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These resources have been made available to the general public as part of ECRI Institute’s mission to help others find new approaches to improve patient safety.

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Acupuncture for Treating Chronic Painhttps://www.ecri.org/components/Hotline/Pages/25233.aspxAcupuncture for Treating Chronic Pain6/8/2017 12:00:00 AM ​Chronic pain typically lasts for several months and can result from injury, disease, or nervous system dysfunction. Conventional treatments for chronic pain include outpatient use of medications, physical therapy, and nerve blocks. Acupuncture is an alternative approach to treating patients with chronic pain by inserting thin needles through the skin to stimulate nerves, muscle, and connective tissue to relieve pain, tension, and stress. Patients typically try acupuncture after conventional treatments have failed to relieve pain.
Violence in Healthcare Facilitieshttps://www.ecri.org/components/HRC/Pages/SafSec3.aspxViolence in Healthcare Facilities5/24/2017 12:00:00 AM Violence in healthcare facilities creates a multitude of risks for patients, visitors, staff, and the organization. This guidance article discusses warning signs and presents strategies for prevention of and response to violence.
Strategic Planning in the Clinical Engineering Realm—Norton Healthcare’s Approach for Improving Health Technology Managementhttps://www.ecri.org/components/HDJournal/Pages/11th_HD_Achievement_Award_Finalist_Norton.aspxStrategic Planning in the Clinical Engineering Realm—Norton Healthcare’s Approach for Improving Health Technology Management5/8/2017 12:00:00 AM Norton Healthcare (Louisville, KY) was named a finalist for ECRI Institute's 11th Health Devices Achievement Award for its use of strategic planning principles to set the direction for its clinical engineering group.
Transitioning to a Highly Reliable Recall Management Program—How St. Luke’s Health System Optimized Technology, Systematized Processes, and Mobilized Peoplehttps://www.ecri.org/components/HDJournal/Pages/11th_HD_Achievement_Award_Finalist_St_Lukes.aspxTransitioning to a Highly Reliable Recall Management Program—How St. Luke’s Health System Optimized Technology, Systematized Processes, and Mobilized People5/8/2017 12:00:00 AM St. Luke's Health System (Boise, ID) was named a finalist for ECRI Institute's 11th Health Devices Achievement Award for the strategy it used when transitioning its recall management program from a paper-based process to a centralized, automated system.
Improving IPM Completion Rates—How Service New Brunswick Used the “Critical Percentage” Concept to Meet Its Goalshttps://www.ecri.org/components/HDJournal/Pages/11th_HD_Achievement_Award_Finalists_Service_New_Brunswick.aspxImproving IPM Completion Rates—How Service New Brunswick Used the “Critical Percentage” Concept to Meet Its Goals5/8/2017 12:00:00 AM Service New Brunswick (Fredericton, NB, Canada) was named a finalist for ECRI Institute's 11th Health Devices Achievement Award for its work to improve completion rates for medical device inspection and preventive maintenance (IPM) procedures.
Designing Custom Apps to Improve Patient Care—An Award-Winning Initiative from Penn Medicine’s Center for Health Care Innovationhttps://www.ecri.org/components/HDJournal/Pages/11th_HD_Achievement_Award_Winner_Penn_Medicine.aspxDesigning Custom Apps to Improve Patient Care—An Award-Winning Initiative from Penn Medicine’s Center for Health Care Innovation5/8/2017 12:00:00 AM ​The Penn Medicine Center for Health Care Innovation (Philadelphia, PA) was named the winner of ECRI Institute's 11th Health Devices Achievement Award for an app-development platform that brings relevant, timely data to clinicians to improve patient care.
Implementing the ENFit Initiative for Preventing Enteral Tubing Misconnectionshttps://www.ecri.org/components/HDJournal/Pages/ENFit-for-Preventing-Enteral-Tubing-Misconnections.aspxImplementing the ENFit Initiative for Preventing Enteral Tubing Misconnections3/29/2017 12:00:00 AM Learn about the ENFit enteral connector initiative for preventing enteral tubing misconnections. We explain why it's important and what actions you should take to transition to the new enteral connectors.
