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The patient perspective on public health protections for cancer patients and HAI prevention

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

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The patient perspective on public health protections for cancer patients and HAI prevention

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  1. 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

  2. Our story… 2002 2

  3. 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

  4. 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

  5. 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

  6. What Happened to the Perpetrators?

  7. www.ANeverEvent.com

  8. Hepatitis Outbreaks National Organization for Reform

  9. 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

  10. Programmatic funding • Congressional Briefing • GAO investigation • FDA, CMS, HHS & CDC collaboration • External Stakeholder Engagement (NQF, IHI)

  11. Ten years later - 2012

  12. Thank you for standing up and being counted!

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