Baldrige Honoree “Withdraws from the Process”

Press Release:

Statement From Baylor Regional Medical Center at Plano

02/21/2014

Baylor Plano was notified in the fall of 2013 that it was selected to receive the Malcolm Baldrige National Quality Award in April 2014 in Baltimore. This selection is a testament to Baylor Plano’s role-model processes and results.

While it is extremely proud of this honor, the hospital’s leadership is making the difficult decision at this time to withdraw from the process.

Winning the Baldrige Award typically involves many hours of speaking engagements and other dissemination efforts across the country. Right now, Baylor Plano is working to address allegations being made against it by plaintiffs’ attorneys in lawsuits and in the media. So at this time, out of respect for the Baldrige Award and to not give any misleading allegations an elevated public platform, Baylor Plano is announcing this decision.

Again, we are proud to have been selected for the Baldrige Award; we are proud of the quality of care provided at Baylor Plano; and we are proud of the hospital’s dedicated employees.

Foreign-trained doctors become America’s NPs

From Fierce Healthcare:

Many foreign-educated doctors don’t have the time, money or language skills to compete for and complete a residency.

But they can use their knowledge and skills to become nurse practitioners, bringing diversity to the workforce and serving minority populations , the National Journareported.

Florida International University (FIU) in Miami offers advanced nursing degree programs that train foreign-educated doctors as nurse practitioners. America’s physician shortage, combined with an aging population, means medical schools and residency programs aren’t producing doctors fast enough–and foreign doctors turned nurse practitioners could help meet that need.

Strangers Came Together On The Side Of A Highway To Help A Woman Give CPR To Her Infant Nephew

From Buzzfeed:

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EMTALA Violation Alleged in Inter-Facility Transfer

From Courthouse News Service:

A woman has severe brain damage after a financially-motivated hospital transfer led to respiratory and cardiac arrest in the ambulance, her husband claims in the U.S. District Court for the District of Maryland.

The plaintiff says the Kaiser and University of Maryland entities violated the Emergency Medical Treatment and Active Labor Act by moving Mrs. O’Brien while she was unresponsive and unstable. He accuses them, Emergency Medical Associates, and Lifestar Response of negligence and lack of informed consent, and sues all defendants for loss of consortium.

SEIU withdraws health care ballot measures, part of deal with hospitals, John Kitzhaber

From the Oregonian:

Local 49 of the Service Employees International Union filed five ballot measure initiatives in October targeting hospital pricing, executive salary and transparency.

But the union withdrew those initiatives Thursday as part of an agreement to accelerate progress toward improving patient experience, health and reducing the per capita cost of car. What Kitzhaber calls the health care “triple aim.”

Comparing three CPR feedback devices and standard BLS in a single rescuer scenari

From Resuscitation:

Background

Efficiently performed basic life support (BLS) after cardiac arrest is proven to be effective. However, cardiopulmonary resuscitation (CPR) is strenuous and rescuers’ performance declines rapidly over time. Audio-visual feedback devices reporting CPR quality may prevent this decline. We aimed to investigate the effect of various CPR feedback devices on CPR quality.

Methods

In this open, prospective, randomised, controlled trial we compared three CPR feedback devices (PocketCPR®, CPRmeter®, iPhone app PocketCPR®) with standard BLS without feedback in a simulated scenario. 240 trained medical students performed single rescuer BLS on a manikin for 8 min. Effective compression (compressions with correct depth, pressure point and sufficient decompression) as well as compression rate, flow time fraction and ventilation parameters were compared between the four groups.

Results

Study participants using the PocketCPR® performed 17 ± 19% effective compressions compared to 32 ± 28% with CPRmeter®, 25 ± 27% with the iPhone app PocketCPR®, and 35 ± 30% applying standard BLS (PocketCPR® vs. CPRmeter® p = 0.007, PocketCPR® vs. standard BLS p = 0.001, others: ns). PocketCPR® and CPRmeter® prevented a decline in effective compression over time, but overall performance in the PocketCPR® group was considerably inferior to standard CPR. Compression depth and rate were within the range recommended in the guidelines in all groups.

Conclusion

While we found differences between the investigated CPR feedback devices, overall BLS quality was suboptimal in all groups. Surprisingly, effective compression was not improved by any CPR feedback device compared to standard BLS. All feedback devices caused substantial delay in starting CPR, which may worsen outcome.