1 00:00:00,500 --> 00:00:03,580 This is Randy Homan with Becker's Clinical Leadership Podcast. 2 00:00:04,080 --> 00:00:08,220 Here's your industry news spree for Wednesday, June 7th. First, 3 00:00:08,290 --> 00:00:13,140 over 70 employees at Kaiser Zion Medical Center in San Diego signed a 4 00:00:13,300 --> 00:00:17,380 petition for the facility to pause surgeries due to concerns of potential 5 00:00:17,380 --> 00:00:19,260 contamination of surgical traits. 6 00:00:20,750 --> 00:00:23,950 A surgical tech says some of the trays have black, gray, 7 00:00:23,970 --> 00:00:27,910 and brown particles of an unknown substance dusting inside. 8 00:00:28,520 --> 00:00:31,270 There are also black, greasy smears of unknown, 9 00:00:31,410 --> 00:00:33,430 but not surgically approved substance. 10 00:00:35,120 --> 00:00:37,580 In a statement to the San Diego Union Tribune, 11 00:00:37,640 --> 00:00:41,380 Kaiser mentioned its commitment to safe, quality, and timely care. 12 00:00:42,160 --> 00:00:42,860 It also says, 13 00:00:42,860 --> 00:00:47,060 it confirmed that all measures we are taking to clean process and transport 14 00:00:47,300 --> 00:00:51,420 surgical equipment to our Zion Medical Center for use is safe and medically 15 00:00:51,420 --> 00:00:52,253 appropriate. 16 00:00:53,520 --> 00:00:57,180 Kaiser Dick confirmed that surgical instruments used at Zion were currently 17 00:00:57,180 --> 00:01:00,500 being cleaned and processed at a San Diego Medical Center. 18 00:01:01,130 --> 00:01:04,500 This is because it found an issue with its hot water tank and equipment. 19 00:01:06,330 --> 00:01:06,950 Second, 20 00:01:06,950 --> 00:01:10,870 a new report from the Leapfrog group shows racial disparities in rates of 21 00:01:10,870 --> 00:01:14,830 adverse events continue even at hospitals with top safety ratings. 22 00:01:16,070 --> 00:01:19,710 Leapfrog safety grades are recognized as the only hospital ratings program, 23 00:01:20,090 --> 00:01:24,270 solely based on a hospital's ability to protect patients from preventable 24 00:01:24,290 --> 00:01:29,270 errors, accidents, injuries, and infections. In a report published today, 25 00:01:29,830 --> 00:01:32,630 researchers from Leapfrog and the Urban Institute say quote, 26 00:01:32,930 --> 00:01:36,990 little is known about the association between hospital safety grades and the 27 00:01:37,390 --> 00:01:41,110 delivery of safe care is specific to a patient's racial ethnic background or 28 00:01:41,110 --> 00:01:41,943 insurance. 29 00:01:43,870 --> 00:01:48,640 They also say No evidence indicates whether safer overall care is associated 30 00:01:48,640 --> 00:01:52,760 with narrowing disparities in patient safety among patients with different 31 00:01:52,760 --> 00:01:56,720 racial ethnic backgrounds or among patients with different types of insurance. 32 00:01:59,240 --> 00:02:03,390 Their research shows that overall care is safer for all racial groups at higher 33 00:02:03,490 --> 00:02:05,190 graded hospitals. However, 34 00:02:05,360 --> 00:02:09,470 black and Hispanic patients are still at an increased risk of certain adverse 35 00:02:09,470 --> 00:02:14,310 safety events compared to white patients. Even at hospitals graded A and B, 36 00:02:15,350 --> 00:02:19,620 black patients are more likely to experience surgery related complications 37 00:02:20,640 --> 00:02:22,420 across all hospital safety grades. 38 00:02:22,550 --> 00:02:26,660 Black patients face significant higher risk of stage three and four pressure 39 00:02:26,760 --> 00:02:27,593 ulcers. 40 00:02:28,580 --> 00:02:31,980 Hispanic patients also experience a higher risk of sepsis and respiratory 41 00:02:31,980 --> 00:02:33,220 failure after surgery. 