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The Many Potential Advantages of Augmenting Cardiac Rehabilitation with Cognitive Behavioral Therapy (CBT)
The Many Potential Advantages of Augmenting Cardiac Rehabilitation with Cognitive Behavioral Therapy (CBT) Dan Kirschenbaum, Ph.D., ABPP, December 07, 2015

Millions of people throughout the world face cardiac crises and related post-cardiac problems. Cardiovascular disease is the leading cause of mortality worldwide and accounts for 32.8% of all deaths in the United States. The total estimated economic impact annually is $444 billion or equivalent to 1 out of every 6 health care dollars spent in the US and over 30% of all Medicare expenditures. The cost of treating heart disease is expected to climb every year, reaching the $1 trillion mark by 2030. This article will consider the problems that millions of people face when recovering from cardiac events. It will also present the current solutions available, primarily cardiac rehabilitation (CR), and then review the potential benefits of augmenting CR with cognitive behavioral therapy (CBT).

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3D Printing, the Future of Casting
3D Printing, the Future of Casting Sydney Wiggins, Samantha Garijanian, August 31, 2015

WellStar’s CHT enlisted the Georgia Tech Capstone Design program to find a solution to the archaic casting process. The “that’s the way we’ve always done it” mentality is a thing of the past and 3D casting is in the here and now. WellStar Health System, a fast growing and vibrant community based healthcare system, in the metropolitan Atlanta area, tasked its Center for Health Transformation (CHT) to examine more practical uses for this emerging technology. The use case selected by WellStar was to create an automated process by which patients with forearm injuries, such as radial/ulnar fractures, could be automatically scanned, and fitted with a 3D printed cast that is customized to the individual patient’s anatomical structure.

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The New WellStar Paulding Hospital – A Higher Level of Safety by Design
The New WellStar Paulding Hospital – A Higher Level of Safety by Design Eva Charlene Lewis BSN, Steven C. Fraime BSN, MBA, MHA , May 06, 2014

Patient safety has been a centralized goal of all healthcare systems since a controversial 1998 Institute of Medicine (IOM) study, which estimated that 98,000 preventable deaths occur in U.S. hospitals every year. The explosive growth of patient quality and safety teams, the incorporation of evidence based best practices, infection prevention measures and enhanced reporting systems were integrated into every healthcare system over the last decade. Despite these measures, a 2012 study by the Department of Health and Human Services finds that 13.5% of hospitalized Medicare patients experience adverse events during their hospital stay resulting in prolonged hospitalization, additional life sustaining intervention, permanent disability or death. An additional 13.5% of patients experience a temporary harm event that requires a lesser level of intervention. Another recent literature based study, published in the September 2013 Journal of Patient Safety, places the number of preventable patient deaths at two to four times that number. The dramatic rise in identifiable patient harm events has been dismissed by many experts as merely an indicator of a better safety event reporting system. The same 2013 study, however, found that only 16% of the identified errors were logged into any data capturing system. The logical conclusion is that preventable errors continue, and the consequences can be devastating in terms of life, injury, pain, and costs.

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WellStar’s Safety First program to aid in the drive to higher reliability - “Making Every Day a Safe Day at WellStar”
WellStar’s Safety First program to aid in the drive to higher reliability - “Making Every Day a Safe Day at WellStar” Samantha Garijanian, May 01, 2014

210,000 deaths a year are associated with preventable harm in hospitals, according to the NCBI. What differentiates healthcare organizations in such catastrophic events, negatively or positively, is its culture of safety, advanced planning and executive leadership. WellStar’s Safety First program targets the reduction and elimination of patient harm resulting from serious safety events (SSE). There is a momentous journey in changing behaviors and increasing awareness, to eliminate SSE’s, and the Safety First program is making strides to “make every day a safe day at WellStar”.

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