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CRITICAL DIFFERENCE INC. PROFESIONAL FREEDOM THROUGH INDEPENDENCE 9/9/09 Issue LX 850-477-1234
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Newsletters from 6/29/09, 3/9/09,12/29/08,
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Making a Difference
The words “We are from the government, we are here
to help” sends chills down my spine. Though, one
name from the government has filled my soul with
hope… CAHPS (Consumer Assessment of Healthcare
Providers and Systems)…if you haven’t heard these
letters whispered in the halls, you will soon. CAHPS is
a patient survey tool that will measure how the hospital
is doing from a patient prospective. The results will be
tallied and publicly reported. The areas covered in the
survey:
– Communication with nurses (Questions 1, 2, and
3)
– Communication with doctors (Questions 5, 6,
and 7)
– Responsiveness of hospital staff (Questions 4
and 11)
─Pain management
(Questions 13 and 14)
– Communication about medicines (Questions 16
and 17)
– Discharge information
(Questions 19 and 20)
– Cleanliness of hospital environment
(Question 8)
– Quietness of hospital environment (Question 9)
– Overall rating of hospital (Question 21)
Data from 2006-2007 trial time frames showed that
“…appropriate staffing levels may be one of the most
important factors to assure overall cost management
and financial performance”. Curtin and Shaffer,
Concerro WebCast 7/09
One of the changes that you will see is hourly rounds.
Long proven to be in the patient’s best interest and to
decrease the use of patient call lights, hourly rounds
actually decrease nursing care interruptions.
These patient surveys will allow hospital to hospital
comparisons, with questions that are not crafted by the
hospital themselves. Want to see how your local
hospitals are doing? www.hospitalcompare.hhs.gov
Sometimes, even the government can make a
difference.
SIDS Deaths On The Rise
In fact, the number has quadrupled in the last 20 years!
Noteworthy was the number of deaths due to be co- sleeping
53.3%. Shapiro-Mendoza CK, et al. Pediatrics 2009: 123(2):
533-9
Also noteworthy, in one study 72% of newborn nursery nurses
were aware that the supine position reduced SIDS deaths… yet,
only 30% said they most often placed the infants supine!
Stastny P et al. Nurs Res 2004
Get Control
In patients with atrial fibrillation and CHF, mortality rates were
no different with rhythm control or rate control. Don’t rush for
the paddles, get control of the rate first. Roy D, et al. N Engl J
Med 2008: 358(25): 2667-77
Information About Available Services
Listed as number one need by family members trying to care
for a sick relative. If your discharge instructions didn’t include
available resources, you let them down. Yedidia and
Tiedemann AJN 9/08 VOL 108, No 9
How to get up with us:
From anywhere on earth www.CDIstaffing.com
From anywhere in the area M-F 9-5:
850-477-1234
From anywhere in the states
M-F 9-5:
866-CDI- NURSE (866-234-6877)
Fax: 850-434-1515
Toll free fax: 866-473-3238
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