Implementing the ENFit Initiative for Preventing Enteral Tubing Misconnectionshttps://www.ecri.org/components/PSOCore/Pages/e-lert032917.aspxImplementing the ENFit Initiative for Preventing Enteral Tubing Misconnections3/29/2017 12:00:00 AM Numerous reports describe the risks from misconnections of enteral feeding tubing (such as tubes being connected to catheters or to non-enteral tubing), sometimes with fatal outcomes. In response, there is a growing movement toward using a connector design called ENFit.
Partnering for Transformation: Making a Positive Impact https://www.ecri.org/components/HRC/Pages/Proceedings2017.aspxPartnering for Transformation: Making a Positive Impact 2/27/2017 12:00:00 AM ​In its third annual meeting, The Partnership for Health IT and Patient Safety updated attendees on implementing and testing the recommendations included in the copy and paste toolkit, as well as the Partnership's new safe practice recommendations for the use of health IT in patient identification.
Nutrition and Hydrationhttps://www.ecri.org/components/CCRM/Pages/ResCare5.aspxNutrition and Hydration12/20/2016 12:00:00 AM This guidance article discusses the nutrition and hydration needs of older adults and describes steps aging services organizations can take to improve the nutritional status of residents.
Acute Oxygen Therapyhttps://www.ecri.org/components/SpecialReports/Pages/24629.aspxAcute Oxygen Therapy10/14/2016 12:00:00 AM ​Acute oxygen therapy is one of the most commonly used medical procedures, but many clinicians and healthcare workers responsible for its use may not be aware of the potential risks to patients if not used correctly. This Special Report looks at the current literature on when and how to use oxygen supplementation in critically ill patients to treat hypoxemia while avoiding hyperoxemia.
A Hospital Survival Story: Avoiding Medicare Terminationhttps://www.ecri.org/components/HRC/Pages/RMRep0816.aspxA Hospital Survival Story: Avoiding Medicare Termination8/26/2016 12:00:00 AMThe board chair of a California community hospital that recently faced near-termination from the Medicare program has a message for all healthcare organizations.
Managing Patient Complaints and Grievanceshttps://www.ecri.org/components/HRC/Pages/PtSup1.aspxManaging Patient Complaints and Grievances8/17/2016 12:00:00 AM Proactive management of patient complaints and grievances is important to ensure regulatory compliance and excellent customer service, as well as for using lessons learned to remediate systems problems and staff performance issues.
Dementia Care in Aging Serviceshttps://www.ecri.org/components/CCRM/Pages/ResCare17.aspxDementia Care in Aging Services8/9/2016 12:00:00 AM ​The number of people with Alzheimer-related dementia is expected to nearly triple by 2050. This guidance article outlines a person-centered approach to the care of people with dementia in aging services.
The Health Devices Achievement Award: Recognizing Exceptional Health Technology Managementhttps://www.ecri.org/components/HDJournal/Pages/hd-achievement-award.aspxThe Health Devices Achievement Award: Recognizing Exceptional Health Technology Management5/8/2017 12:00:00 AM The annual Health Devices Achievement Award competition showcases some of the outstanding technology management initiatives implemented by our members. Here are write-ups of all the winners and finalists to date.
Partnering for Action: Applying What We’ve Learnedhttps://www.ecri.org/components/HRC/Pages/Proceedings2016.aspxPartnering for Action: Applying What We’ve Learned4/7/2016 12:00:00 AM On October 16, 2015, ECRI Institute convened a face-to-face, multi-stakeholder meeting of the Partnership for Health IT Patient Safety. "Partnering for Action Applying What We've Learned" was designed to address risks associated with health information technology (IT), to define safe practices, and to strategize on how to inform a national strategy for health IT safety.
