Restraints are sometimes necessary for the protection of the patient or others. As Centers for Medicare and Medicaid Services (CMS) states, “The use of restraint or seclusion must be selected only when less restrictive measures have been judged to be ineffective to protect the patient or others from harm.
A 31 year-old Gravida 6 Para 5 (6 pregnancies, 5 births) at
40 weeks gestation arrived at her local hospital with ruptured
membranes and uterine contractions every 3-5 minutes. On exam by
the nurse, the mother was 5 cms dilated, 75 percent effaced,
cephalic presentation at -2 station. The amniotic fluid was clear
and the fetal heart tone tracing was Category I (normal). She
denied any significant health history or major surgeries,
including prior cesarean births.
In a recent Acute Care ISMP Medication Safety Alert, the Institute for Safe Medication Practices (ISMP) reviewed the FDA Adverse Event Reporting System (FAERS) for reports submitted during 2017. The following table summarizes their findings for rhabdomyolysis, a potentially life-threatening side-effect of certain drugs.
The 2018 Hospital
Quality Institute Conference, to take place Oct. 28-30, will
help hospital staff, health care providers, students and
residents achieve increasing levels of performance through a
culture of respect and professionalism. Attendees will learn
strategies and take home tools for achieving reliable care and
delivering value to each patient, each time and in each
Under the Healthy People 2020 initiative, hospitals are
encouraged to reduce rates of elective cesarean deliveries for
low-risk, first-time births to less than 23.9 percent. Since
Care California has included hospitals that have achieved
that milestone on its hospital honor roll. The honor roll — a
collaborative effort among stakeholders that represent policy,
purchases, providers and quality improvement organizations — will
be announced the week of Oct. 22.
Dr. Rory Jaffe, Executive Director and Founder of CHPSO Patient
Safety Organization will retire at the end of the year. Rory and
the “small but mighty” CHPSO team have built our PSO to become
the longest tenured and largest in the United States with over
400 members from Hawaii to Rhode Island. With over 1.8 million
safety reports in the CHPSO database, alerts and lessons learned
on how to improve health care reliability and safety have been
shared publicly to the CHPSO community.