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APIC releases goals for “Targeting Zero” in 2009

The Association for Professionals in Infection Control and Epidemiology released their goals for 2009 concerning their Targeting Zero initiativetoday . The details can be found here, but they plan to release elimination guides for ventilator-associated pneumonia, catheter-associated bloodstream infections, MRSA in long-term care settings, and Acinetobacter baumannii.

You may recall APIC’s groundbreaking MRSA Prevalance study released in 2007 that was one of the first studies to show how rampant MRSA is in our hospitals and healthcare system. Since that time, multiple drug resistant organisms have been a focal point for both The Joint Commission (prevention of MDROs recently became part of National Patient Safety Goal # 7, and CMS added prevention of healthcare acquired infections to their no-pay conditions).

So, what are your facilities doing specifically to target the prevention of MRSA spread? Any creative programs?

Immediate Threat to Life issues

Hello, everyone. I just wanted to mention that two fantastic speakers (and frequent contributors to Briefings on The Joint Commission) will be discussing preliminary denial of accreditation and Immediate Threat to Life situations in a few weeks. Brad Keyes, CSHP, and Jennifer Cowel, RN, MSHA, will be providing real life examples and identifying key ways to avoid preliminary denial of accreditation.

If you click here, you’ll find an audio clip in which Brad talks about some of the highlights of the show. It’s an interesting little snippet of the overall presentation and I thought it might be of interest to you.

CMS posts listening session

Hello, everyone. Something of interest from the Centers for Medicare & Medicaid Services: CMS has posted the audiofile from its December 18th listening session, Hospital-Acquired Conditions and Hospital Outpatient Healthcare-Associated Conditions. The file is located on its Hospital-Acquired Conditions (HAC) & Present on Admission (POA) Indicator Reporting web site and can be downloaded here.

Pat Pejakovich and Connie Steed will be presenting an audioconference on HAIs on March 23rd that may be of interest to you. More details are available here.

Kentucky organizations work to fight MRSA

Hello, everyone. I just wanted to pass along a news brief published today in Accreditation Connection about a pair of initiatives in Kentucky, including a MRSA-prevention program. We’ll be talking with some of the folks involved in building the program in the upcoming issue of Briefings on The Joint Commission–it’s an interesting endeavor and I’ll post a preview of the article exclusive to the AHAP Blog very soon.

Two new initiatives with very different approaches have targeted hospital-associated infections in Kentucky, the Courier-Journal reports.

Currently, legislation before the Kentucky General Assembly calls for screening for infections, as well as better control of infections resistant to antibiotics. The bill (House Bill 67) also calls for public reporting of infection rates.

Meanwhile, a collaborative created by the Kentucky Hospital Association and other organizations, targets methicillin-resistant Staphylococcus aureus (MRSA). The collaborative has designed a toolkit with guidelines, sample policies, and other tools for MRSA prevention.

For more information, click here.



WHO study shows surgical checklists reduce error risk

As many of you may have seen by now, the New England Journal of Medicine published a study on January 14 showing that the use of the World Health Organization’s (WHO) surgical checklist reduce the risk of surgical error by 36% when used correctly. The AHAP blog had a posting on this topic a few weeks ago as part of the update from the IHI conference. Dr. Atul Gawande, the lead author on the study, presented on the topic and assured attendees that they would be astounded by the results when published.

Although the WHO’s checklist differs from what The Joint Commission requires as part of compliance with the Universal ProtocolTM, this  study shows that any way to incorporate clear, basic communication into patient safety will produce better patient outcomes.

Are your hospitals using this checklist? Has there been any talk of incorporating it into your OR practices?


To find out more about the WHO’s checklist, click here.

To read the article in the New England Journal of Medicine, click here.

The 3rd Annual AHAP Conference, taking place May 14-15, 2009 in Las Vegas, is featuring a session about the changes made to the 2009 National Patient Safety Goals, and part of that session will cover the updates to the 2009 Universal Protocol.


Something is… different around here

Yes, the AHAP Blog has received a makeover, and we’re really excited about the changes. Our new format is meant to be easier on the eyes, with lots of new options and features  we hope you enjoy. Here are just a few highlights:

  • It’s easier to share. Clicking on an individual post allows you to pass the entry along to  friends and colleagues through e-mail or by linking it to another site.
  • Get AHAP Blog notifications sent to your email. In the right-hand column, you’ll find the option to subscribe to the blog to give you an update of the latest news and discussions.
  • Know what the hot topics are. The “tag cloud” on the lower right will show you which topics are the most common topics being discussed.

If you have any questions about the new and improved AHAP Blog, or want to pass along any comments about our new set-up, please e-mail me.

Joint Commission appoints new member of the leadership team

Hello, Everyone. Just wanted to mention the latest Joint Commission news: The Joint Commission has announced Mark G. Pelletier, RN, MS, as the organization’s new executive director of Hospital Programs and Accreditation and Certification Services.

Pelletier brings more than 20 years of experience as a healthcare executive, most recently with Condell Medical Center, Libertyville, IL, where he was senior vice president and chief operating officer.

In his role with The Joint Commission, Pelletier will oversee the hospital and critical access hospital accreditation programs, as well as act as director for customer accounts for all accreditation programs, among other responsibilities.

To view the official Joint Commission press release, click here.

