global Broadcasting Network live broadcast –August 1st  to  discuss Healthcare – associated Infections (HAIs ) and how they lead to more than 720,000 illnesses and 75,000 deaths a year. In fact, more people die from HAIs each year than from automobile accidents. Furthermore, HAIs are a huge financial burden, adding $30 billion to annual healthcare costs. The American-made Trinity Patient Protection System gives hospitals the solution they need to reduce and eliminate HAIs.

Launderable, reusable, cost-effective and eco-friendly, the Trinity System’s fluid-proof covers fit around beds, pillows, stretchers and physical therapy tables. Unlike typical disinfectant agents designed for hard surfaces, the Trinity System keeps bacteria off the porous surface of the mattress, as well as, the bed deck. When laundered to CDC standards, the Trinity System removes 99.99% of bacteria and has been proven to reduce C. diff infection rates by about 50%.

 

www.trinityguardion.com

 

To learn more, from these leading topic-experts, about Medical Mattress Contamination and how bedding is involved in healthcare-associated infections.

Listen to the podcast available and part of the C.diff. Spores and More living library.

https://www.voiceamerica.com/episode/100501/healthcare-acquired-infections-and-how-hospital-bedding-is-involved

6th Graders Receive Up Close and Personal Education with a Light-Pulsing, Disinfecting Robot

Sharing and Educating

Opening eyes of the young with disinfecting

technology being utilized to combat “superbugs.”

 

The only robot in the Verdugo region that zaps away unwanted bacteria and viruses from hospital rooms arrived at USC-Verdugo Hills Hospital two weeks ago.

The Xenex robot emits a pulsating, bright white UV-C light — which is a short, wavelength, ultraviolet light that can save lives. Once surfaces are exposed to the robot’s rays, harmful bacteria and viruses die, greatly reducing the odds patients will be infected with hospital-acquired infections, including those caused by superbugs such as methicillin-resistant Staphylococcus aureus, known as MRSA.

USC-Verdugo Hills Hospital employees joined Xenex employees at Fremont Elementary School, where they showcased the $100,000 machine in teacher Mallory Kane’s sixth-grade classroom, the same place where Keith Hobbs, chief executive of Verdugo Hills Hospital, was a sixth-grader in 1979. “There’s no other place that I would rather be than to come back to my alma mater and share this R2D2, bug-zapping machine with you guys,” Hobbs said.

The Xenex robot pulses UV-C light 67 times per second, and hospital staff take precautions when they operate it because the light can harm their eyes.

“This is not any light bulb in your house,” said Mary Virgallito, director of patient safety for the hospital. “It’s actually filled with a gas called xenon.”

Virgallito said hospital employees manually clean rooms before they activate Xenex. It takes the robot about 15 minutes to clean a patient’s room, and 20 minutes to disinfect an operating room.Hobbs said mothers ask if they can borrow the robot to disinfect their own homes, and Kane suggested it would be helpful in the classroom. Over the past several weeks, many of her students missed school because they were sick.

Jeff Mamalakis, business development manager for Xenex, volunteered to disinfect Kane’s room when school let out. The space would be left with a scent as if lightning had just struck, Virgallito said.  The impromptu high-tech, germ-cleansing session was a dream come true for Kane.

“In sixth grade, the curriculum moves so quickly that even missing one day puts kids so far behind,” Kane said. “Having our classroom disinfected every day would be a dream come true. My kids would be here, everyone would be happy, no one would have to miss school.”

To Read the article in its entirety please click on the following link:

http://finance.yahoo.com/news/uhc-most-xenex-germ-zapping-144500378.html;_ylt=A0LEV18lQNBY2KgA6FZXNyoA;_ylu=X3oDMTEzMXBobHNmBGNvbG8DYmYxBHBvcwMxBHZ0aWQDVUkwMkM0XzEEc2VjA3Nj

C. diff. Spores and More (cdiffradio.com) Launches Season III

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Welcome to Season III of C. diff. Spores and More Global Broadcasting Network, and sponsored by Clorox Healthcare (www.cloroxhealthcare.com/cdiffradio)

Join us every Tuesday at 10:00 a.ml PT / 11:00 a.m. MT / 12:00 p.m. CT / 1:00 p.m. ET for our live broadcast.

