What the Health?

Wellness news and notes

Archive for November 28th, 2012

Leapfrog Group updates its controversial safety scores

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Earlier this year, the nonprofit Leapfrog Group, run by employers and other large purchasers of health benefits, caused a stir when it released its Hospital Safety Score, which gives hospitals a letter grade based on their performance on 26 hospital safety measures.
Of the 2,652 hospitals to receive a score, 729 received an “A,” 679 earned a “B” and 1,243 earned a “C” or below. In Connecticut, 12 hospitals got a “C” and only four got an “A.”

Well, today Leapfrog released updated report cards and, in Connecticut at least, the news is mixed. The number of hospitals getting an “A” went up — to six. But the number of “C” hospitals also increased, to 13.

Nationwide, the numbers changed as well. Of the 2,618 hospitals issued a score, 790 received an “A,” 678 got a “B” and 1,004 earned a “C.”

The new grades represent a few changes, including the fact that the Leapfrog system now includes “D” and “F” ratings. Previously, the system stopped at “C.” In new rankings, 121 hospitals got a “D” and 25 earned an “F.” Happily, no Connecticut hospitals received Ds or Fs.

In addition to adding the D and F grades, the update also accounts for new data, and a modified methodology.

Some Connecticut hospitals benefited from the new system, including Stamford Hospital and Yale-New Haven Hospital, which both went from a “C” to a “B,” and Danbury Hospital, which got upgraded to an “A.” Others found themselves busted down a grade, including Greenwich Hospital, which went from an “A” to a “B.” Others stayed consistent, including St. Vincent’s Medical Center, which maintained its “A” and Bridgeport Hospital, which held on to its original “C.”

The measures used to determine the grades include rates of infections, falls, complications and other problems at hospitals, as well as adherence to safety practices, such as proper staffing levels and hand-washing. Leapfrog representatives have said that the point of the scores is to draw attention to the issue of hospital safety. At least 180,000 patients are killed every year from errors, accidents, injuries and infections in American hospitals.

However, some criticize these and other ranking systems saying that, while they can be a help in choosing a hospital, they shouldn’t be the only determining factor. At any rate, you can find the updated scorecard by visiting http://www.hospitalsafetyscore.org/.

Button batteries an underrated hazard this holiday season

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When I covered the unveiling of the Public Interest Research Group’s annual “Trouble in Toyland” report last week, the panel of doctors and experts assembled for the program detailed a variety of hazards to kids, including toys with high lead content, toys that make ear-piercing noises and toys that can be choking hazards for tots. In the latter category, one expert — Dr. Scott Schoem, director of otolraryngology (also known as ear, nose and throat) at Connecticut Children’s Medical Center — named a major non-toy hazard to young ones: so-called ‘button batteries.’

Those are the flat, coin-shaped batteries used to power everything from watches to calculators to hearing aids to — yes — children’s toys. But, as Schoem said at the event, these batteries are a real risk to kids. “It’s round, it’s flat, it’s wide enough that it won’t fit through your esophagus and it’s in every home I know of,” he said.

In fact, according to the Centers for Disease Control and Prevention, there were 12 button battery-related deaths of children younger than 4 between 1995 and 2010. Of the 40,400 children young than 13 treated in hospital emergency departments for battery-related injuries, 58 percent of them were treated for injuries involving button batteries.

General injuries from batteries have been on the rise for the past few decades, spiking from 1,900 in 1998 to 4,800 in 2010. To help protect your young one from the dangers lurking inside his favorite batery-operated plaything, here are some tips from the U.S. Consumer Product Safety Commission:
Discard button batteries carefully.
Do not allow children to play with button batteries, and keep button batteries out of your child’s reach.
Caution hearing aid users to keep hearing aids and batteries out of the reach of children.
Never put button batteries in your mouth for any reason as they are easily swallowed accidentally.
Always check medications before ingesting them. Adults have swallowed button batteries mistaken for pills or tablets.
Keep remotes and other electronics out of your child’s reach if the battery compartments do not have a screw to secure them. Use tape to help secure the battery compartment.
If a button battery is ingested, immediately seek medical attention. The National Battery Ingestion Hotline is available anytime at (202) 625-3333 (call collect if necessary), or call your poison center at (800) 222-1222.

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