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Archive for the ‘Patient Safety’ Category

New Research Shows Breast Cancer Precursor Treatment Causes Women to Live Longer

Tuesday, January 31st, 2017

“Breast Cancer Awareness” by ~Pawsitive~Candie_N is licensed under CC BY 2.0.

pink ballonsDuctal carcinoma in situ (DCIS) is the most common form of non-invasive breast cancer and is non-life-threatening. However, DCIS can actually be a precursor to worse breast cancer later on. It can increase the risk of developing invasive breast cancer; patients are at a higher risk of developing a new breast cancer than a patient who has never had any breast cancer before.

The study, conducted in the Netherland on more than 10,000 women for an average of 10 years, found that those who were treated for DCIS had a 10 percent less chance of dying from any cause than the general population. That may sound confusing—if you were treated for DCIS, you are 10 percent more likely to live a longer life than someone who never had DCIS, and therefore never received treatment for DCIS.

Specifically, researchers found that women who were treated were much less likely to die from digestive, respiratory, and circulatory diseases, and other types of cancer. This study is particularly important because DCIS treatment includes radiotherapy, which can cause damage to nearby organs

More and more people are becoming aware they have DCIS because it is something that shows up in breast cancer screenings—so more women are able to get treated if they have this form of cancer.

For more information on the study, please visit “Women treated for precursor of breast cancer can expect to live as long as other women.”

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Locating the preferred imaging modality

Wednesday, January 4th, 2017

National Guideline Clearinghouse Logo

Extensive radiologic tools exist to aid clinicians in the diagnostic process. The AHRQ National Guideline Clearinghouse allows clinicians to search the American College of Radiology ACR Appropriateness Criteria® to locate suggested criteria for ordering radiologic exams.

Guidelines provide the suggested radiologic procedure that may be ordered for each presenting condition with a rating scale to denote the applicability for each exam. For each procedure the rating scale indicates the level of appropriateness of the exam. The guidelines also contain the relative radiation level for each type of exam.

Additionally, a summary of the literature is provided for the clinical condition in question.  Examples of conditions described in the database include: osteonecrosis of the hip, assessment of fetal well-being, and nasopharyngeal carcinoma. Nearly 200 American College of Radiology Appropriateness Criteria are indexed by the AHRQ website to provide guidance in the ordering of radiologic exams.

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–Written by Lisa Smith, Executive Director, NN/LM SCR

 

Hospital Quality Data Available

Wednesday, November 30th, 2016

“Photo” by SilasCamargo is licensed under CC0.

Hospital Beds

The Joint Commission has released its 2016 annual report on America’s hospitals. The report contains data contributed by more than 3,300 hospitals nationwide. Extensive changes were made to the metrics collected in past years. Several measures previously included were dropped from the data collection process because hospital performance was consistently high and considered to no longer represent a useful quality metric. The new process now gives organizations a choice in determining which measures to report. Additionally, eCQM (electronic clinical quality measures) are now reported.

Examples of the national performance summary data presented include measures of rates of tobacco screening, influenza immunization, stroke education, percent of stroke patients discharged on statin medications and more.

While the annual report synthesizes data collected from hospitals nationwide, granular data reflecting the quality and safety results for individual hospitals may be found on The Joint Commission Quality Check website.

See Annual Report – Improving America’s Hospitals to learn more about the data collection process and view the results of the report.

Citation: America’s Hospitals: Improving Quality and Safety – The Joint Commission’s Annual Report 2016

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Written by Lisa Smith, NN/LM SCR