Bold Voices - August 2013 - (Page 7)

AT THE BEDSIDE Fewer deaths from cancer, stroke, pneumonia and other conditions offset by 17 percent increase in deaths from sepsis. N ew federal statistics show the number of people who died in hospitals has fallen by only 8 percent over 10 years — despite an increasing emphasis on, and patient preference for, dying in a hospice or at home. The National Center for Health Statistics study used data from a survey conducted by the Centers for Disease Control and Prevention, Atlanta, on nonfederal, noninstitutional, short-stay hospitals or general hospitals in the U.S., which showed that hospital deaths decreased from 776,000 in 2000 to 715,000 in 2010. A quarter of patients who died in a hospital were 85 or older. During the same period — according to the study, “Trends in Inpatient Hospital Deaths: National Hospital Discharge Survey, 2000-2010” — the total number of hospitalizations increased 11 percent from 31.7 million in 2000 to 35.1 million in 2010. Much of the decrease can be attributed to an overall drop in many types of death, including cancer, stroke and pneumonia, study co-lead Margaret Jean Hall tells NBC News in a related article. She also says that dying patients often receive care that is more aggressive than requested. A report in JAMA Surgery finds patient-centered end-of-life care that avoids aggressive treatments patients don’t want improved patients’ satisfaction with their care and reduced costs. Another trend was a 17 percent increase in deaths from sepsis. The number of inpatients diagnosed with sepsis tripled from 45,000 in 2000 to 132,000 in 2010. Hall tells NBC News it is not clear how much of the rise is due to an increase in the number of cases. Leapfrog Rates Hospital Safety Performance T here is incremental progress in keeping patients safe from infections, injuries and errors, according to “Latest Hospital Safety Scores Show Incremental Progress in Patient Safety” issued by The Leapfrog Group, Washington, D.C., a nonprofit organization that evaluates and rates hospital performance. “Safety is a 24/7, 365-day effort. This update of grades and the accompanying change in state rankings should serve as a reminder that we are on an ongoing journey,” Leah Binder, president and CEO of Leapfrog, says in the report. In its report, Leapfrog gave 2,514 hospitals a safety score, with 780 earning an “A” and 638 earning a “B.” However, the updated survey shows that more than 1,000 hospitals scored poorly for patient safety: 932 received a “C,” 148 earned a “D” and 16 scored an “F.” However, 73.9 percent of hospitals received the same letter grade as on the previous report card, suggesting a well-maintained safety effort. With 80 percent of its hospitals receiving an “A,” Maine edged out Massachusetts as the number-one state for safety. Joining Maine and Massachusetts in the top five ranking for number of “A” scores were Minnesota, Virginia and Illinois. Healthcare professionals can check their local hospital’s Hospital Safety Score online or download the free mobile app at Check your hospital’s safety score online or by mobile app at 7 AACN BOLD VOICES AUGUST 2013 Hospital Deaths Decrease Slightly Over 10 Years

Table of Contents for the Digital Edition of Bold Voices - August 2013

Bold Voices - August 2013
Another Angle
Seamless Staff Leadership Transition Is Goal of AACN's CEO Search
A Pool of Exceptional Talent
Progressive Care Nurses: A Conference, Las Vegas and CNEs Just for You
Communication Is Critical to Avoid Readmissions
Hospital Deaths Decrease Slightly Over 10 Years
Leapfrog Rates Hospital Safety Performance
Patient Safety Threatened by Insufficient Nurse Staffing, Fatigue
Number of Americans With Dementia, Cost of Care to Double by 2040
Updated HHS Standards Support Improved Cultural and Linguistic Competency
Decrease Noise Levels to Improve Patient Outcomes
Alarm Management (AACN Practice Alert)
Survey Reports High Levels of Burnout, Job Seeking
New HIPAA Rule Seeks to Balance Patients' Privacy Protection
Pet Ownership May Be Heart-Friendly
Hospitals Better at Preventing CLABSIs
Online Program Helps Military Service Members, Veterans Become Nurses
Clot Busters Safe for Patients With Stroke Who Take Aspirin
Updated Stroke Definition Reflects New Knowledge, Advances
In Our Journals
Antibiotics May Relieve Back Pain in Certain Cases
Certification Capsules
AACN Members, Friends Inducted as AANP Fellows
Empowered ED Case Managers
New CCN Resource Expands Reader Access to Nursing Care Studies
Contribute to the Evidence: Apply for an AACN Research Grant by Nov. 1
Nurse Leaders, Aspiring Nurse Leaders: Get Ready for Las Vegas, Sept. 18-20
AACN Scholarships Support Your Learning Journey
What Is Your Wake? (From the President)

Bold Voices - August 2013