Brigham and Women's Hospital’s Post

Mass General Brigham is fully operational. Mass General Brigham hospitals and clinics are open and seeing patients. All scheduled appointments and procedures will happen as planned on Monday, July 22. 𝐔𝐩𝐝𝐚𝐭𝐞: 𝐉𝐮𝐥𝐲 𝟏𝟗 - 𝟏𝟎:𝟑𝟐 𝐩.𝐦. Mass General Brigham mobilized incident command and other leadership teams across the organization to manage our response to the CrowdStrike incident. We have deployed hundreds of technicians to our hospitals, healthcare centers, and outpatient clinics to restore access to the systems and devices that were impacted by the software failure early this morning. We are doing everything possible to restore the electronic systems that support our patient care delivery across our system. Our teams will continue to work throughout the night to implement solutions and, at this time, we expect to be operational tomorrow. We apologize for the inconvenience that this has caused to the many patients who had scheduled visits with us today. ------------------------------- A major worldwide software outage has affected many of our systems at Mass General Brigham, as well as many major businesses across the country. Due to the severity of this issue, all previously scheduled non-urgent surgeries, procedures, and medical visits are cancelled today. Mass General Brigham remains open to provide care to patients with urgent health concerns in our clinics and emergency departments, and we continue to care for all patients currently receiving care in our hospitals. We have dedicated every available resource to resolve this issue as quickly as possible, and we apologize for the inconvenience this has caused our patients. It is our highest priority to ensure that our patients receive the safest care possible.

Mass General Brigham is fully operational. Mass General Brigham hospitals and clinics are open and seeing patients. All scheduled appointments and procedures will happen as planned on Monday, July 22. 𝐔𝐩𝐝𝐚𝐭𝐞: 𝐉𝐮𝐥𝐲 𝟏𝟗 - 𝟏𝟎:𝟑𝟐 𝐩.𝐦. Mass General Brigham mobilized incident command and other leadership teams across the organization to manage our response to the CrowdStrike incident. We have deployed hundreds of technicians to our hospitals, healthcare centers, and outpatient clinics to restore access to the systems and devices that were impacted by the software failure early this morning. We are doing everything possible to restore the electronic systems that support our patient care delivery across our system. Our teams will continue to work throughout the night to implement solutions and, at this time, we expect to be operational tomorrow. We apologize for the inconvenience that this has caused to the many patients who had scheduled visits with us today. ------------------------------- A major worldwide software outage has affected many of our systems at Mass General Brigham, as well as many major businesses across the country. Due to the severity of this issue, all previously scheduled non-urgent surgeries, procedures, and medical visits are cancelled today. Mass General Brigham remains open to provide care to patients with urgent health concerns in our clinics and emergency departments, and we continue to care for all patients currently receiving care in our hospitals. We have dedicated every available resource to resolve this issue as quickly as possible, and we apologize for the inconvenience this has caused our patients. It is our highest priority to ensure that our patients receive the safest care possible.

Mass General Brigham is fully operational. Mass General Brigham hospitals and clinics are open and seeing patients. All scheduled appointments and procedures will happen as planned on Monday, July 22. 𝐔𝐩𝐝𝐚𝐭𝐞: 𝐉𝐮𝐥𝐲 𝟏𝟗 - 𝟏𝟎:𝟑𝟐 𝐩.𝐦. Mass General Brigham mobilized incident command and other leadership teams across the organization to manage our response to the CrowdStrike incident. We have deployed hundreds of technicians to our hospitals, healthcare centers, and outpatient clinics to restore access to the systems and devices that were impacted by the software failure early this morning. We are doing everything possible to restore the electronic systems that support our patient care delivery across our system. Our teams will continue to work throughout the night to implement solutions and, at this time, we expect to be operational tomorrow. We apologize for the inconvenience that this has caused to the many patients who had scheduled visits with us today. ------------------------------- A major worldwide software outage has affected many of our systems at Mass General Brigham, as well as many major businesses across the country. Due to the severity of this issue, all previously scheduled non-urgent surgeries, procedures, and medical visits are cancelled today. Mass General Brigham remains open to provide care to patients with urgent health concerns in our clinics and emergency departments, and we continue to care for all patients currently receiving care in our hospitals. We have dedicated every available resource to resolve this issue as quickly as possible, and we apologize for the inconvenience this has caused our patients. It is our highest priority to ensure that our patients receive the safest care possible.