Restraints Q and A

Hello, everyone. I was just doing some research on restraint and seclusion issues for an upcoming story and thought that you might be interested in the information below. The following are from the Q and A period from our Interpretive Guidelines audio conference just a few months ago, with Susan Hendrickson, MHRD/OD, RN, CPHQ, FACHE, director of clinical quality and patient safety for the Via Christi Wichita (KS) Health Network.

If you’re interested, the full audio conference is actually available for download (along with other recent accreditation programs) here. Susan is also joining AHAP’s own chairperson, Jodi Eisenberg, for a more indepth look at restraints from both the Joint Commission and CMS angle in March.

Q: If a patient is in restraints and it looks like he can do without them, and I take them off, can I then put them back on, if after 30-40 minutes it looks like he is going to need them after all?

Susan Hendrickson (SH): No, you may not. That is called a trial release. And trial release constitutes an as-needed (PRN) situation. Once a staff members ends an order to restraint intervention that the staff member has no authority to reinstate, without a new order. Using that example, if the patient is released because the staff assess that he or she didn’t need to be in restraint and later the patient exhibits that behavior…They have to go back and get an order, then you are using PRN, which is absolutely prohibited by both the CMS and The Joint Commission.

Q: What if the patient is removed from the restraints before the time limit for the physician to come in and assess them? Does the physician still have to come in and assess them?

SH: No, you can go ahead and remove the restraints. The physician is going to have to come in and assess that, in order to give the order. That’s the one thing about the time limit. The time limit is maximum time and it’s not minimum time. Actually, you are better off if you are able to get the patient out of restraints before the time limit ends. So no, that’s fine to take the patient out of the restraints ahead of time. The physician is going to have to document and agree with you that that short period of time where the patient was in restraints that he or she also agrees that was okay with the patient.

Q: If a patient has been assessed for needing a chemical restraint and you cannot order a chemical restraint as PRN, does the nurse have to call every four hours if they feel they need it or would the doctor write an order for a chemical restraint?

SH: The nurse would have to call. That is correct. The doctor doesn’t have to come in. The order can be removed for up to 24 hours so the physician wouldn’t have to come back in each and every time the nurse would have to call.

Q: With regards to education requirements, does the CMS want to see specialized training for the people who would provide restraint education to staff across the facility?

SH: Yes, you’re going to have to show that the staff member who is providing the training is competent.

You can develop training within your own hospital that’s not specific but you are going to have to show that staff maybe have education. Maybe you sent them for some specialized education, maybe they have completed some kind of course, something like that. It is not prescriptive as to what you have to do. But you need to be able to delineate that in your policy as to what makes a person confident. It may be that you do a train-the-trainer kind of thing.



Top medical device errors

Hi blog readers,

Although this posting isn’t specifically accreditation-related, I thought you might find the ECRI’s list of top 10 medical device hazards of 2008. The list is as follows:

  • Alarm hazards
  • Needlesticks and other sharps injuries
  • Air embolism from contrast media injectors
  • Retained devices and fragments left in patients
  • Surgical fires
  • Anesthesia hazards related to poor equipment inspection prior to use
  • Misleading displays on equipment
  • High radiation levels associated with CT scan
  • MRI burns
  • Fiberoptic light-source burns, usually from endoscopes, retractors, and head lamps


This year’s list differed from last years in that five new hazards were added. The ECRI institute does not want hospital staff members to think that those hazards left off the list this year are no longer problems–instead the institute felt that they should highlight some new concerns this year. Last year’s list also included burns during electrosurgery, caster failures, infusion pump programming errors, misconnection of blood pressure monitors to IV lines, and radiation therapy errors.

Do you see these hazards occurring in your facilities? How have you tried to make sure they don’t occur?

To read the ECRI Institute’s full report, click here.

IHI’s 20th annual National Forum on Quality Improvement

Hi blog readers,

I wanted to update you about the Institute for Healthcare Improvement’s latest campaign, launched last week at the 20th annual National Forum on Quality Improvement:

IHI launches newest quality improvement campaign

Piggybacking on its predecessors, the “100,000 Lives” and “5 Million Lives” campaigns, the Institute for Healthcare Improvement’s (IHI) latest quality improvement effort, the “Improvement Map,” adds new initiatives for hospitals to take part in to improve patient care. Introduced at the 20th annual National Forum on Quality Improvement in Healthcare last week in Nashville, TN, the Improvement Map hopes to incorporate and move beyond some of the earlier interventions, which mostly focused on preventing unnecessary death within hospitals.

Don Berwick, MD, MPP, FRCP, president of the IHI, introduced the Improvement Map to forum attendees, highlighting three new interventions that have been immediately added to the existing 12 from previous campaigns. These are:

  • Implementing the World Health Organization’s surgical safety checklist to prevent surgical errors


  • Improving patient safety by linking financial strategies to quality improvement projects


  • Preventing catheter-associated urinary tract infections


Berwick challenged attendees to “the sprint,” by asking them to implement the surgical safety checklist in one operating room in every hospital in the country within the next 90 days to have an immediate effect on patient safety. Other interventions will be added in the coming months to the new campaign.

To find out more about this campaign, click here.

Speaking to that second bullet point, Ken Rohde’s session at the 3rd annual AHAP conference, taking place May 14-15 2009 in Las Vegas, will focus on leadership strategies for improving quality within hospitals. To find out more about the conference, click here.