ProPublica publishes scorecard on complication rates

ProPublica has published a scorecard of complication rates for almost 17,000 individual surgeons at more than 3,500 hospitals nationwide based on an analysis of Medicare data.  The scorecard allows users to search by location, by surgeon, or by hospital.

For its analysis, ProPublica analyzed Medicare data from 2009 to 2013 for eight common elective procedures, which accounted for 2.3 million total surgeries:

  • Knee replacements;
  • Hip replacements;
  • One type of spinal fusion on the neck;
  • Two types of spinal fusions in the lower back;
  • Gall bladder removals;
  • Prostate removals; and
  • Prostate resections.

National Patient Safety Foundation posts new report on Root Cause Analysis

THe National Patient Safety Foundation issued a new report entitled "RCA2: Improving Root Cause Analyses and Actions to Prevent Harm".

Root cause analysis (RCA) is a process widely used by health professionals to learn how and why errors occurred, but there have been inconsistencies in the success of these initiatives. With a grant from The Doctors Company Foundation, NPSF convened a panel of subject matter experts and stakeholders to examine best practices around RCAs and develop guidelines to help health professionals standardize the process and improve the way they investigate medical errors, adverse events, and near misses.

The goals of the report are to identify methodologies and techniques that will lead to more effective and efficient RCA2 and to provide tools to evaluate individual RCA2 reviews so that significant flaws can be identified and remediated to achieve the ultimate objective of improving patient safety.  


The Joint Commission releases a tool to improve patient hand-offs

The Joint Commission Center for Transforming Healthcare is releasing a new Hand-off Communications Targeted Solutions Toolto assist health care organizations with the process of passing necessary and critical information about a patient from one caregiver to the next, or from one team of caregivers to another, to prevent miscommunication-related errors, according to a press release.
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