September 17, 2019 is the “first ever” UN World Health Organization’s World Patient Safety Day. For more information, see https://www.who.int/campaigns/world-patient-safety-day/2019, and for campaign materials, see https://www.who.int/campaigns/world-patient-safety-day/2019/campaign-materials. September 17 is also celebrated as International Patient Safety Day, for which this year’s theme is Safety Culture at All Levels; for details see https://patient-safety-day.org/index.html.
CDC will present a free September 25, 2019 continuing-education webinar in their Making Dialysis Safer for Patients series, on Innovations in Hand Hygiene. Find more information and register at https://cc.readytalk.com/registration/?deliveryName=USCDC_425-DHQP-DM8783#/?meeting=s0kigdo1jdcp&campaign=n97647mka0ws.
CDC’S National Healthcare Safety Network will present an August 13, 2019 webinar on Introduction to the NHSN Dialysis Event Surveillance Protocol that summarizes the NHSN QIP reporting requirements and process. This webinar will be repeated August 14. A separate webinar on August 20 on Advanced NHSN Dialysis Event Surveillance Reporting and Introduction to NHSN Reports will include case studies and some of NHSN’s prepared reports that allow you to review your facility’s progress, including the report on BSI. For details and registration see:
- August 13 Introduction, https://cc.readytalk.com/r/skf1elijd2vb&eom.
- August 14 Introduction, https://cc.readytalk.com/r/i0a14pqxbzqb&eom.
- August 20 Advanced, https://cc.readytalk.com/r/wdj06y2808in&eom.
Use the same web pages to join on the day of the webinar. Audio will be available through your computer’s speakers, or by telephone at 303-248-0285, access code 6393927 for all three webinars.
Self-paced interactive online training is also available, at https://www.cdc.gov/nhsn/training/dialysis/index.html. For more information on NHSN, see https://www.cdc.gov/nhsn/index.html and https://www.cdc.gov/nhsn/dialysis/event/index.html.
CDC is presenting several new free CE-available online Infection Control training programs:
- Their Infection Prevention and Control Training for Healthcare Professionals program offers Let’s Talk Patient Safety: Reducing HAI Transmission Risk, divided into two modules, one on What’s the Risk? and the other on Chain of Inection. Find them at https://www.cdc.gov/infectioncontrol/training/infection-control.html.
- The contribution of Environmental Services: EVS and the Battle Against Infection: a Graphic Novel (no CEs on this one). at https://www.cdc.gov/infectioncontrol/training/evs-battle-infection.html.
- The first two of eleven webinars in the States Targeting Reduction in Infections via Engagement or STRIVE program, which include Foundational Infection Prevention Strategies: Competency-based Training, Audits and Feedback, and Hand Hygiene. Find these at https://www.cdc.gov/infectioncontrol/training/strive.html. The other nine courses are due by October, and include:
- Personal Protective Equipment
- Environmental Cleaning
- Building a Business Case for Infection Prevention
- Strategies for Preventing HAIs
- Patient and Family Engagement
- C. difficile Infection
- MRSA Bacteremia
The Coalition for Compassionate Care of California will present an August 8, 2019 webinar on Medical Cannabis: Patient Education for Safe and Effective Use. Continuing Education credits are available for nurses and social workers. For details and registration see https://www.eventbrite.com/e/webinar-medical-cannabis-patient-education-for-safe-effective-use-tickets-64247330495?aff=ebapi.
A recent study published in the American Diabetes Association’s (ADA) journal Diabetes Care (http://care.diabetesjournals.org/content/early/2019/05/28/dc19-0296) using 2000-2015 USRDS data has shown that the rates of nontraumatic lower-extremity amputation (NLEA) among adults with ESRD and diabetes fell 44% between 2000 and 2013 from 7.5 to 4.2 NLEA per 100 person-years, while NLEA among ESRD patients without diabetes declined 31% over the same period, from 1.6 to 1.1 per 100 person-years. Both reductions were highly statistically significant. However, both rates flat-lined after 2013.
We want to stress the importance of improving patient and staff education on diabetes self-management and preventive foot care, in order to resume the reductions in these rates. CDC’s recommendations on diabetic foot care can be found at https://www.cdc.gov/features/diabetesfoothealth/index.html. The ADA’s input is at http://www.diabetes.org/living-with-diabetes/complications/foot-complications/foot-care.html in English and http://www.diabetes.org/es/vivir-con-diabetes/complicaciones/el-cuidado-de-los-pies.html in Spanish.
- In mid-June 2019 a series of presentations on Infection Control, offering free CME/CE credits to physicians, nurses, and pharmacists, will expire. CDC and Medscape produced them in 2017 with the intention that they’d be valid for two years. The six presentations include Risk Recognition, Environmental Services, Medical Equipment, Nonsterile Gloves, Hierarchy of Controls, and Injection Safety. Find them at https://www.cdc.gov/infectioncontrol/training/cme-info.html.
- The Joint Commission Speak Up series includes a poster and short video in English and Spanish on Infection Prevention. Find these tools and many more at https://www.jointcommission.org/topics/speak_up_infection_control.aspx. The Speak Up series also includes resources on Five Ways to Be Active in Your Care at the Hospital for dialysis and diabetes patients, on Avoiding a Return Trip to the Hospital, on Depression, on Organ Donation, on Pain, and many other topics. Find them all at https://www.dropbox.com/sh/3e5uml0tk6myy4s/AAB0a91UJK8p8-VkokWD0q2Ga?dl=0.
- The Oregon Patient Safety Commission suggests giving your facility a Patient Safety Culture Survey, such as those provided by the HHS Agency for Healthcare Research and Quality (AHRQ). While they don’t have a Survey specifically for dialysis facilities, most of the questions on any of their surveys are directly applicable or can easily be adapted. For details see https://oregonpatientsafety.org/news-information/patient-safety-alerts/add-patient-safety-culture-surveys-to-your-prevention-toolbox/945/.
- AHRQ will present a June 12, 2019 webinar on Best Practices for Web-Based Surveys on Patient Safety Culture; register at https://westat.webex.com/mw3300/mywebex/default.do?nomenu=true&siteurl=westat&service=6&rnd=0.14765443759873476&main_url=https%3A%2F%2Fwestat.webex.com%2Fec3300%2Feventcenter%2Fevent%2FeventAction.do%3FtheAction%3Ddetail%26%26%26EMK%3D4832534b00000004055fc9090fc824db69d4fc807faaa82be8a7e2f6b039075465c816eb25f825d0%26siteurl%3Dwestat%26confViewID%3D123809633363065597%26encryptTicket%3DSDJTSwAAAARxY3pJMqWtIxlWNZjpy6DEzK3qsti–1Bsvb7DlIp51Q2%26#utm_source=SOPSanc&utm_medium=Email&utm_campaign=20190422.
- The CDC Safe Healthcare Blog makes a good frequent reminder about the ever-present danger of infection, and how to respond to it effectively. It’s post for this week is titled Clean Hands Count to Keep Patients Safe from Healthcare Associated Infections. Find the post and the Blog at https://blogs.cdc.gov/safehealthcare/clean-hands-count-to-keep-patients-safe-from-healthcare-associated-infections/.