The patient perspective on public health protections for cancer patients and HAI prevention
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The patient perspective on public health protections for cancer patients
and HAI preventionEvelyn McKnight, AuD
www.HONOReform.orgwww.OneandOnlyCampaign.org
www.ANeverEvent.com
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20022
Our story…
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What the investigation found
• Improper port flush procedure
• Index case came to clinic in 2000
• Complaints from housekeeping, pharmacy, lab, nursing and patients but
hospital claimed “no jurisdiction”• Unsafe practices for at least 16 months
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What happened to the victims?
1 liver transplantMailliard, et al. Outcomes of a patient to patient outbreak of Genotype 3a Hepatitis C. Hepatology 2009; 50: 361-368
1 sexual transmission
6 deaths
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What happened to the victims? 89 lawsuits
Community in conflict
28 SVR’sMailliard, et al. Outcomes of a patient to patient outbreak of Genotype 3a Hepatitis C. Hepatology 2009; 50: 361-368
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What Happened to the Perpetrators?
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www.ANeverEvent.com
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Striving to prevent healthcare transmission of bloodborne pathogens
Hepatitis Outbreaks National Organization for Reform
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Safe Injection Practices Coalition• Raises awareness about
safe injection practices
• Aims to eradicate outbreaks resulting from unsafe injection practices
AAAHC, AANA, APIC, BD, CDC, CDCF, Covidien, Hospira, HONOReform, NACCHO, NE Med Soc, NV Med Assn, Premier, MEDRAD, FDA; State Partners: NV, NJ,NY, NC
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• Programmatic funding• Congressional Briefing• GAO investigation• FDA, CMS, HHS & CDC collaboration• External Stakeholder Engagement (NQF, IHI)
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Ten years later - 2012
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12 and being counted!
Thank you for standing up