最新(美国)数据显示:美国医院比以前更安全,医源性疾病数量在下降(英文)。

来源: 恶俗老狼 2014-12-03 17:00:12 [] [博客] [旧帖] [给我悄悄话] 本文已被阅读: 次 (8397 bytes)

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Good Morning Dr. . Here are today's top stories. Wednesday, December 3, 2014

HHS: US hospitals are making fewer medical errors.

The Washington Post (12/3, Millman) reports that efforts to make hospital care safer “have resulted in an estimated 50,000 fewer patients dying because of avoidable errors in the past three years,” according to a new report from the Department of Health and Human Services. US hospitals reported 1.3 million fewer hospital-acquired conditions from 2010 to 2013, representing a 17 percent drop. The reduction “of these avoidable incidents — such as falls, pressure ulcers, adverse drug events and more — meant $12 billion in savings to the health-care system between 2011 and 2013, according to HHS.”

        USA Today (12/3) reports that the reasons for the drop in avoidable errors “are not fully understood, but they occurred at a time of ‘concerted attention by hospitals throughout the country,’ the report says.” Those efforts were prompted in part by safety initiatives and payment incentives under the Affordable Care Act, officials say. In a statement, HHS Secretary Sylvia M. Burwell said, “Today’s results are welcome news for patients and their families,” adding, “These data represent significant progress in improving the quality of care that patients receive while spending our health care dollars more wisely.”

        The Wall Street Journal (12/3, Subscription Publication) reports that HHS officials said they believe the improvement in hospital safety to be unprecedented, though data from before 2010 was collected differently and isn’t comparable.

        The Los Angeles Times (12/3, Levey) reports that a public-private partnership to reduce hospital errors, called the Partnership for Patients, “has come under sharp criticism from several leading quality improvement advocates, who have questioned how the administration is gathering data and evaluating the impact of the multibillion-dollar initiative.” According to the Times, the 17-percent drop in hospital-acquired infections and other avoidable errors is still “far short of the administration’s goal of reducing these conditions by 40% over three years.”

        The Washington Times (12/3, Howell) reports that the study released Tuesday by the Agency for Healthcare Research and Quality said the drop in errors had resulted in 35,000 fewer deaths in 2013 alone. “Just think for a moment about what saving even one life means to a family, a congregation, a community,” Burwell said at the Centers for Medicare and Medicaid Services’ Quality Conference in Baltimore. Burwell added that the 17-percent reduction in errors “represents historic progress on health care quality.”

        The AP (12/3, Johnson) reports that Medicare and private insurers “have started reducing or withholding payments when hospitals make mistakes,” and the report mentions those financial penalties as factors that likely contributed to the improvement. In May, “the administration reported the Medicare readmission rate for hospitals has been slowly dropping, from 19 percent in 2011 to 17.5 percent two years later.”

        The Hill (12/3, Ferris) reports that the prevalence “of adverse drug events, bloodstream infections, pressure ulcers and ventilator-associated pneumonia each declined by 25 percent” since 2010, the report found.

        Also covering the story are Reuters (12/3), CNBC (12/3), Congressional Quarterly (12/3, Subscription Publication), the Baltimore Sun (12/2), Forbes (12/2), Baltimore Business Journal (12/3, Gantz, Subscription Publication), Modern Healthcare (12/2, Subscription Publication), TIME (12/3), US News & World Report (12/2) and Vox (12/3).

所有跟帖: 

真是好消息! -志在千里- 给 志在千里 发送悄悄话 (0 bytes) () 12/03/2014 postreply 17:02:52

想不通的是美国医务人员的工作服都带回家洗,还有穿着工作服在外就餐,不怕交叉感染?中国医院都有洗衣房。 -爱吃甜食- 给 爱吃甜食 发送悄悄话 (6 bytes) () 12/03/2014 postreply 17:27:06

洗制服好像是个经费问题啊。 -志在千里- 给 志在千里 发送悄悄话 (0 bytes) () 12/03/2014 postreply 17:31:41

医院没有洗衣部门.病人的床单/毯子(全棉的)等都是送到外面去洗和烘的.所以员工的制服不可能送出去洗,分不清. -闽姑- 给 闽姑 发送悄悄话 闽姑 的博客首页 (51 bytes) () 12/03/2014 postreply 17:37:03

像肝炎这些传染科呢?工作服怎么洗?外面套一个一次性的? -爱吃甜食- 给 爱吃甜食 发送悄悄话 (6 bytes) () 12/03/2014 postreply 17:41:34

一次性! -志在千里- 给 志在千里 发送悄悄话 (0 bytes) () 12/03/2014 postreply 17:47:54

嗯,一次性的contact isolation gowns: -闽姑- 给 闽姑 发送悄悄话 闽姑 的博客首页 (219 bytes) () 12/03/2014 postreply 18:09:48

那我院至少保留了洗衣部门,好像也是送到外面去洗和烘的。 -志在千里- 给 志在千里 发送悄悄话 (224 bytes) () 12/03/2014 postreply 17:47:01

