New Best Practice Alert (BPA) to Increase Appropriate Plasma/FFP Transfusion (PDF)
Soon, a new best practice alert (BPA) will appear in Epic if plasma/FFP is ordered with a recent INR <=1.7. Transfusion of plasma is neither necessary nor effective for reducing minimally elevated INR prior to procedure or as a prophylaxis against bleeding. This is an important, multi-departmental initiative to increase adherence to evidence based medicine and reduce unnecessary side effects and surgical delays.
What's New and Coming Soon in Epic
Starting 9/11: Health maintenance alerts suppressed for terminally ill patients.
Starting 10/6: The Drug Enforcement Agency (DEA) has changed hydrocodone combination products (HCPs) from Schedule III to the more-restrictive Schedule II. This change goes into effect on 10/6/14. More information to come later this month.
California Initiative to Require Drug and Alcohol Testing of Doctors (PDF)
California's Medical Injury Compensation Reform Act ("MICRA"), enacted in 1975, is under threat with the introduction of California Ballot Initiative to Require Drug and Alcohol Testing of Doctors and would increase California's cap on non-economic damages that can be assessed in medical negligence lawsuits from $250,000 to $1.1 million.
Quality Alert: Biweekly Performance Report (PDF)
We continue to struggle with the following areas: Pneumonia, Hospital Based Psychiatric Services, Stroke, and Venous Thrombo-Embolism
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