Mass General Brigham is fully operational. Mass General Brigham hospitals and clinics are open and seeing patients. All scheduled appointments and procedures will happen as planned on Monday, July 22. 𝐔𝐩𝐝𝐚𝐭𝐞: 𝐉𝐮𝐥𝐲 𝟏𝟗 - 𝟏𝟎:𝟑𝟐 𝐩.𝐦. Mass General Brigham mobilized incident command and other leadership teams across the organization to manage our response to the CrowdStrike incident. We have deployed hundreds of technicians to our hospitals, healthcare centers, and outpatient clinics to restore access to the systems and devices that were impacted by the software failure early this morning. We are doing everything possible to restore the electronic systems that support our patient care delivery across our system. Our teams will continue to work throughout the night to implement solutions and, at this time, we expect to be operational tomorrow. We apologize for the inconvenience that this has caused to the many patients who had scheduled visits with us today. ------------------------------- A major worldwide software outage has affected many of our systems at Mass General Brigham, as well as many major businesses across the country. Due to the severity of this issue, all previously scheduled non-urgent surgeries, procedures, and medical visits are cancelled today. Mass General Brigham remains open to provide care to patients with urgent health concerns in our clinics and emergency departments, and we continue to care for all patients currently receiving care in our hospitals. We have dedicated every available resource to resolve this issue as quickly as possible, and we apologize for the inconvenience this has caused our patients. It is our highest priority to ensure that our patients receive the safest care possible.

Is It reasonable to state that a patient is too sick for #HEMS or Critical Care Transport? This was the question posed by Susan Wilcox to kick off day 2 at #CCTMC2024. Here were her highlights: -Most providers deciding patient stability for transport do not understand what can medicine occur during critical care transport. The decision is being made for us without our team’s and physician leaders engaged. This needs to change & we need to be at the table. -15ish years ago, ECMO transport was nearly unheard of. Now, there are dozens of transports a day across the country. ECMO patients are by definition unstable. If we can transport ECMO patients safely, why would other unstable patients be too sick? -Evaluate cardiac arrest rates during transport and outcomes. If you look at the data of unstable patient transports, intra-transport arrest rates are actually quite low. Why? Because CCT teams understand how to prevent cardiac arrest. -What is the impact on patients on their families, if a patient is too sick to transport? If they are at a community/critical access hospital, aren’t they also too sick to stay there and have a meaningful chance to get better? -Hospitals don’t say a patient is too sick to transfer to the ICU, this just doesn’t exist. During a study of 12k intrahospital transfers, 24% had complications, but only 1.47% had life-threatening complications and 0% died due to the intrahospital transport. When moving a patient for interventions they must have, the benefits outweigh the risks. -During interfacility transports, yes our sickest patients have complications, she has published the data. But in reality (in her team’s data) 0.7% of patients have arrests in front of CCT teams, in the GAMUT database it is 0.42%. This suggests yes, we can manage the sickest patients. -If pts are left at referring community/critical access hospitals, we are leaving them with limited resources. Moving patients towards tertiary care is giving them a chance. -The work & care CCT teams do makes a difference. There are plenty of studies demonstrating that unstable patients managed by CCT teams are clinically better upon arrival at the receiving facility. -EMTALA states all pts need a screening and stabilization within capability of the hospital. If pt remains unstable and the benefits of transport >> risk (because they can’t be definitively treated there) & tertiary care has capacity & capability, then patient stability doesn’t factor in their decision to accept. Tertiary care can’t state unstable for transport under EMTALA (clarified, her opinion) -critical events during ground transports are more likely to occur on ALS ambulances than on CCT ambulances (odds ratio >2:1) -If you’re going to transport a highly unstable patient, make a plan for intra-transport care with your CCT medical director (on a recorded line) Air & Surface Transport Nurses Association (ASTNA) Air Medical Physician Association International College of Advanced Practice Paramedics

