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.
The Oregon Health Authority has announced a #SummerBummer collection of strategies for Preventing and Responding to common hot-weather risks, including drowning, poor air quality, mosquito-borne and tick-borne illnesses, algal blooms, fecal beach bacteria, food poisoning, and extreme heat. Find their recommendations at https://www.oregon.gov/oha/ERD/Pages/StaySafeHealthyWithSafetyTipsFromOHAAsSummerKicksOffJune21.aspx.
CDC has a comparable program that sends out a weekly email on Five Minutes or Less for Health Weekly Tip, which also covers skin cancer, hydration, and communicable diseases. Review their Tips or sign up at https://www.cdc.gov/family/minutes/tips/summersavvy/index.htm.
Homeland Security’s “Ready.gov” website has a thorough discussion of how to stay cool and safe in extreme heat, at https://www.ready.gov/heat, and one to help you Prepare Your Home for Wildfire Season at https://www.ready.gov/wildfires.
And of course people with ESRD have special issues with food and water in the summer:
- AAKP has a HealthLine webinar on Summer Eats: Staying Healthy, Hydrated and On Your Kidney-Friendly Diet which can be found at https://www.gotostage.com/channel/6927452477730326277/recording/c21ada4c697042f18ea3383e674c0db1/watch?source=CHANNEL.
- ESRD Network 16’s tips on Fluids Management reside at:
- While they’re several years old, NKF’s advice on summer fruits and vegetables in their article on Healthy Living in Summer are still valid. Find them at https://www.kidney.org/blog/staying-healthy/healthy-living-summer.
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.
AAKP is asking kidney patients to respond to an anonymous survey on whether and how they are being impacted by the current measles epidemic. Find the survey at https://www.surveymonkey.com/r/measlessurvey.
The California Department of Public Health / Center for Health Care Quality / HAI Program / California Campaign to Prevent BSIs in Hemodialysis Patients will present a February 28, 2019 webinar on Practical Guidance for Using NHSN Dialysis Infection Data for Prevention. The webinar will be repeated on March 6, 2019. For details see https://www.cdph.ca.gov/Programs/CHCQ/HAI/CDPH%20Document%20Library/2019DialysisWebinarPracticalNHSNGuidance_Approved02.19.19.pdf. Find extensive additional BSI-prevention resources for both facility staff and patients at https://www.cdph.ca.gov/Programs/CHCQ/HAI/Pages/CACampaignToPreventBSIinHemodialysisPatients.aspx.
The Oregon Patient Safety Commission website, while directed specifically at Oregon, includes many resources that any healthcare provider will find useful, such as:
- Injection Safety and Needle Use, https://oregonpatientsafety.org/news-information/infection-prevention/injection-safety-and-needle-use-in-oregon/931/.
- Injection and Needle Safety Toolkit, https://www.oregon.gov/OHA/PH/DISEASESCONDITIONS/COMMUNICABLEDISEASE/HAI/PREVENTION/Pages/one-and-only.aspx – a long list of tools for both patients and providers.
- HAI Prevention page, https://www.oregon.gov/oha/PH/DISEASESCONDITIONS/COMMUNICABLEDISEASE/HAI/PREVENTION/Pages/index.aspx – a list of more comprehensive programs.
- Introduction to the CDC/SIPC One & Only Campaign, https://www.cdc.gov/injectionsafety/1anonly.html, to raise awareness among patients and providers about safe injection.
CDC has urged everyone to avoid all Romaine Lettuce until further notice, as it is the leading suspect in a multi-state outbreak of Shiga toxin producing Escherichia coli O157:H7 (E. coli O157:H7) infections, and a specific source has not been identified. CDC recommends that drawers and shelves that held Romaine be sanitized. They also recommend that antibiotics NOT be used for this type of infection, as the combination can result in kidney failure, and no benefits have been demonstrated. For detailed instructions, see https://www.cdc.gov/ecoli/2018/o157h7-11-18/index.html.