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All Features

Are We Getting Better Yet?
Donald J. Wheeler
The daily Covid-19 pandemic values tell us how things have changed from yesterday, and give us the current totals, but they are difficult to understand simply because they are only a small piece of the puzzle. This article will present a global perspective on the pandemic and show where the United…
Preparing for the HEROES Act
William A. Levinson
The U.S. House of Representatives has passed the HEROES Act (Health and Economic Recovery Omnibus Emergency Solutions Act)1 which will, if approved by the Senate and president, require OSHA to develop a standard for workplace protection against Covid-19. Under section 120302 the legislation says…
Could Pressure for Covid-19 Drugs Lead the FDA to Lower Its Standards?
Leigh Turner
Given the death, suffering, social disruption and economic devastation caused by Covid-19, there is an urgent need to quickly develop therapies to treat this disease and prevent the spread of the virus. But the U.S. Food and Drug Administration (FDA), charged with the task of evaluating and…
Textile Coating Could Make PPE Last and Last
Maggie Pavlick
Masks, gowns, and other personal protective equipment (PPE) are essential for protecting healthcare workers. However, the textiles and materials used to make such items can absorb and carry viruses and bacteria, inadvertently spreading the disease the wearer sought to contain. When the coronavirus…
How to Spot When an Employee Is Secretly Struggling
Thomas Hellwig
The Covid-19 world is marked by a high degree of uncertainty and existential fear, a dearth of social interaction, the convergence of professional and personal space, a lack of physical activity, and an obsessive focus on hygiene and social distancing. For professionals, this amounts to a toxic…
Addressing Measurement Challenges for Detecting Chemicals That Could Cause Cancer
Jessica Reiner
For more than 20 years, a class of man-made, potentially cancer-causing chemicals called per- and polyfluoroalkyl substances (PFAS) has commonly been found in humans and the environment. These chemicals are used in a variety of industries and can be found in many consumer products, such as food…
Fake PPE on the Rise: Don’t Get Fooled
Dirk Dusharme @ Quality Digest
Around the world, local agencies and institutions have scrambled to find personal protective equipment (PPE) to protect their essential employees from Covid-19. Not just healthcare workers, but also the men and women who to work to keep our cities and counties up and running, from emergency…
This Time, It’s Not All China’s Fault
Stanley Chao
‘Can you help me source PPEs from China?” asks a caller on the phone. I have received dozens of these inquiries since March from local governments, medical clinics, and mom-and-pop shops after hospitals and first responders began reporting massive shortages of N95 masks, latex gloves, and surgical…
The Problem With Fake N95 Masks
Quality Digest
It’s easy to assume that something as simple as a mask wouldn’t pose much of a risk. Essentially, it’s just a covering that goes over your nose and mouth. But masks are more than just stitched-together cloth. Medical-grade masks use multiple layers of nonwoven material, usually polypropylene,…
Possible Cure for Outbreak of Fake Certificates From Covid-19 Pandemic
Grant Ramaley
The International Accreditation Forum (IAF), the association of conformity assessment accreditation bodies worldwide, held an emergency meeting after confirming what appears to be an outbreak in the use of fake ISO 13485 certificates. ISO 13485 is a quality management system standard particular to…
Back to Work: How to Strategically Reboard Your Workforce
Carrie Van Daele
Crossing the street or stepping backward when you encounter another person has already become a habit, as has a routine elbow bump, instead of a handshake. And that is definitely what is needed during a health crisis. But when the time is right, as a society we must bounce back to social…
How to Prevent Failure When Shifting to Working From Home
Gleb Tsipursky
So many companies are shifting their employees to working from home to address the Covid-19 coronavirus pandemic. Yet they’re not considering the potential quality disasters that can occur as a result of this transition. An example of this is what one of my coaching clients experienced more than a…
Big Tech Is Rewiring Healthcare in the Platform Revolution
Sangeet Paul Choudary
The digitization of patient data and the adoption of cloud-based healthcare management systems have created efficiencies and new business models across the value chain. Advancements in AI provide superior decision support systems to doctors, while connected devices enable the remote delivery of…
What You Need to Know for an Effective Risk Assessment
Jon Speer
Historically, risk management has been a complex and polarizing subject, with various stakeholders assigning different values on the probability and severity of harm. In the medical device industry, risk management’s high importance has led to the publication of standards such as ISO 14971,…
Researchers Seek to Repurpose an Existing Manufacturing Platform to Produce a Covid-19 Vaccine
Alan Rudolph, Raymond Goodrich
We [Alan Rudolph and Raymond Goodrich] are both biotechnology researchers and are currently seeking to repurpose an existing medical manufacturing platform to quickly develop a vaccine candidate for Covid-19. This process is used for the treatment of blood products such as plasma, platelets, and…
What Is a Cytokine Storm?