A more expedient solution for managing the backlog of elective surgeries could be to implement a strategic overhaul of NHS waitlist management, focusing on shifting low risk patients to high volume, low complexity centres. Utilising the C2-Ai clinical risk adjustment model, we can systematically triage waiting lists to pinpoint patients suitable for treatment at these high-efficiency centres. This approach would not only streamline patient flow but also maximise the utilization of healthcare resources. It's a matter of intelligent resource allocation—directing higher-risk, acute cases to specialized care while fast-tracking others through more efficient, less complex pathways. Such a strategy could significantly reduce wait times and enhance the overall effectiveness of NHS service provision. https://lnkd.in/eDiyu6sb #backlog #waitinglist #patientsafety #pathways #HVLC #acutecare #pathwaymanagement

Attention healthcare professionals! Perioperative medication errors can have serious consequences for both patients and providers. Stay informed and take steps to minimize these errors by reading our latest blog post. #PatientSafety #MedicalLiability #physicians #hospitals

"...six widely accepted triggers can be used in clinical routine to identify ICU patients with palliative needs." https://lnkd.in/eEKs4JD2 This letter to the editor discusses the acceptability of trigger factors for palliative care consultations for use with patients in the ICU. Perspectives of German ICU professionals indicate that only a minority of available of trigger factors were considered acceptable. This letter was co-authored by a member of the @EPIC4ICU consortium, Dr. Martin Neukirchen, in 2018. Read more about his experience in palliative care here: https://lnkd.in/eK7BtjCt Unaddressed palliative needs within the intensive care setting is a recurrent issue in healthcare. Bridging the gap between ICU and palliative care is necessary to ensure that those with palliative needs in ICU settings receive the right care at the right time. #palliativecare #intensivecare

Cleveland Clinic Florida shared some key metrics about its Medically Home-partnered hospital at home program in this recent article that may be instructive for those considering adding hospital-at-home care for patient communities - From the article: - Today, the virtual hospital census ranges from 17-20 patients and admission volumes exceed 120 per month. - These patients had reduced readmission rates to the hospital and an improved patient experience. - “The patient feedback has exceeded the already high bar we set for the virtual hospital,” says Dr. Rothman. “Our Press Ganey patient experience scores surpassed those for in-hospital care while having similar medical illness severity levels, and the readmission rate trends are to-date significantly lower for Hospital Care At Home than the brick and mortar hospital (9.6% versus ~13%).” - “That represents the elimination of nearly 2,000 brick and mortar hospital days since April,” says Dr. Rothman. “Following the opening of the virtual hospital at Indian River Hospital, the daily census averaged seven patients.” Read more here: https://lnkd.in/gCJg3Zhg #hospitalathome #patientcare #patientexperience #coffeeonthefrontporch

RRT's are one of my favorite groups to work with in our partnering hospitals and IDN's! Outstanding Outcomes and Published Results Rapid Response Teams (RRTs) are pivotal in our hospitals, springing into action during critical moments to save lives. By integrating Decisio’s Clinical Decision Support (CDS) into RRT workflows, we’re setting a new standard in patient care. Our latest blog dives deep into how this synergy enhances clinician’s early intervention capabilities, allowing clinicians to reduce ICU transfers by up to 32%, and with preventative clinical interventions decreases cardiac arrests by 61%.#HealthcareInnovation #PatientCare #HospitalSafety #DecisioHealth https://lnkd.in/gCsVaeN3