Managing Risks of Direct Oral Anticoagulants

Angie Szumlinski Health, Studies

The Joint Commission recently published a “Sentinel Event Alert” on managing the risks of direct oral anticoagulants. Remember the day when these new medications were introduced and everyone thought it was life changing? No PT/INR levels to worry about, short half life so the medications aren’t lingering in the system, etc.? Well, after years of use and some research, it …

A Growing Problem

Angie Szumlinski Health, Training

Antibiotic resistant bacteria and C. difficile are a growing problem in healthcare. The large reservoir of MDRO and C. difficle found within nursing homes can become a source of transmission. Added to that, the population entering nursing homes have many risk factors which make them vulnerable to colonization and infection with these organisms. You can download our helpful inforgraphic that …

Electronic Medical Records and Medication Errors

Angie Szumlinski Health, Studies

Although many feel the electronic MAR is a solution to medication errors, a recent study performed by Australian Health Review 43(3) 276-283 and shared by the AHRQ may change your opinion! Yes, the electronic MAR may “notify” you when a medication is missed, late, unavailable, etc. however it isn’t without shortcomings! For example, this study found that incorrect medication dose or …

Discontinuing Statins May Increase CVD Risk

Angie Szumlinski Health, Studies

For years we have discussed discontinuing the use of statins due in part to the side effects our residents experience that can be debilitating. It may be time to take another look at what we are doing with these medications and why. The article published in Managed Health Care Connect references a nationwide, population-based cohort study in France (published online …

Annals of Long-Term Care Releases Findings on Mealtime Best Practices

Angie Szumlinski Health, Studies

Clinicians and researchers have been providing the medical care community with experience and research that helps LTC facilities create detailed nutrition plans for a long a time, yet, malnutrition continues to be highly prevalent in LTC residents. This condition further degenerates the condition of often already enfeebled patients by decreasing quality of life, lowering functional status, reducing the wound healing …

Spirituality and Aging Groups Rising Star for Tackling Depression

Angie Szumlinski Health, Studies

On Lok, a San Francisco based comprehensive long-term health program for frail adults 55 and older, has been employing Spirituality and Aging Groups since 2013. The primary goal of these groups is to reduce depressive symptoms and increase overall quality of life for older individuals. The groups originated from a partnership between the in-house mental health team and the chaplaincy …

Doctors analyzing x-ray

Misdiagnosis Resulted in 34 Percent of Malpractice Cases Involving Serious Harm

Angie Szumlinski Health, Studies

The Society to Improve Diagnosis in Medicine (SIDM) released new research that found inaccurate or delayed diagnoses are the most common, most catastrophic and most costly of medical errors. The study was published in the journal Diagnosis. Researchers found that about one in three (34 percent) of malpractice cases resulted in serious harm is due to an inaccurate or delayed …

Nurse Placing armband on patient

30-Day All Cause Hospital Readmission Study

Angie Szumlinski News, Studies

Several national initiatives, including the Centers for Medicare and Medicaid Services Hospital Readmissions Program (HHRP) and the Partnership for Patients (PfP), are dedicated to reducing the number of preventable readmissions in US hospitals. HRRP accomplishes this by incentivizing Hospitals to decrease readmission using a system that links funding with readmission metrics. Meanwhile, PfP has constructed an interconnected set of collaborative …

Restorative Nursing

Restorative Nursing: A Win-Win

Angie Szumlinski Health, Training

A strong restorative services program can boost resident outcomes and independence. By Angie Szumlinski, LNHA, RN-BC, RAC-CT, BS and Erica Holman, BA, LMSW, LNHA, CDP At a local skilled nursing center, the administrator asks staff for assistance to enhance their restorative program. Fortunately, the center had both a therapy director and restorative nurse who expressed a desire to work together …

Frailty and falls in the elderly

Frailty and Falls in the Elderly

Angie Szumlinski Health, Studies

Angie SzumlinskiDirector, HealthCap Risk Management Services Resident falls continue to challenge our communities, it is the highest cause of rehospitalizations, negative outcomes, immobility and claims in long-term/post-acute care. There are many products on the market that appear to have some promise in early identification of fall risk including the use of assessment tools to measure the level of frailty. The …