Hospital

  • Posted: July 28th, 2010 - 10:05am by Doug Powell

    Don Sapatkin of the Philadelphia Inquirer has been writing for at least a year about deficiencies in the antiquated Philly system and that even with improvements in inspections, most food establishments don't publicize even their most positive inspection reports, and no government in the Philadelphia region requires that they be tacked up for easy viewing like a menu.

    Last week, Sapatkin turned his investigative focus to Philadelphia’s hospital kitchens, and found they were far more likely than food establishments as a whole to be out of compliance with food-safety regulations, averaging six violations apiece in their most recent quarterly inspections by the city health department.

    The Hospital of the University of Pennsylvania, routinely named among the nation's best medical centers, was cited 14 times. The largely organic kitchen at Cancer Treatment Centers of America's Eastern Regional Medical Center in the Northeast had eight violations.

    And in New Jersey, Virtua Memorial Hospital in Mount Holly was rated "conditional satisfactory" after inspections in November and last month found several violations.

    "Many live German cockroaches observed on or at base of wall in dish-washing room, dead roaches observed under shelving in paper storage, next to ice machine, and behind refrigerator in vegetable prep area," a Burlington County health department inspector wrote June 28.

    All three hospitals said the violations had been quickly corrected.

    Food generally isn't considered when patients choose a hospital. Yet a review of inspection reports from around the region found scores of violations, as well as wide variations in what was cited from county to county. Some evidence suggests that the scrutiny is more rigorous in the city.

    Inspections are a far-from-perfect measure of risk: Inspectors found nothing amiss before or after an outbreak sickened 54 people and killed three patients at a Louisiana state hospital in May. And experts say most hospital kitchens go overboard with food safety, cooking so thoroughly to kill microbes that flavors may be lost.

    Sheri Morris, food program manager at the Pennsylvania Department of Agriculture, which regulates restaurants and stores but not hospitals, said,

    "Anybody who has a compromised immune system is going to be more susceptible to food-borne illness. And hospitals are full of people with compromised immune systems.”

    Since inspections are a snapshot of a constantly changing kitchen, they have limited ability to predict either safety or danger. "Just because you went in there and the place had no violations doesn't mean that 15 minutes later the place didn't go to pot," said Dennis J. Bauer, food-safety coordinator for the Bucks County Health Department.

    Your rating: None (2 votes)
    Bookmark and Share
  • Posted: June 14th, 2010 - 9:37am by Doug Powell

    Canada is so complacent that when a leading hospital provides terrible food safety advice, no one notices.

    Although Canada’s track record with ridiculous things said involving listeria is hard to match.

    There’s a recall of some pre-cooked meat products going on right now. No one is apparently sick, but this is how Canada’s version of state-sponsored jazz reported the event:

    CBC News says a Winnipeg food processor is recalling its pre-cooked meat products after an Alberta customer raised concerns about possible contamination with listeria bacteria.

    Smith's Quality Meats, which sells in provinces from British Columbia to Ontario, has voluntarily pulled a wide variety of its products from shelves.

    I’m not sure customer is the best word. Maybe the customer walked into the store with those magic I-can-see-listeria goggles.

    Smith's spokesman Andy Van Patter said,

    "The discovery was made on one product at one location in Alberta through testing performed by our customer. There [is] no indication that other products are affected."

    Oh, Smith’s supplied the meat to someone and they tested it and got a listeria positive. Got it.

    CTV News reported that people with weak immune systems, pregnant women and the elderly are most at risk from listeriosis.

    Unless you’re a medical professional at Toronto’s Sick Kids Hospital, where there is no risk of listeria to pregnant women or the elderly as long as food is bought from reputable sources. Their words, not mine.
     

    Your rating: None (3 votes)
    Bookmark and Share
  • Posted: May 29th, 2010 - 10:23am by Doug Powell

    In a return to the I-like-Ike 1950s, chicken salad contaminated with Clostridium perfringens was confirmed as killing three and sickening more than 40 at Central Louisiana State Hospital in Pineville.

    Dr. David Holcombe, medical director for Region 6 of the Louisiana Department of Health and Hospitals' Office of Public Health, said C. perfringens is a naturally occurring organism, but it can spread to unsafe levels with improper food storage and handling.

    The bacteria form spores that spread through food that has not been properly stored and become hard to completely cook away, Holcombe said, and they begin producing a toxin that makes people sick once they enter the lower intestine.

    Your rating: None (1 vote)
    Bookmark and Share
  • Posted: May 20th, 2010 - 6:56am by Doug Powell

    Greene County, Ohio, is located between Cincinnati and Columbus and perhaps not much happens because when people started showing up with Salmonella, nurse Amy Schmitt said,

    "Four reports in two business days is unprecedented for us. … Two out of the four were hospitalized. … At this point, we don't have a common link for those four individuals."
     

    Your rating: None
    Bookmark and Share
  • Posted: May 11th, 2010 - 10:59am by Doug Powell

    The iScrub Lite 1.5, a free app released on the iTunes store last Wednesday, allows medical professionals to enter data on hand hygiene compliance, which has typically been accomplished via old-fashioned clipboards and note cards.

