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Integrating Behavioral Health in the Emergency Department and Upstream

Institute for Healthcare Improvement -

This report discusses barriers to integrating behavioral health in the ED; presents the results of a literature scan of existing models to address behavioral health needs in the ED and in communities; and identifies five drivers (emerging from six key themes from existing approaches) that form the building blocks of a theory of change for making improvements in this area.​

IHI/NPSF DAISY Award for Extraordinary Nurses 2018 Honorees Announced

Institute for Healthcare Improvement -

The Institute for Healthcare Improvement (IHI) and the DAISY Foundation have announced the recipients of the 2018 IHI/NPSF DAISY Awards for Extraordinary Nurses. Erin Harlow-Parker, MS, APRN, PMSCNS-BC, of Children’s Healthcare of Atlanta, has been chosen to receive the individual award. The team award will go to the Surgical Care Unit at Children’s National Health System in Washington, DC. The awards will be conferred during the IHI/NPSF Patient Safety Congress, which takes place May 23-25, 2018, in Boston, Massachusetts.

NxtGen Botanicals Maeng Da Kratom by NGB Corp.: Recall - Possible Salmonella Contamination

FDA MedWatch -

NGB Corp. of West Jordan, Utah is voluntarily recalling NxtGen Botanicals Maeng Da Kratom labeled bottles of encapsulated product because it has the potential to be contaminated with Salmonella, an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy persons infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can ressult in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis, and arthritis.

Certain Kratom-Containing Powder Products by Viable Solutions: Recall -Possible Salmonella Contamination

FDA MedWatch -

Viable Solutions of Nampa, ID has initiated a recall of certain Kratom-containing powder products, because it has the potential to be contaminated with Salmonella, an organism which can cause serious and sometimes fatal infections in young children, frail or elderly people, and others with weakened immune systems. Healthy persons infected with Salmonella often experience fever, diarrhea (which may be bloody), nausea, vomiting and abdominal pain. In rare circumstances, infection with Salmonella can result in the organism getting into the bloodstream and producing more severe illnesses such as arterial infections (i.e., infected aneurysms), endocarditis and arthritis.

24-Hour Multi-Patient Use Endoscope Connectors: Letter to HealthCare Providers and Healthcare Facilities - Risk of Cross-Contamination

FDA MedWatch -

the recommended instructions and device design for the ERBEFLO port connector do not adequately mitigate the risks of cross-contamination for endoscopy patients. This is because the connector, tubing, and/or water bottle can become contaminated with blood, stool, or other fluids from previous patients that travel back through the endoscope channels into the connector and tubing. Endoscope connectors that are labeled for use with multiple patients over the course of 24 hours without reprocessing are known as 24-hour multi-patient use endoscope connectors. To date, the FDA has not received acceptable testing to demonstrate the safe use of these products, and recommends against their useTo mitigate the risk of cross-contamination and possible infection between patients, the FDA recommends the use of connectors with features that prevent patient fluids from flowing backwards into the endoscope (backflow prevention features). These connectors may be either single-use connectors that are discarded after each patient, or reusable connectors that are reprocessed according to their instructions for use prior to each patient.

Order from Chaos: Accelerating Care Integration

Institute for Healthcare Improvement -

Too often, care integration — the planned, thoughtful design of the care process for the benefit and protection of the patient — is lacking. This Lucian Leape Institute report addresses the issue of care integration with the aim of outlining the major barriers to effective integration and providing a framework for further consideration and action among stakeholders.

Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care

Institute for Healthcare Improvement -

This Lucian Leape Institute report details how workplace safety is inextricably linked to patient safety. It highlights vulnerabilities common in health care organizations, discusses the costs of inaction, outlines what a healthy and safe workplace would look like, and offers seven recommendations for actions that organizations need to pursue to effect real change.

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