Patient Safety (Page 7)

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In: Health Care Reform, Healthcare, Labor Unions, Minnesota Nurses Association, Nurses, Patient Safety

NOTES ON NURSING

Successful Nurse-Intensive Chronic Disease Management Experiment in Jeopardy    But Health Quality Partners, with its emphasis on continuous nurse-to-patient contact, did work. Of the 15 programs, four improved patient outcomes without increasing costs. Only HQP improved patient outcomes while cutting costs.

HEALTH CARE

Austerity is Hurting Our Health    Austerity is having a devastating effect on health in Europe and North America, driving suicide, depression and infectious diseases and reducing access to medicines and care, researchers said on Monday.

Uninsured Population Swells    About 84 million were uninsured or underinsured, 3 million more than when the 2010 health law was signed and 20 million more than in 2003.
… Read more about: MNA NewsScan, April 29, 2013: Successful program=funding cuts  »

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In: Activism, Health Care Reform, Healthcare, Hospitals, Minnesota Nurses Association, National Nurses United, Nurses, Patient Safety, Unsafe Staffing

Standards of Care Campaign Update
House File 588 (HF588) passed the full Minnesota House of Representatives 73-58 on Wednesday. There was bipartisan support for our bill to require the Department of Health to study the correlation between staffing and patient outcomes and hospitals to report their staffing quarterly to the public. Take a moment to thank our author and champion Representative Joe Atkins. He has gone to the mat for nurses over and over again because he believes us when we say patients are vulnerable in Minnesota’s hospitals today. His email is rep.joe.atkins@house.mn.   The bill still has to clear one more committee in the Senate.
… Read more about: MNA Legislative Update, April 19, 2013  »

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In: Bargaining, Duluth Bargaining, Healthcare, Legislative Policy, Minnesota Nurses Association, Nurses, Nursing, Patient Safety, Unsafe Staffing

NOTES ON NURSING
Tentative Agreement for St. Lukes Nurses in Duluth   The Minnesota Nurses Association announced late Tuesday that Duluth nurses came to a tentative contract agreement with St. Luke’s hospital that would raise wages 4.5 percent. The three-year agreement would go into effect in July and run into June 2016.  View pictures of the great solidarity action  and a video of MNA’s powerful opening statement

Alarm Fatigue Puts Patients at Risk    The Joint Commission issued a “sentinel event alert” to hospitals, saying that the problem of “alarm fatigue” can jeopardize patients, and it urged hospitals “to take a focused look at this serious patient safety issue.’”  Watch MNA President Linda Hamilton’s interview on Fox 9 News.
… Read more about: MNA NewsScan, April 10, 2013: Tentative agreement for Duluth RNs; Alarm fatigue puts patients at risk  »

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In: Health Care Reform, Healthcare, Hospitals, Labor Unions, Legislative Policy, Minnesota Nurses Association, Nurses, Nursing, Patient Safety, Unsafe Staffing

Standards of Care Update

MNA nurses and representatives continue to meet with legislators to update them on the goals of the Standards of Care Act.  MNA is proposing that hospitals be required to report their staffing plans and actual nurse hours per patient day, and a Department of Health study of hospital staffing and its effect on nursing sensitive indicators like infections, falls and pressure ulcers.  We are confident that a MDH study will validate what nurses already know–that proper nurse staffing leads to better nurse outcomes–but we also recognize the need for Minnesota-specific data.  Our main objective for the remainder of the 2013 legislative session is to ensure that a comprehensive and accurate study is completed. 
… Read more about: MNA Legislative Update, April 5, 2013  »

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In: Bargaining, Health Care Reform, Healthcare, Hospitals, Labor Unions, Legislative Policy, Minnesota Nurses Association, Nurses, Nursing, Patient Safety, Unsafe Staffing

LABOR UPDATES

Harry Kelber:   1914 – 2013     Harry Kelber spent 80 years as a labor activist. Through it all he championed worker ownership of their unions. When Labor Notes commissioned a roundtable on “organizing the unorganized” in 2007, Harry’s contribution argued that rank-and-file workers should be part of organizing drives.