    Philip Polgreen, an assistant professor of internal medicine at the University of Iowa, where the app was developed, said,

    "The long-term goal of our research is to understand hand hygiene behavior and use the feedback to help improve rates. This app can help standardize and streamline how observations are recorded."

    According to CNET News, the app enables anyone who cares to monitor hand hygiene to record observational data, e-mail it as an Excel spreadsheet, follow World Health Organization compliance models, and customize data collection to reflect various locations, job roles, and notes.

    Your rating: None
    Bookmark and Share
    Handwashing  |  1 Comment
    handwashing, Hospital, iscrub
  • Posted: May 10th, 2010 - 7:39am by Doug Powell

    It’s bad enough to be in the hospital; it’s worse when the food at the hospital is what kills.

    Louisiana state officials say they suspect food poisoning as the cause behind the weekend deaths of three patients at Pineville's Central State Hospital.

    Forty patients at the behavioral health hospital showed signs of gastrointestinal stress beginning around 6:30 a.m. Friday with the three deaths a 43-year-old woman, 41-year-old man and 52-year-old man happening late Friday night or early Saturday morning.

    Two patients remain hospitalized at Huey P. Long Medical Center in Pineville. A total of 11 patients and four staff members were treated there for possible food-poisoning symptoms.

    Your rating: None (3 votes)
    Bookmark and Share
  • Posted: April 29th, 2010 - 4:35pm by Doug Powell

    sorenne.baby_.08.jpg

    Being a handwashing nerd, I kept a close eye on the staff at Manhattan’s Mercy General when daughter Sorenne was born 17 months ago.

    They were watching me. Whoever was the control desk and let a new parent or visitor into the security-controlled maternity ward would insist people properly wash their hands before advancing any further.

    Not so everywhere.

    The Daily Mail is reporting tonight that furious parents are suing a hospital where two babies died during an E. coli outbreak after it emerged staff probably spread the infection by not washing their hands.

    Thirteen newborn babies contracted an antibiotic-resistant strain of the bug at the neonatal intensive care unit of Luton and Dunstable Hospital in Bedfordshire.

    An official report says widespread breaches of infection control measures, such as poor hand-washing regimes and equipment cleaning, were the likely cause.

    The parents of two infants who became critically ill but survived the 12-week E. coli outbreak in October 2008 are seeking undisclosed sums from the hospital over the long-term health implications.

    Colette Beard, 31, and her husband Greg, 28, said their son Lewis (above, right) suffered 'permanent damage' from the infection after he was born 15 weeks early on September 15, 2008. He spent four months recovering.

    Your rating: None (1 vote)
    Bookmark and Share
  • Posted: December 18th, 2009 - 1:50pm by Doug Powell

    One of my graduate students, Manoelita Warkenten, did a great job this morning presenting a departmental seminar about the use of gross-out information to increase handwashing compliance rates in various settings.

    Sarah Reasoner, another of my graduate students, who had already gone through the seminar fire, did an outstanding job prepping Manoelita. I didn’t have to do much. I like it that way.

    Irish Health reports today that one in three people in Ireland don’t wash their hands after going to the toilet.

    That’s gross.

    Your rating: None
    Bookmark and Share
    Handwashing  |  0 Comments
    Hospital, Poop
  • Posted: September 25th, 2009 - 5:56am by Doug Powell

    Todd Furnell (right), a two-year-old boy who suffered kidney failure following an E.coli outbreak at a petting farm was discharged from hospital after two weeks. Unfortunately his brother was still on a drip and too unwell to be released.

    The Health Protection Agency said yesterday
    that a fifth farm has partially closed after identifying a further five cases of E. coli O157 in people who had visited Big Sheep and Little Cow Farm.
     

    Your rating: None
    Bookmark and Share
  • Posted: September 17th, 2009 - 10:17am by Doug Powell

    “It looks pretty sweet. It looks awesome. That suit, it’s incredible.”

    One of the best lines from the movie, Napolean Dynamite, and one that came to mind when I read about a New Zealand study that found 18 per cent of people at a hospital used a hand sanitizer.

    We found 17 per cent of students during a norovirus outbreak at the University of Guelph used a prominently displayed hand sanitizer back in 2006.

    Maybe that’s just the rate of people paying attention to handwashing. Who knows about these things? Our study was written up in the Chronicle of Higher Education today, with Ben making lots of pithy quotes.

    The 2009 New Zealand study appeared in Eurosurveillance this morning and the abstract is below.

    The hand hygiene behaviours of the public in response to the current H1N1 influenza pandemic 2009 (or other pandemics) have not previously been described. An observational study was undertaken to examine hand hygiene behaviours by people passing a hand sanitiser station in the foyer of a public hospital in New Zealand in August 2009. Of the 2,941 subjects observed, 449 (18.0%, 95% confidence interval: 16.6, 19.6) used the hand sanitiser. This is a far from optimal result in response to the health promotion initiatives in the setting of a pandemic. These findings suggest the need for more effective health promotion of hand hygiene and also provide baseline measurements for future evaluation of hygiene practices.
     

    Your rating: None
    Bookmark and Share