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December 2008 Volume 32 No. 11

John Morton, director of the Stanford Center for Outcomes Research and Evaluation (SCORE) and director of surgical quality poses a question during the the 2nd Annual Summit for Clinical Excellence. The bariatric surgeon was among some 220 physician, nursing and administrative leaders of SHC and LPCH who attended the Dec. 2 event on the Stanford Campus. The Summit, co-hosted by SHC Chief of Staff Bryan D. Bohman and LPCH Chief of Staff Christy Sandborg, explored evidence- based strategies for implementing a Fair and Just Culture.

Key speakers came from the world of engineering, management and medicine to help the Medical Staff and other leaders take a fresh look at their practices using innovative tools that are being widely adopted at top peer institutions throughout the nation. For more thoughts about a Fair and Just Culture - [See Chief of Staff column]

State law mandates hospital screening for MRSA and patient disclosure/education by physicians


Physicians and their patients who are admitted to the hospital will be affected starting Jan. 1 by a new state law, the Medical Facility Infection Control and Prevention Act (Niles Law).

“Probably the most significant immediate effect of SB 1058 is that the hospital is required to screen patients in five defined categories for MRSA [Methicillin-resistant Staphylococcus aureus],” explained Lucy Tompkins, professor of medicine/infectious diseases and the hospital’s epidemiologist.

Attending physicians will be required to promptly inform patients —or their families — whenever a positive MRSA nares screening culture is found to be positive. [See five required testing scenarios.] Then, these patients must receive instructions about after care and prevention of spread of MRSA to others. [See more].

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