Dr. Katherine Fleming-Dutra, MD is a medical epidemiologist with the Office of Antibiotic Stewardship in the Division of Healthcare Quality Promotion at the Centers for Disease Control and Prevention (CDC).  Dr. Fleming-Dutra is a Pediatrician and Pediatric Emergency Medicine physician and has focused on infectious diseases, epidemiology, and antibiotic stewardship in the outpatient setting in her career at the CDC.

Dr. Fleming-Dutra spent an hour with us discussing the Over Prescribing Of Antibiotics   —  and the Key to Fighting Antibiotic-Resistance — clinicians and patients.

https://www.voiceamerica.com/episode/96728/a-prescription-for-over-prescribing-the-key-to-fighting-antibiotic-resistance

The guidelines, programs, campaigns, tracking methods, and tools being provided by the CDC are outstanding and need to be shared and implemented by clinicians to continue reducing the rate by 50% by 2020 of all inappropriate selections and incorrect duration in antibiotic therapies.  Antibiotic Stewardship programs are available and should be in place across the healthcare industry.

Antibiotic Stewardship Guidelines

For Healthcare Providers and Professionals:  To learn more about the outstanding tools provided by the CDC  to aid in bringing about positive changes please click on the links provided below:

Here are links to the Core Elements:

https://www.cdc.gov/getsmart/community/improving-prescribing/core-elements/core-outpatient-stewardship.html

https://www.cdc.gov/getsmart/healthcare/implementation/core-elements.html

https://www.cdc.gov/longtermcare/prevention/antibiotic-stewardship.html

 AND

Links to Patient Safety Atlas

Antibiotic Resistance Patient Safety Atlas: Outpatient Antibiotic Prescriptions by State Data (2011-2014)

Antibiotic Resistance Patient Safety Atlas: Healthcare Facilities Reporting HAIs by State Data (2011-2014)

https://www.voiceamerica.com/episode/96728/a-prescription-for-over-prescribing-the-key-to-fighting-antibiotic-resistance

We know that the CDC’s most recent figure for C. difficile-associated deaths in the U.S. is considerably higher than that of any previous survey. According to the CDC*

  • Nearly 500,000 patients are diagnosed with a C. diff infection estimated per year in the U.S., with more than 29,000 deaths
  • Up to $4.8 billion in excess health care costs for acute care facilities
  • Prevention steps include antibiotic stewardship and improved infection control in hospitals, doctor’s offices, nursing homes and other healthcare facilities

C. diff. Spores and More ™“ spotlights world renowned topic experts, research scientists, healthcare professionals, organization representatives, C. diff. survivors, board members, and their volunteers who are all creating positive changes in the
C. diff.
community and worldwide.

Through interviews – each episode becomes part of the living library.  The podcasts are accessed continuously promoting education and advocating the C Diff Foundation’s mission that are connecting, educating, and empowering listeners worldwide.

Questions received through the show page portal will be reviewed and addressed  by the show’s Medical Correspondent, Dr. Fred Zar, MD, FACP,  Dr. Fred Zar is a Professor of Clinical Medicine, Vice HeZarPhotoWebsiteTop (2)ad for Education in the Department of Medicine, and Program Director of the Internal Medicine Residency at the University of Illinois at Chicago.  Over the last two decades he has been a pioneer in the study of the treatment of Clostridium difficile disease and the need to stratify patients by disease severity.

Take our program on the go…………..download a mobile app today

www.voiceamerica.com/company/mobileapps

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Infection Prevention – Patient Safety – Prior And During A Hospital Stay

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This is a patient – safety article and quite informative and beneficial for everyone.  The topics are highlighted on how to prevent infections prior and during a hospital stay.

 

The most pertinent information to review and share with others is as follows:

1. Check Up on Your Hospital
See how it compares with others on central line, C. diff, and MRSA infections, as well as other measures of patient safety. To compare hospitals in your area at preventing infections, use our hospital ratings.

