the patient perspective on public health protections for cancer patients and hai prevention
DESCRIPTION
The patient perspective on public health protections for cancer patients and HAI prevention. Evelyn McKnight, AuD www.HONOReform.org www.OneandOnlyCampaign.org www.ANeverEvent.com. Our story…. 2002. 2. What the investigation found. Improper port flush procedure - PowerPoint PPT PresentationTRANSCRIPT
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The patient perspective on public health protections for cancer patients
and HAI preventionEvelyn McKnight, AuD
www.HONOReform.orgwww.OneandOnlyCampaign.org
www.ANeverEvent.com
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20022
Our story…
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What the investigation found
• Improper port flush procedure
• Index case came to clinic in 2000
• Complaints from housekeeping, pharmacy, lab, nursing and patients but
hospital claimed “no jurisdiction”• Unsafe practices for at least 16 months
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What happened to the victims?
1 liver transplantMailliard, et al. Outcomes of a patient to patient outbreak of Genotype 3a Hepatitis C. Hepatology 2009; 50: 361-368
1 sexual transmission
6 deaths
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What happened to the victims? 89 lawsuits
Community in conflict
28 SVR’sMailliard, et al. Outcomes of a patient to patient outbreak of Genotype 3a Hepatitis C. Hepatology 2009; 50: 361-368
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What Happened to the Perpetrators?
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www.ANeverEvent.com
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Striving to prevent healthcare transmission of bloodborne pathogens
Hepatitis Outbreaks National Organization for Reform
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Safe Injection Practices Coalition• Raises awareness about
safe injection practices
• Aims to eradicate outbreaks resulting from unsafe injection practices
AAAHC, AANA, APIC, BD, CDC, CDCF, Covidien, Hospira, HONOReform, NACCHO, NE Med Soc, NV Med Assn, Premier, MEDRAD, FDA; State Partners: NV, NJ,NY, NC
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• Programmatic funding• Congressional Briefing• GAO investigation• FDA, CMS, HHS & CDC collaboration• External Stakeholder Engagement (NQF, IHI)
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Ten years later - 2012
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12 and being counted!
Thank you for standing up