Assessing the Cost-Effectiveness of Approaches for Reducing Retained Surgical Items—Banner Health’s Success Storyhttps://www.ecri.org/components/HDJournal/Pages/HD-Achievement-Award-Banner.aspxAssessing the Cost-Effectiveness of Approaches for Reducing Retained Surgical Items—Banner Health’s Success Story3/30/2016 12:00:00 AM Banner Health (Phoenix, AZ) was selected as a finalist for the 10th Health Devices Achievement Award for a project comparing the cost-effectiveness of RFID technology with that of other approaches for reducing the incidence of retained surgical sponges.
Implementing Alarm Default Changes to Improve Patient Care and Patient and Staff Satisfaction—Boston Medical Center’s Ongoing Initiative https://www.ecri.org/components/HDJournal/Pages/HD-Achievement-Award-Boston-Medical.aspxImplementing Alarm Default Changes to Improve Patient Care and Patient and Staff Satisfaction—Boston Medical Center’s Ongoing Initiative 3/30/2016 12:00:00 AM Boston Medical Center (Boston, MA) was selected as a finalist for ECRI Institute's 10th Health Devices Achievement Award for its low-cost, high-impact processes for improving the management of telemetry monitoring alarms.
A Cooperative Approach to Reducing Supply Costs—Cooper University Health Care’s Program to Engage End Users in the Purchasing Processhttps://www.ecri.org/components/HDJournal/Pages/HD-Achievement-Award-Cooper.aspxA Cooperative Approach to Reducing Supply Costs—Cooper University Health Care’s Program to Engage End Users in the Purchasing Process3/30/2016 12:00:00 AM Cooper University Health Care (Camden, NJ) was selected as a finalist for ECRI Institute's 10th Health Devices Achievement Award for demonstrating how cross-functional cooperation can help reduce supply costs.
A Patient-Centered Approach to Alarm Management—Texas Children's Hospital's Award-Winning Projecthttps://www.ecri.org/components/HDJournal/Pages/HD-Achievement-Award-Texas-Childrens.aspxA Patient-Centered Approach to Alarm Management—Texas Children's Hospital's Award-Winning Project3/30/2016 12:00:00 AM Texas Children's Hospital in Houston was named the winner of ECRI Institute's 10th Health Devices Achievement Award for its design and implementation of an alarm dashboard that has helped integrate alarm management decisions into patient care discussions.
Harnessing Data for Medical Equipment Replacement Planning—the University of Pittsburgh Medical Center’s “Fleet” Programhttps://www.ecri.org/components/HDJournal/Pages/HD-Achievement-Award-UPMC.aspxHarnessing Data for Medical Equipment Replacement Planning—the University of Pittsburgh Medical Center’s “Fleet” Program3/30/2016 12:00:00 AM The University of Pittsburgh Medical Center (Pittsburgh, PA) was selected as a finalist for ECRI Institute's 10th Health Devices Achievement Award for its data-driven approach to planning for medical equipment replacement.
Fallshttps://www.ecri.org/components/HRC/Pages/SafSec2.aspxFalls3/14/2016 12:00:00 AM Falls are a high-volume, high-risk, high-cost challenge for healthcare facilities worldwide. This guidance article provides risk managers with guidance on implementing a comprehensive falls management program.
Sepsis: Combating the Hidden Colossushttps://www.ecri.org/components/HRC/Pages/RMRep1215_Focus.aspxSepsis: Combating the Hidden Colossus12/1/2015 12:00:00 AM Sepsis, a leading cause of death, requires prompt recognition, diagnosis, and treatment. This article examines what some organizations are doing to combat this underrecognized condition.​
Creating and Maintaining an Effective Compliance and Ethics Programhttps://www.ecri.org/components/CCRM/Pages/LegReg6.aspxCreating and Maintaining an Effective Compliance and Ethics Program8/26/2015 12:00:00 AM Combined with a strong corporate culture of transparency and accountability, an effective compliance and ethics program is much more than a "paper" exercise and promotes adherence to quality standards, healthcare laws, and regulations.