2. Have a Friend or Family Member With You
That person can act as your advocate, ask questions, and keep notes. A Consumer Reports survey of 1,200 recently hospitalized people found that those who had a companion were 16 percent more likely to say that they had been treated respectfully by medical personnel. The most important times to have a companion for preventing infections and other medical errors are on nights, weekends, and holidays, when staff is reduced, and when shifts change.

3. Keep a Record
Keep a pad and pen nearby so that you can note what doctors and nurses say, which drugs you get, and questions you have. If you spot something worrisome, such as a drug you don’t recognize, take a note or snap a picture on your phone. You can also use your phone to record thoughts or conversations with staff. Though some may object, “explain that you are recording so you remember later,” McGiffert says.

4. Insist on Clean Hands
Ask everyone who enters your room whether they’ve washed their hands with soap and water. Alcohol-based hand sanitizer is not enough to destroy certain bacteria, such as the dangerous C. diff. Don’t hesitate to say: “I’m sorry, but I didn’t see you wash your hands. Would you mind doing it again?”

https://cdifffoundation.org/hand-washing-updates/

 

5. Keep It Clean
Bring bleach wipes for bed rails, doorknobs, the phone, and the TV remote, all of which can harbor bacteria. And if your room looks dirty, ask that it be cleaned.

6. Cover Wounds
Some hospitals examine incisions daily for infection, but opening the bandage exposes the area to bacteria. Newer techniques—sealing the surgical site with skin glue (instead of staples, which can harbor bacteria) and waterproof dressings that stay on for one to three weeks without opening—are effective at preventing infection.

7. Inquire Whether IVs and Catheters Are Needed
Ask every day whether central lines, urinary catheters, or other tubes can be removed. The longer they’re left in place, the greater the infection risk.

8. Ask About Antibiotics
For many surgeries, you should get an antibiotic 60 minutes before the operation. But research suggests that the type of antibiotic used or the timing of when it’s administered is wrong in up to half of cases.

Listen to one of the educational Podcasts:  Using antibiotics wisely, How to help in the fight against antibiotic resistance  with Guests Dr. Arjun Srinivassan, MD and Dr. Lauri Hicks, DO

https://www.voiceamerica.com/episode/93656/encore-using-antibiotics-wisely-how-you-can-help-in-the-fight-against-antibiotic-resistance

9. Postpone Surgery If You Have an Infection
That increases your risk of developing a new infection and worsening an existing one. So if you have any other type of infection—say, an abscessed tooth—then the surgery should be postponed, if possible, until it’s completely resolved.

10. Say No to Razors
Removing hair from the surgical site is often necessary, but doing that with a regular razor can cause nicks that provide an opening for bacteria. The nurse should use an electric trimmer instead.

11. Question the Need for Heartburn Drugs
Some patients enter the hospital taking heartburn drugs such as Nexium, lansoprazole (Prevacid) or omeprazole (Prilosec) or are prescribed one after they’re admitted. But these drugs, called proton-pump inhibitors, increase the risk of intestinal infections and pneumonia, so consider stopping them before admission and, once there, ask whether you really need one.

12. Test for MRSA
Ask your surgeon to screen you for MRSA, a potentially deadly bacteria that’s resistant to antibiotics, either before you enter or on admission, so that you can address the problem and hospital staff can take extra steps to protect you and others.

13. Watch for Diarrhea
Get tested for C. diff. infection  if you have three loose stools within 24 hours. If you test positive, expect extra precautions for preventing infections from spreading to others.

14. Quit Smoking, Even Temporarily
You won’t be allowed to smoke in the hospital anyway, and stopping as long as possible beforehand cuts the risk of infection. Read our advice on how to stop smoking.

15. Wash Up the Night Before Surgery
Ask about taking precautions before entering the hospital, such as bathing with special soap or using antiseptic wipes.

To read the article in its entirety click on the following link to be redirected:

Hand Washing aka Hand Hygiene While On a Journey

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“Spring Break” is upon us and it’s the perfect time for a road-trip!