Amber Dance, Knowable Magazine
This story was originally published by Knowable Magazine. As Covid-19 cases fill the hospitals, among the sickest and most likely to die are those whose bodies react in a signature, catastrophic way. Immune cells flood and attack the lungs they should be protecting. Blood vessels leak; the blood…
Examining Colorado’s Covid-19 Outbreak Using Control Charts
Jay Arthur—The KnowWare Man
Story update 5/6/2020: The charts and some data have been updated to reflect the data available on the date this article was published. During the Covid-19 stay-at-home order in Colorado, I've become increasingly frustrated by Covid-19 charts. Most of what I see are cumulative column charts, which…
Waiting for the Covid-19 Peak
Donald J. Wheeler, Al Pfadt
Each day we receive data that seek to quantify the Covid-19 pandemic. These daily values tell us how things have changed from yesterday, and give us the current totals, but they are difficult to understand simply because they are only a small piece of the puzzle. And like pieces of a puzzle, data…
Break the Curve and Keep It Broken
William A. Levinson
The phrase “flatten the curve” means to slow the transmission of the coronavirus (Covid-19) in order to spread the total number of cases out over a longer period of time. This will avoid overwhelming the healthcare system.1 The model is accurate as presented throughout the internet, but it also…
How Does Covid-19 Telehealth Expansion Affect Providers?
Clinton Ballew
Telehealth services have become even more critical in caring for patients as the Covid-19 pandemic quickly evolves. To temporarily remove barriers to practice telehealth, the federal government and many states have made sweeping changes in telehealth waiver provisions. As HORNE continues to…
Using Layered Process Audits to Close the Loop on Safety
Eric Stoop
According to the National Safety Council, the rate of preventable workplace fatalities per 100,000 workers has flattened or risen slightly since 2009 after decades of steady improvement in occupational safety. Companies conducting layered process audits (LPAs) can help get the United States get…
What the Trump Administration Could Do Now to Remedy the Ventilator Shortage
James Anderton
While healthcare professionals globally struggle to contain the Covid-19 pandemic, acute care patients are taxing ICU units worldwide. Critical to the care needed for the most serious cases is breathing support through mechanical ventilators. In Italy, the worst-hit nation in Europe, the lack of…
Tracking Covid-19: Update
Donald J. Wheeler, Al Pfadt, Kathryn J. Whyte
This article is an update to “Tracking Covid-19” that Al Pfadt, Kathryn Whyte, and I wrote last week. In that article we summarized what is known about Covid-19, what has already happened, and what is to be expected based on the analysis of the data and the epidemiological models. Over the past…
Tracking Covid-19
Donald J. Wheeler, Al Pfadt, Kathryn J. Whyte
Based on the professional literature available, there are some inconvenient truths about Covid-19 that are not always considered in the chorus of confusion that exists today. Here we summarize what is known, what has already happened, and what is to be expected based on the analysis of the data and…
Doing Business in a Post-Pandemic World
Ryan E. Day
Although Covid-19 shelter-in-home edicts usually use the terms “essential” and “nonessential,” most business owners think of doing business as essential for survival. Many organizations don’t have the resources to temporarily suspend business. They must find new ways to get it done. In a Think…

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