Technologies for Decontaminating Medical Equipment Used for Patients with Ebola Virus Diseasehttps://www.ecri.org/components/Hotline/Pages/23413.aspxTechnologies for Decontaminating Medical Equipment Used for Patients with Ebola Virus Disease6/3/2015 12:00:00 AM ​The CDC recommends using “dedicated medical equipment (preferably disposable, when possible)” in caring for patients with EVD. In cases in which nondedicated and/or nondisposable medical equipment (e.g., patient monitors, stethoscopes, infusion pumps, ventilators, dialysis equipment) are used for patient care, the CDC recommends cleaning and disinfecting them according to manufacturer's instructions and hospital policies.
ReEBOV Antigen Rapid Test (Corgenix Medical Corp.) for Diagnosing Ebola Virus Diseasehttps://www.ecri.org/components/ProductBriefs/Pages/23488.aspxReEBOV Antigen Rapid Test (Corgenix Medical Corp.) for Diagnosing Ebola Virus Disease3/13/2015 12:00:00 AM ​The ReEBOV™ Antigen Rapid Test is a point-of-care assay intended to quickly diagnose Ebola virus disease in patients with signs and symptoms who may have been exposed to the virus. FDA granted Emergency Use Authorization for the test in February 2015 to detect the Zaire strain.
Ebola Vaccine Candidate cAd3-EBO (GlaxoSmithKline) for Preventing Ebola Virus Diseasehttps://www.ecri.org/components/ProductBriefs/Pages/14467.aspxEbola Vaccine Candidate cAd3-EBO (GlaxoSmithKline) for Preventing Ebola Virus Disease3/3/2015 12:00:00 AM ​The search continues for a treatment and vaccine with potential to control the Ebola virus. This Product Brief explores the available evidence on the Ebola vaccine candidate cAd3-EBO, developed by GlaxoSmithKline and the National Institutes of Health.
A Look at the U.S. Army Western Regional Medical Command’s Nomenclature Standardization Initiative https://www.ecri.org/components/HDJournal/Pages/2014-HD-Award-Army.aspxA Look at the U.S. Army Western Regional Medical Command’s Nomenclature Standardization Initiative 2/4/2015 12:00:00 AM ​Learn about a medical device nomenclature standardization project undertaken by the U.S. Army Western Regional Medical Command (Joint Base Lewis-McChord, WA). For this project, WRMC was selected as a finalist for the 2014 Health Devices Achievement Award.
How Banner Health Used a Human Factors Usability Study to Improve Its Bed Selection Processhttps://www.ecri.org/components/HDJournal/Pages/2014-HD-Award-Banner.aspxHow Banner Health Used a Human Factors Usability Study to Improve Its Bed Selection Process2/4/2015 12:00:00 AM ​Banner Health (Phoenix, AZ) was selected as a finalist for the 2014 Health Devices Achievement Award for its robust bed assessment process. Find out what this process entailed, and what your facility can learn from Banner's experience.
Profiling Cedars-Sinai’s Initiative to Expand and Centralize Cardiac Monitoring https://www.ecri.org/components/HDJournal/Pages/2014-HD-Award-Cedars-Sinai.aspxProfiling Cedars-Sinai’s Initiative to Expand and Centralize Cardiac Monitoring 2/4/2015 12:00:00 AM ​Find out about Cedars-Sinai Medical Center's (Los Angeles, CA) initiative to expand its cardiac monitoring capabilities and transition to a centralized monitoring model. The facility was a finalist for the 2014 Health Devices Achievement Award.
How the Children’s Hospital of Philadelphia Used Video to Better Understand Alarm Fatigue https://www.ecri.org/components/HDJournal/Pages/2014-HD-Award-CHOP.aspxHow the Children’s Hospital of Philadelphia Used Video to Better Understand Alarm Fatigue 2/4/2015 12:00:00 AM ​Learn how the Children's Hospital of Philadelphia (Philadelphia, PA) studied alarm fatigue by video-recording nurses and their response times to alarms. The project led to CHOP becoming a finalist for the 2014 Health Devices Achievement Award.
