最新(美國)數據顯示:美國醫院比以前更安全,醫源性疾病數量在下降(英文)。

以下是收到的電子郵件:




 

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! -誌在千裏- 給 誌在千裏 發送悄悄話 (0 bytes) () 12/03/2014 postreply 17:02:52

想不通的是美國醫務人員的工作服都帶回家洗,還有穿著工作服在外就餐,不怕交叉感染?中國醫院都有洗衣房。 -愛吃甜食- 給 愛吃甜食 發送悄悄話 (6 bytes) () 12/03/2014 postreply 17:27:06

洗製服好像是個經費問題啊。 -誌在千裏- 給 誌在千裏 發送悄悄話 (0 bytes) () 12/03/2014 postreply 17:31:41

醫院沒有洗衣部門.病人的床單/毯子(全棉的)等都是送到外麵去洗和烘的.所以員工的製服不可能送出去洗,分不清. -閩姑- 給 閩姑 發送悄悄話 閩姑 的博客首頁 (51 bytes) () 12/03/2014 postreply 17:37:03

像肝炎這些傳染科呢?工作服怎麽洗?外麵套一個一次性的? -愛吃甜食- 給 愛吃甜食 發送悄悄話 (6 bytes) () 12/03/2014 postreply 17:41:34

一次性! -誌在千裏- 給 誌在千裏 發送悄悄話 (0 bytes) () 12/03/2014 postreply 17:47:54

嗯,一次性的contact isolation gowns: -閩姑- 給 閩姑 發送悄悄話 閩姑 的博客首頁 (219 bytes) () 12/03/2014 postreply 18:09:48

那我院至少保留了洗衣部門,好像也是送到外麵去洗和烘的。 -誌在千裏- 給 誌在千裏 發送悄悄話 (224 bytes) () 12/03/2014 postreply 17:47:01

是的.一條棉毯或病號服 $0.50, 小毛巾和枕套分別為$0.10/each和$0.20/each.我們叫收集部.分類打個大包, -閩姑- 給 閩姑 發送悄悄話 閩姑 的博客首頁 (141 bytes) () 12/03/2014 postreply 18:02:39

我曾經是某省醫院等級審查醫療組組長,對這方麵有點了解。在國內這中現象肯定不能達標!!!太不規範了! -薛成- 給 薛成 發送悄悄話 薛成 的博客首頁 (6 bytes) () 12/03/2014 postreply 18:32:45

我一直對此不解。醫院的工作服不是身份的標誌,是隔離服!!!!太不規範了! -薛成- 給 薛成 發送悄悄話 薛成 的博客首頁 (0 bytes) () 12/03/2014 postreply 17:57:07

當年在國內做醫院等級資格審查時,看到這種現象(穿工作服進入公共場所)直接開除資格。 -薛成- 給 薛成 發送悄悄話 薛成 的博客首頁 (6 bytes) () 12/03/2014 postreply 18:02:31

在急診室,門診接待的病人有沒有傳染病都不知道,衣服帶回家洗多可怕啊。估計醫生家要有兩套洗衣機。 -愛吃甜食- 給 愛吃甜食 發送悄悄話 (0 bytes) () 12/03/2014 postreply 18:09:16

分開洗,高溫烘幹就行.我還願意自己洗,省得跟病人的或同事的服裝一起洗. -閩姑- 給 閩姑 發送悄悄話 閩姑 的博客首頁 (0 bytes) () 12/03/2014 postreply 18:12:27

不可思議!不過,我記得當年在美國醫院做手術時,吃飯去食堂還是把隔離衣掛在食堂外。穿進食堂,我肯定接受不了 -薛成- 給 薛成 發送悄悄話 薛成 的博客首頁 (0 bytes) () 12/03/2014 postreply 18:12:30

此間穿著醫用工作服上歺館,進商店。。。者眾,如入無人之境。然後,醫師高唱 -大江川- 給 大江川 發送悄悄話 大江川 的博客首頁 (69 bytes) () 12/03/2014 postreply 19:10:24

這時候什麽科學統計都忘到腦後了。沒見有人提出疑議。 -薛成- 給 薛成 發送悄悄話 薛成 的博客首頁 (6 bytes) () 12/03/2014 postreply 19:14:34

有草藥重金屬觀念,關心毫針消毒問題,不解單次毒量與致病的關係,最後連無菌觀念都消蹤了,哈哈。 -大江川- 給 大江川 發送悄悄話 大江川 的博客首頁 (0 bytes) () 12/03/2014 postreply 20:34:29

我們科室還算有錢?所以到現在為止,我還沒洗過製服 -誌在千裏- 給 誌在千裏 發送悄悄話 (0 bytes) () 12/03/2014 postreply 19:15:35

從大局看,這不是錢的問題,是預防耐藥菌株擴散的大問題。 -薛成- 給 薛成 發送悄悄話 薛成 的博客首頁 (0 bytes) () 12/03/2014 postreply 19:19:20

很同意!不過美國醫院CEO不是醫生,是生意人,懂這些嗎? -誌在千裏- 給 誌在千裏 發送悄悄話 (0 bytes) () 12/03/2014 postreply 20:20:59

這個問題要tingfang MM解釋。怎麽進行質量監控? -薛成- 給 薛成 發送悄悄話 薛成 的博客首頁 (6 bytes) () 12/03/2014 postreply 18:10:10

我覺得那衣服就是一身份標誌,大家都穿著滿街走,去學校接小孩也不換。 -viewfinder- 給 viewfinder 發送悄悄話 viewfinder 的博客首頁 (0 bytes) () 12/03/2014 postreply 18:57:13

這在國內是絕對不允許的。控製耐藥菌擴散,就是從一點一滴小事做起。 -薛成- 給 薛成 發送悄悄話 薛成 的博客首頁 (6 bytes) () 12/03/2014 postreply 19:02:25

醫生護士天天接觸病人衣服上的菌落數是最高的特別是護士,白大褂就是保護醫生護士少受侵害,但這樣高菌落的衣服卻到處穿和帶回家洗都是 -愛吃甜食- 給 愛吃甜食 發送悄悄話 (12 bytes) () 12/04/2014 postreply 16:57:38

製服而已,與隔離病人接觸時,外麵還要套上黃色隔離衣。所以他們不認為髒,醫生查房也很少有穿白大褂的。 -betadine- 給 betadine 發送悄悄話 (0 bytes) () 12/03/2014 postreply 20:30:59

在急診室,門診接待的病人有沒有傳染病都不知道,衣服帶回家洗多可怕啊。估計醫生家要有兩套洗衣機。 - 愛吃甜食 - ♀ 給 愛吃 -薛成- 給 薛成 發送悄悄話 薛成 的博客首頁 (0 bytes) () 12/04/2014 postreply 04:59:04

請您先登陸,再發跟帖!