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Explore the patient perspective on public health protections for cancer patients and HAI prevention. Learn about a patient-to-patient outbreak, outcomes, lawsuits, and efforts to eradicate unsafe injection practices.
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The patient perspective on public health protections for cancer patients and HAI prevention • Evelyn McKnight, AuD • www.HONOReform.org • www.OneandOnlyCampaign.org • www.ANeverEvent.com
Our story… 2002 2
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
What happened to the victims? 6 deaths 1 sexual transmission 1 liver transplant Mailliard, et al. Outcomes of a patient to patient outbreak of Genotype 3a Hepatitis C. Hepatology 2009; 50: 361-368
What happened to the victims? 89 lawsuits Community in conflict 28 SVR’s Mailliard, et al. Outcomes of a patient to patient outbreak of Genotype 3a Hepatitis C. Hepatology 2009; 50: 361-368
Safe Injection Practices Coalition • Raises awareness about safe injection practices • Aimsto 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
Programmatic funding • Congressional Briefing • GAO investigation • FDA, CMS, HHS & CDC collaboration • External Stakeholder Engagement (NQF, IHI)
Thank you for standing up and being counted!