Geisinger Health System’s Structured Approach for Assessing Incoming Clinical Technology and Deviceshttps://www.ecri.org/components/HDJournal/Pages/2014-HD-Award-Geisinger.aspxGeisinger Health System’s Structured Approach for Assessing Incoming Clinical Technology and Devices2/4/2015 12:00:00 AM ​Read about a tool developed by Geisinger Health System (Danville, PA) that facilitates structured evaluation of incoming technologies. For this project, Geisinger was chosen as a finalist for the 2014 Health Devices Achievement Award.
Partnering for Success: A Call to Actionhttps://www.ecri.org/components/HRC/Pages/RMRep0215_Focus.aspxPartnering for Success: A Call to Action2/1/2015 12:00:00 AM ​In 2013, ECRI Institute convened the Partnership for Health IT Patient Safety, a multi-stakeholder collaborative whose purpose is to make health IT safer together. These Proceedings cover the health IT topics, challenges, barriers, and priorities that emerged at the Partnership's September 23, 2014 meeting, Partnering for Success. The meeting underscored that health IT safety and innovation are shared responsibilities and focused on ways to advance safety through collaboration.
LightMix Ebola Zaire rRT-PCR Test (TIB Molbiol GmbH/Roche) for Diagnosing Ebola Virus Diseasehttps://www.ecri.org/components/ProductBriefs/Pages/14455.aspxLightMix Ebola Zaire rRT-PCR Test (TIB Molbiol GmbH/Roche) for Diagnosing Ebola Virus Disease1/23/2015 12:00:00 AM ​This report looks at the literature for the LightMix® Ebola Zaire rRT-PCR test (TIB Molbiol/Roche), which has received Emergency Use Authorization from FDA for diagnosing Ebola virus disease.
Preventing the Overuse of Cardiac Telemetry Monitoring—Christiana Care Health System’s Award-Winning Projecthttps://www.ecri.org/components/HDJournal/Pages/2014-HD-Award-winner-Christiana-Care.aspxPreventing the Overuse of Cardiac Telemetry Monitoring—Christiana Care Health System’s Award-Winning Project1/14/2015 12:00:00 AM ​Find out how Christiana Care Health System (Wilmington, DE) tackled the problem of overutilization of cardiac telemetry monitoring through a highly effective initiative—a project for which the organization won the 2014 Health Devices Achievement Award.
Scope of Practice Laws for Nurse Practitioners and Physician Assistantshttps://www.ecri.org/components/PPRM/Pages/LB5.aspxScope of Practice Laws for Nurse Practitioners and Physician Assistants1/5/2015 12:00:00 AM ​Nonphysician practitioners’ scope of practice is largely dictated by state laws and regulations and is also impacted by other factors such as employment agreements, practice setting, and billing requirements of Medicare and other payers.
Automated Technologies for Patient Room Disinfection and Decontamination of Biosafety Level 4 Infectious Agents, Including Ebola Virushttps://www.ecri.org/components/Hotline/Pages/14374.aspxAutomated Technologies for Patient Room Disinfection and Decontamination of Biosafety Level 4 Infectious Agents, Including Ebola Virus12/22/2014 12:00:00 AM ​We explore the literature on automated means of disinfecting patient rooms and the decontamination of Biosafety Level 4 infectious agents, including Ebola virus.
Rapid Point-of-care Tests for Diagnosing Ebola Virus Diseasehttps://www.ecri.org/components/Hotline/Pages/14373.aspxRapid Point-of-care Tests for Diagnosing Ebola Virus Disease11/24/2014 12:00:00 AM ​In our efforts to monitor developments in Ebola treatment, we examine the literature on rapid point-of-care testing, which is intended for use in various settings proximal to a patient, such as at the bedside, in the home, or in the ER, which may of particular utility in developing nations.
Zmapp Monoclonal Antibody Cocktail (Mapp Biopharmaceutical/LeafBio, Inc.) for Treating Ebola Virus Diseasehttps://www.ecri.org/components/ProductBriefs/Pages/14370.aspxZmapp Monoclonal Antibody Cocktail (Mapp Biopharmaceutical/LeafBio, Inc.) for Treating Ebola Virus Disease11/20/2014 12:00:00 AM ​We examine the literature on the ZMappTM, which is a drug under development that comprises three monoclonal antibodies to treat patients with Ebola virus disease. The drug combines a previously existing antibody cocktail and two from a different antibody cocktail called ZMab.