HEALTH CARE 

Did Hospitals Profit Off Drugs Meant for the Poor?   An inquiry by a U.S. senator has found that three nonprofit hospitals in North Carolina have made millions from a discount drug program intended to help the poor and uninsured.
… Read more about: MNA NewsScan, April 3, 2013: RIP Harry Kelber; CAH Mortality Skyrockets  »

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In: Healthcare, Hospitals, Legislative Policy, Minnesota Nurses Association, Nurses, Nursing, Patient Safety, Unsafe Staffing

NOTES ON NURSING

Fatigue is Pervasive in the Health Care Industry; Directly Linked to On-the-job Errors     Sixty-nine percent of healthcare professionals surveyed said that fatigue had caused them to feel concern over their ability to perform during work hours. Even more alarmingly, nearly 65 percent of participants reported they had almost made an error at work because of fatigue and more than 27 percent acknowledged that they had actually made an error resulting from fatigue.

PA Considers Nursing by the Numbers   A pair of Democratic state lawmakers have introduced bills in both the House and Senate that would mandate a minimum number of registered nurses-to-patient ratio at all hospitals in the state.
… Read more about: MNA NewsScan, April 1, 2013: RN fatigue pervasive and harmful to patients  »

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In: Healthcare, Hospitals, Labor Unions, Legislative Policy, Minnesota Nurses Association, Nurses, Nursing, Patient Safety, Unsafe Staffing

NOTES ON NURSING

Study Says NICUs Need Nurses   A surprising number of the nation’s neonatal intensive care units (NICUs) have too few nurses, a new study by researchers from the University of Pennsylvania and the University of Medicine and Dentistry of New Jersey (UMDNJ) has found.

HEALTH CARE

It’s Come to This – A Lottery for Health Care Coverage    Tennessee residents who have high medical bills but would not normally qualify for Medicaid, the government health care program for the poor, can call a state phone line and request an application. But the window is tight — the line shuts down after 2,500 calls, typically within an hour — and the demand is so high that it is difficult to get through.
… Read more about: MNA NewsScan, March 25, 2013: NICU nurses needed; Tennessee’s HC lottery  »

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In: Minnesota Nurses Association, Nurses, Patient Safety, Unsafe Staffing

Standards of Care Update

Last Friday, MNA, in consultation with our legislative allies, revised the Standards of Care Act to shift the focus of the bill to collect Minnesota-specific data on issues of nurse staffing transparency as it relates to patient outcomes.  We continue to strongly believe that every patient in the state deserves a minimum number of Registered Nurses and that any data collected will validate the thousands of nurses in Minnesota who experience unsafe staffing on a daily basis.

We learned that legislators had too many questions about staffing, and not enough hard data specific to Minnesota hospitals. So we shifted our focus to a framework that would improve transparency by requiring hospitals to report their staffing on a quarterly basis, and tie it to data on nursing-sensitive health outcomes like falls, infections and pressure ulcers.
… Read more about: MNA Legislative Update March 22, 2013  »

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In: Healthcare, Hospitals, Labor Unions, Legislative Policy, Minnesota Nurses Association, Nurses, Nursing, Patient Safety, Unsafe Staffing

NOTES ON NURSING

Healing the Hospital Hierarchy   Most people in health care understand and accept the need for clinical hierarchies. The problem is that we aren’t usually prepared for them; nor are we given protocols for resolving the inevitable tensions that arise over appropriate care.

LABOR UPDATE

Income Inequality Shapes MN Tax Debate   Even in middle-class, middle-American Minnesota, income inequality is rising. It’s not a new phenomenon.

HEALTH CARE

New Database Reveals Thousands of Hospital Violation Reports    Hospitals make mistakes, sometimes deadly mistakes. A patient may get the wrong medication or even undergo surgery intended for another person.
… Read more about: MNA NewsScan, March 20, 2013: Hospital hierarchy; Error reporting  »

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In: Minnesota Nurses Association, Patient Safety, Unsafe Staffing

Last Friday, MNA, in consultation with our legislative allies, agreed to amend the Standards of Care Act to create a procedure which will provide Minnesota-specific data on issues of nurse staffing transparency as it relates to patient outcomes.  We agreed to language in the House with an understanding that we would work on adding more detail with respect to reporting requirements.

We learned that legislators had too many questions about the staffing situation, and not enough hard data specific to Minnesota hospitals. So we shifted our focus to a framework that would improve transparency by requiring hospitals to report their staffing on a quarterly basis.
… Read more about: Standards of Care Act Update  »