 

Traveling is one of the most important times to pay close attention to “infection prevention.”

Being prepared can help.

During a recent journey along the east coast, in the USA, a few of the Foundation members had the opportunity to visit an array of public restrooms along the way.

As we are aware, public restrooms can be a challenge and a real eye-opening experience. Many of the facilities fell short in monitoring their supplies along with the monitoring of over-all cleanliness of their restroom.

During the road trip, along various interstates, back roads, and local towns, we began to assess the establishment’s public facilities based on the following criteria:

* Cleanliness.

* Supplies offered.

* Electronic hand drying devices vs traditional supplies.

* Cleaning/Room monitoring log.

As the journey continued the restroom grading system became the topic of conversation discussing the vast ways establishments can maintain a safe, clean, and friendly environment for their visitors.  There were also discussions on how a traveler can be prepared by carrying supplies to ensure their own safety when utilizing public facilities.

The following is a list of a few supplies easily kept in a small bag during travel times:

* A small container of liquid soap (preferably one without the anti-bacterial ingredients).

* A few paper towels dampened with bleach or pack a EPA Registered cleaning product to clean the commode and high-touch areas.  It is good safety practice to store the paper towels in a sealed plastic container.  Other cleaning (Germicidal/Disinfectant) product wipes should remain in their original container or sealed separately in a plastic container.   Never mix two cleaning wipes/products together or store in the same container.

* Sheets of T.P. or a small roll.

* Sheets of dry paper towels to turn off water faucets and dry hands.

*  Attempt to open the restroom door with an elbow or use a dry paper towel to pull the door handle open in order to keep hands clean and not re-introduce germs onto the hands.

Was there a favorite rest stop/establishment along the way?  Yes.

McDonalds restrooms were found to be acceptable and met the needs of the travelers. Their establishments focus on cleanliness, offered an adequate supply of soap with automated towel dispenser or hand dryers, and facility monitoring logs in place. Their organization also displayed signs over the sinks promoting hand hygiene, a public safety announcement for both staff, and visitors.

The public restrooms at rest-stops along I-95 were impressive with their focus on cleanliness, adequately filled soap containers, and hand dryers available in each restroom with the elimination of a main door to enter/exit the facility.  Once the hands are washed/dried the reintroduction to harmful germs upon exiting the public area from a door handle is eliminated.

There were a number of unacceptable facilities located in local discount stores, some food stores, food chain eateries, and quick-mart stations.  Their sinks were not automated with motion sensors and many with two handles, empty paper towel dispensers and automatic hand drying equipment unavailable. Many restrooms were without cleaning monitoring logs promoting safety and cleanliness to the staff (food handlers), and visitors alike.

We appreciate the availability and use of public restrooms during  long commutes, when on vacations, and time away from home.  Most establishments offer adequate supplies to eliminate, and  prevent the spread of harmful germs, however;  it is always best to be prepared.  The next time a journey is planned, do not forget to pack the supplies needed for a public restroom visit that will keep you and your family safe.

The journey and hand-washing experiences become part of the adventure.  Take the opportunity to report negative experiences to the management and help change a negative into a positive for the next person visiting.

Remember to take that twenty second hand-washing break before exiting a restroom, before/after eating, before/after entering a patient’s room, after changing diapers, before/after handling food, and during the day.   Let’s stop giving germs a free ride.

Here’s to everyone’s good health!

Below you will find links available for Public Restroom locators offered by Charmin, one app for an iPhone, and an app for an Android Phone. 

http://www.charmin.com/find-public-restrooms.aspx?utm_source=msn&utm_medium=cpc&utm_campaign=Charmin_Search_Desktop_Lifestyle_SoS+App&utm_term=restroom%20app&utm_content=SvExifYv_restroom%20app_p_2095916800&sctp=ppc&scvn=bing&scsrc=bing_search&sckw=na

* App For iPhone

https://itunes.apple.com/us/app/restroom-bathroom-toilet-finder/id311896604?mt=8

* App For Android

https://play.google.com/store/apps/details?id=com.bto.toilet