the patient perspective on public health protections for cancer patients and hai prevention
Post on 22-Feb-2016
16 Views
Preview:
DESCRIPTION
TRANSCRIPT
1
The patient perspective on public health protections for cancer patients
and HAI preventionEvelyn McKnight, AuD
www.HONOReform.orgwww.OneandOnlyCampaign.org
www.ANeverEvent.com
2
20022
Our story…
3
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
4
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
5
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
6
What Happened to the Perpetrators?
7
www.ANeverEvent.com
Striving to prevent healthcare transmission of bloodborne pathogens
Hepatitis Outbreaks National Organization for Reform
9
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
10
• Programmatic funding• Congressional Briefing• GAO investigation• FDA, CMS, HHS & CDC collaboration• External Stakeholder Engagement (NQF, IHI)
11
Ten years later - 2012
12 and being counted!
Thank you for standing up
top related