42 00:02:34,890 --> 00:02:38,810 Researchers say these differences are also significant at higher greeted 43 00:02:39,050 --> 00:02:43,970 hospitals compared to those with private insurance patients covered by Medicare 44 00:02:43,990 --> 00:02:47,650 or Medicaid experience higher rates of adverse safety events. 45 00:02:50,160 --> 00:02:50,950 Third, 46 00:02:50,950 --> 00:02:55,870 a woman is charged in Georgia for stealing the identity of a Florida nurse and 47 00:02:55,870 --> 00:02:58,630 using the stolen nursing license to care for patients. 48 00:02:59,700 --> 00:03:04,190 Carissa Laws was employed as a licensed nurse at Walton Community Services. 49 00:03:05,050 --> 00:03:08,710 She cared for eight people with disabilities who needed care from a licensed 50 00:03:08,760 --> 00:03:13,150 nurse. The report says she used the license number of a nurse in Florida. 51 00:03:14,210 --> 00:03:15,830 The prosecutor also says, MS. 52 00:03:15,830 --> 00:03:20,230 Laws admitted to practicing as a nurse in Maryland, Virginia, Pennsylvania, 53 00:03:20,570 --> 00:03:23,510 New Hampshire, Florida, Georgia, and New Mexico. 54 00:03:24,770 --> 00:03:28,870 She has an active warrant for her arrest in Vermont and pending charges in 55 00:03:28,870 --> 00:03:31,990 Florida after the judge denied her bond. 56 00:03:32,370 --> 00:03:35,110 MS laws will remain in Cobb County Jail until trial 57 00:03:37,160 --> 00:03:37,730 fourth. 58 00:03:37,730 --> 00:03:42,540 Transplants from organ donors who drowned are linked to mold infections and 59 00:03:42,540 --> 00:03:46,260 higher death rates between 2011 and 21. 60 00:03:46,480 --> 00:03:51,220 The CDC D reports that over 4,000 organs from over 1000 drowned donors 61 00:03:51,690 --> 00:03:55,020 were transplanted in patients. In a new study, 62 00:03:55,080 --> 00:03:59,940 the agency looks at the outcomes of nine organ transplant recipients from three 63 00:03:59,940 --> 00:04:00,773 drowned donors. 64 00:04:01,750 --> 00:04:05,840 They found a total of four instances of patients who acquired invasive mold 65 00:04:05,890 --> 00:04:08,960 infections around seven days after a transplant. 66 00:04:09,550 --> 00:04:12,280 They subsequently died an average of eight days later. 67 00:04:13,420 --> 00:04:17,680 In every instance of a patient having an invasive mold infection after a 68 00:04:17,680 --> 00:04:19,200 transplant, the patient died. 69 00:04:20,430 --> 00:04:24,580 While the results do not show broad or inclusive trends for all researchers, 70 00:04:24,600 --> 00:04:26,020 say clinicians should note it, 71 00:04:28,140 --> 00:04:33,010 fifth Redondo Bot will join nurses on a healing trip to Costa Rica. Ms. 72 00:04:33,010 --> 00:04:37,010 Spa was convicted for a fatal medication error that created a national 73 00:04:37,010 --> 00:04:39,130 conversation about patient safety culture. 74 00:04:40,460 --> 00:04:44,090 Nurse Erica will be hosting the seven day trip with Miss Bot in September. 75 00:04:45,560 --> 00:04:48,190 Nurse Erica is a hospice nurse, nurse advocate, 76 00:04:48,210 --> 00:04:50,670 and social media influencer based in Las Vegas. 77 00:04:51,550 --> 00:04:53,670 Registration closes at the end of July. 78 00:04:54,050 --> 00:04:57,790 The trip costs a little under $2,500 per person. 79 00:04:58,810 --> 00:05:03,290 As of today, seven spots are still open. Thanks for listening. 80 00:05:03,630 --> 00:05:07,170 Do all more of the latest info about clinical leadership delivered directly to 81 00:05:07,170 --> 00:05:08,210 your inbox every weekday. 82 00:05:09,290 --> 00:05:12,530 Subscribe to the Becker's Clinical Leadership and Infection Control eNewsletter 83 00:05:12,830 --> 00:05:14,370 on our website at 84 00:05:14,950 --> 00:05:19,090 www.beckershospitalreview.com/quality.