 Health Watch USAsm Newsletter
www.healthwatchusa.org Aug. 1, 2017
Member of the National Quality Forum and a designated "Community Leader"
for Value-Driven Healthcare by the U.S. Dept. of Health and Human Services
Healthcare Acquired Infections
The Research Evidence Behind Chlorhexidine Recommendations
 Dr. Maiwald Matthias discusses research integrity concerns regarding the antiseptic chlorhexidine. Specific topics relate to incomplete reporting of methodology, errors in data interpretation, clinical equipoise and bias in meta-analyses. Specific attention is given on how these problems impact the WHO indications for surgical antisepsis. (July 19th HW USA meeting. )
View YouTube Video: https://youtu.be/8YDMQjjnn7g
Shoddy research, deadly results - OpEd Lexington Herald Leader
"(The problem of Conflicts of interest) is of paramount importance. Research is the foundation for treatment protocols and health policy. A murky fog has descended over what works and what does not. The U.S. private health-care system is following the path of least resistance, hoping the emphasis on inexpensive hand hygiene programs will be enough to reverse this epidemic, rather than making the hard and expensive investment needed in infection control."
http://www.kentucky.com/opinion/op-ed/article163753803.html
National Trends in the Frequency of Bladder Catheterization and Physician-diagnosed Catheter-associated Urinary Tract Infections
Noel Eldridge, (Senior Advisor AHRQ) presents on national trends of CAUTI infections in the United States during the July 2017 HW USA meeting. "There were statistically significant declines in observed bladder catheterization frequency and adjusted CAUTI frequency in some patient populations between 2009 and 2014."
View YouTube Video: https://youtu.be/olZGy1jJ3_Y
CDC Consumer Advocates Submit Comment Regarding MRSA Testing of Healthcare Workers.
"Unlike the general population, healthcare workers are in frequent contact with patients with fresh surgical wounds and in immunocompromised states. This makes control of MRSA carriage in this population of greater concern. At least one study has found a significant decrease in MRSA associated with screening and decolonization of healthcare workers."
http://www.healthwatchusa.org/HWUSA-Initiatives/PDF-Downloads/MRSA-Hospital-Worker-Screening-Comment.pdf
Second Study Confirms HW USA's Analysis that MRSA Bloodstream Infection Rates Did Not Decline Between 2014 to 2015
Clinical Infectious Disease: "Serious MRSA-related infections not declining, despite overall MRSA decline. A new study from CDDEP researchers and collaborators finds that rates of the most serious methicillin-resistant Staphylococcus aureus (MRSA) infections—blood infections and pneumonias—did not decline from 2010 to 2014, despite a decline in all MRSA infections"
https://academic.oup.com/cid/article-abstract/doi/10.1093/cid/cix640/4036368/Trends-in-Methicillin-Resistant-Staphylococcus
HW USA's Article: The incidence of MRSA infections in the United States: is a more comprehensive tracking system needed? https://aricjournal.biomedcentral.com/articles/10.1186/s13756-017-0193-0
A Belfast Hospital's Response to an Outbreak of Clostridium difficile
BBC: "The Belfast Trust confirmed that a ward was closed briefly and two patients were affected in Musgrave Park Hospital in Belfast." It is significant to note that an "outbreak" was defined as only 2 cases and the institutional response was resolute.
http://www.bbc.com/news/uk-northern-ireland-40614788
CDC Report: Antibiotic Use in the United States, 2017: Progress and Opportunities https://www.cdc.gov/getsmart/stewardship-report/
Healthcare Quality Death Rates May Even Go Down With hospital Readmission Reductions
JAMA: "Among Medicare fee-for-service beneficiaries hospitalized for heart failure, acute myocardial infarction, or pneumonia, reductions in hospital 30-day readmission rates were weakly but significantly correlated with reductions in hospital 30-day mortality rates after discharge."
JAMA: http://jamanetwork.com/journals/jama/article-abstract/2643762
FierceHealthcare : http://www.fiercehealthcare.com/healthcare/death-rates-don-t-go-up-when-hospitals-reduce-readmissions?
Myth of Drug Expiration Dates
NPR: "Though the government requires pharmacies to throw away expired drugs, it doesn't always follow these instructions itself. Instead, for more than 30 years, it has pulled some medicines and tested their quality."
http://www.npr.org/sections/health-shots/2017/07/18/537257884/that-drug-expiration-date-may-be-more-myth-than-fact
Editorial: Patients have a right to know when a doctor is on probation for a serious violation
http://www.latimes.com/opinion/editorials/la-ed-docs-probation-patient-notification-20170727-story.html
Medical Devices
The Battle Over Essure
Washington Post: "The warning — coming 14 years after Essure went on the market and two years after Keisha had it implanted — was a major victory for anti-Essure activists. But it also left a number of unresolved questions: How did this device come to market? What made it so popular? And should women continue to use it?"
http://www.washingtonpost.com/sf/style/2017/07/26/essure/
Two More Duodenoscopes Are Recalled ===========================================================
Health Watch USA's 2017 Healthcare Quality & Patient Safety Conference
 The Setting Of Strong Quality Standards
& Research Integrity Nov. 3rd, 2017 at the Four Points Sheraton, Lexington, KY
Speakers to Include:
Presentation videos for the 2016 Conference are now online.
To view the conference presentations: Go To:
https://www.youtube.com/playlist?list=PLKKV6p_etRmPhxndxzrvt7yeE-ICUmqzK
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