是的.一条棉毯或病号服 $0.50, 小毛巾和枕套分别为$0.10/each和$0.20/each.我们叫收集部.分类打个大包, -闽姑- 给 闽姑 发送悄悄话 闽姑 的博客首页 (141 bytes) () 12/03/2014 postreply 18:02:39

我曾经是某省医院等级审查医疗组组长,对这方面有点了解。在国内这中现象肯定不能达标!!!太不规范了! -薛成- 给 薛成 发送悄悄话 薛成 的博客首页 (6 bytes) () 12/03/2014 postreply 18:32:45

我一直对此不解。医院的工作服不是身份的标志,是隔离服!!!!太不规范了! -薛成- 给 薛成 发送悄悄话 薛成 的博客首页 (0 bytes) () 12/03/2014 postreply 17:57:07

当年在国内做医院等级资格审查时,看到这种现象(穿工作服进入公共场所)直接开除资格。 -薛成- 给 薛成 发送悄悄话 薛成 的博客首页 (6 bytes) () 12/03/2014 postreply 18:02:31

在急诊室,门诊接待的病人有没有传染病都不知道,衣服带回家洗多可怕啊。估计医生家要有两套洗衣机。 -爱吃甜食- 给 爱吃甜食 发送悄悄话 (0 bytes) () 12/03/2014 postreply 18:09:16

分开洗,高温烘干就行.我还愿意自己洗,省得跟病人的或同事的服装一起洗. -闽姑- 给 闽姑 发送悄悄话 闽姑 的博客首页 (0 bytes) () 12/03/2014 postreply 18:12:27

不可思议!不过,我记得当年在美国医院做手术时,吃饭去食堂还是把隔离衣挂在食堂外。穿进食堂,我肯定接受不了 -薛成- 给 薛成 发送悄悄话 薛成 的博客首页 (0 bytes) () 12/03/2014 postreply 18:12:30

此间穿着医用工作服上歺馆,进商店。。。者众,如入无人之境。然后,医师高唱 -大江川- 给 大江川 发送悄悄话 大江川 的博客首页 (69 bytes) () 12/03/2014 postreply 19:10:24

这时候什么科学统计都忘到脑后了。没见有人提出疑议。 -薛成- 给 薛成 发送悄悄话 薛成 的博客首页 (6 bytes) () 12/03/2014 postreply 19:14:34

有草药重金属观念,关心毫针消毒问题,不解单次毒量与致病的关系,最后连无菌观念都消踪了,哈哈。 -大江川- 给 大江川 发送悄悄话 大江川 的博客首页 (0 bytes) () 12/03/2014 postreply 20:34:29

我们科室还算有钱?所以到现在为止,我还没洗过制服 -志在千里- 给 志在千里 发送悄悄话 (0 bytes) () 12/03/2014 postreply 19:15:35

从大局看,这不是钱的问题,是预防耐药菌株扩散的大问题。 -薛成- 给 薛成 发送悄悄话 薛成 的博客首页 (0 bytes) () 12/03/2014 postreply 19:19:20

很同意!不过美国医院CEO不是医生,是生意人,懂这些吗? -志在千里- 给 志在千里 发送悄悄话 (0 bytes) () 12/03/2014 postreply 20:20:59

这个问题要tingfang MM解释。怎么进行质量监控? -薛成- 给 薛成 发送悄悄话 薛成 的博客首页 (6 bytes) () 12/03/2014 postreply 18:10:10

我觉得那衣服就是一身份标志,大家都穿着满街走,去学校接小孩也不换。 -viewfinder- 给 viewfinder 发送悄悄话 viewfinder 的博客首页 (0 bytes) () 12/03/2014 postreply 18:57:13

这在国内是绝对不允许的。控制耐药菌扩散,就是从一点一滴小事做起。 -薛成- 给 薛成 发送悄悄话 薛成 的博客首页 (6 bytes) () 12/03/2014 postreply 19:02:25

医生护士天天接触病人衣服上的菌落数是最高的特别是护士,白大褂就是保护医生护士少受侵害,但这样高菌落的衣服却到处穿和带回家洗都是 -爱吃甜食- 给 爱吃甜食 发送悄悄话 (12 bytes) () 12/04/2014 postreply 16:57:38

制服而已,与隔离病人接触时,外面还要套上黄色隔离衣。所以他们不认为脏,医生查房也很少有穿白大褂的。 -betadine- 给 betadine 发送悄悄话 (0 bytes) () 12/03/2014 postreply 20:30:59

在急诊室,门诊接待的病人有没有传染病都不知道,衣服带回家洗多可怕啊。估计医生家要有两套洗衣机。 - 爱吃甜食 - ♀ 给 爱吃 -薛成- 给 薛成 发送悄悄话 薛成 的博客首页 (0 bytes) () 12/04/2014 postreply 04:59:04

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