Epidemiology and genomics of a slow outbreak of methicillin-resistant (MRSA) in a neonatal intensive care unit: Successful chronic decolonization of MRSA-positive healthcare personnel.

Objective: To describe the genomic analysis and epidemiologic response related to a slow and prolonged methicillin-resistant (MRSA) outbreak.

Design: Prospective observational study.

Setting: Neonatal intensive care unit (NICU).

Ethnicity and Language Differences in Patient Experience: an Analysis of the HCAHPS Survey.

Background: Although there has been a rising emphasis on patient-centered care, limited research has assessed differences in patient experience based on ethnicity and language.

Methods: This study examined differences in quality of care (N = 6945) using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Data were collected between January 2014 and April 2019.

Surgical Patients' Hospital Experience Scores: Neighborhood Context Conceptual Framework.

Objective: Through geocoding the physical residential address included in the electronic medical record to the census tract level, we present a novel model for concomitant examination of individual patient-related and residential context-related factors that are associated with patient-reported experience scores.

Summary Background Data: When assessing patient experience in the surgical setting, researchers need to examine the potential influence of neighborhood-level characteristics on patient experience-of-care ratings.

Methods: We geocoded the residential address included in the electronic medical record (EMR) from a tertiary care facility to the census tract level of Orange County, CA.

Migrating from One Comprehensive Commercial EHR to Another: Perceptions of Front-line Clinicians and Staff.

As healthcare organizations continue to grow and evolve, migrations from one commercial electronic health record (EHR) system to another are likely to become more common. However, little is known about front-line clinicians' and staff's perceptions of such changes. Our study addresses this gap through an organization-wide survey of employees immediately prior to the transition to a new commercial EHR.

Reformatted images of the thoracic and lumbar spine following CT of chest, abdomen, and pelvis in the setting of blunt trauma: are they necessary?

Injuries involving the thoracic and lumbar (TL) spine in the setting of blunt trauma are not uncommon. At our institution, CT of the chest, abdomen, and pelvis (CT CAP) with dedicated reformatted images of the thoracolumbar spine (CT TL) is part of the standard work-up of patients following significant blunt trauma. The purpose of this study was to compare the detection rate of TL spine fractures on routine trauma CT CAP with reformatted CT TL spine images and determine whether these reformatted images detect additional fractures and if these altered patient management.

The differential effects of surgical harm in elderly populations. Does the adage: "they tolerate the operation, but not the complications" hold true?

Background: Elderly patients are thought to tolerate surgical complications poorly because of low physiologic reserve. The purpose of the study was to evaluate the differential effects of surgical harm in patients over 80 years old.

Methods: Three years of data from a harm-reduction campaign were used to identify inpatient surgeries performed on patients older than 50.

New clinical executive models: one system's approach to chief nursing officer-chief medical officer co-leadership.

The current complex and rapidly changing health care environment calls for new approaches to leadership, particularly for clinical leaders as they assume greater responsibility for identifying and managing the clinical leverage points that create value. The chief nursing officer-chief medical officer dyad as a co-leadership model is one such approach. Catholic Health Initiatives is a large, complex health care system in the United States that has embraced this partnership-based model.

Making the transition: an interview with nurse chief executive officers at Catholic Health Initiatives.

Nurses have long been leaders in health care, and many possess the skills and talents not only to provide superior patient care but also to lead institutions as chief executive officers (CEO). It is not surprising that nurses are moving into the role of CEOs in their organizations. Some nurses have purposefully obtained MHA or MBA graduate degrees to pursue administrative careers.

What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution.

Objective: Technology currently exists for the application of remote guidance in the laparoscopic operating suite. However, these solutions are costly and require extensive preparation and reconfiguration of current hardware. We propose a solution from existing technology, to send video of laparoscopic cholecystectomy to the Blackberry Pearl device (RIM Waterloo, ON, Canada) for remote guidance purposes.