AVI 6002 (AVI-7537) Drug Therapy (Sarepta Therapeutics) for Treating Ebola Virus Diseasehttps://www.ecri.org/components/ProductBriefs/Pages/14371.aspxAVI 6002 (AVI-7537) Drug Therapy (Sarepta Therapeutics) for Treating Ebola Virus Disease11/18/2014 12:00:00 AM ​We examine the published clinical evidence on how well AVI-6002 (Sarepta Therapeutics) Ebola virus disease affected patients.
Patient Safety, Risk, and Qualityhttps://www.ecri.org/components/HRC/Pages/RiskQual4.aspxPatient Safety, Risk, and Quality11/18/2014 12:00:00 AM This Risk Analysis examines the roles that quality risk assurance and risk management play in healthcare organizations, and discusses organizational models for integrating the two programs.
Aethlon Hemopurifier (Aethlon Medical) for Purifying Blood Infected with Ebola or Other Hemorrhagic Viruseshttps://www.ecri.org/components/ProductBriefs/Pages/14369.aspxAethlon Hemopurifier (Aethlon Medical) for Purifying Blood Infected with Ebola or Other Hemorrhagic Viruses11/17/2014 12:00:00 AM ​We explore the literature on the Aethlon Hemopurifier™ (Aethlon Medical, Inc.), which is intended to purify blood infected with Ebola or other hemorrhagic viruses.
CardioMEMS HF System (St. Jude Medical) for Wireless Monitoring of Pulmonary Artery Pressure in Patients with Heart Failurehttps://www.ecri.org/components/ProductBriefs/Pages/14132.aspxCardioMEMS HF System (St. Jude Medical) for Wireless Monitoring of Pulmonary Artery Pressure in Patients with Heart Failure8/10/2017 12:00:00 AM The CardioMEMS HF System is designed to monitor pulmonary artery (PA) pressures (mean, systolic, diastolic) using a wireless sensor in patients with heart failure (HF). Wireless monitoring of hemodynamic function potentially offers the ability to capture information without an invasive procedure. This information may help reduce hospitalizations and deaths.
Geisinger Health System's 360-Degree Approach to Capital Technology Assessment, Planning, and Optimizationhttps://www.ecri.org/components/HDJournal/Pages/A-360-Degree-Approach-to-Capital-Technology-Planning.aspxGeisinger Health System's 360-Degree Approach to Capital Technology Assessment, Planning, and Optimization5/1/2017 12:00:00 AM Learn how Geisinger Health System (Danville, PA), one of the finalists for the 2013 Health Devices Achievement Award, strengthened its technology planning program with an integrated approach to clinical capital assessment, planning, and optimization.
Facility Renovations Lead to Supply Chain Renovation at Parkview Health Systemhttps://www.ecri.org/components/HDJournal/Pages/Facility-Renovations-Lead-to-Supply-Chain-Renovation.aspxFacility Renovations Lead to Supply Chain Renovation at Parkview Health System5/1/2017 12:00:00 AM Parkview Health System, a finalist for the 2013 Health Devices Achievement Award, established an end-to-end supply chain in a fully automated and virtual environment to coincide with major hospital construction and renovation projects.
How Boston Medical Center Got a Handle on Telemetry Alarmshttps://www.ecri.org/components/HDJournal/Pages/Getting-a-Handle-on-Telemetry-Alarms.aspxHow Boston Medical Center Got a Handle on Telemetry Alarms5/1/2017 12:00:00 AM Boston Medical Center, one of the finalists for the 2013 Health Devices Achievement Award, reduced audible telemetry alarms by 89% during a six-week program.
How Novant Health Moved Endoscope Repair and Instrument Sharpening In-Househttps://www.ecri.org/components/HDJournal/Pages/Moving-Endoscope-Repair-and-Instrument-Sharpening-In-House-.aspxHow Novant Health Moved Endoscope Repair and Instrument Sharpening In-House5/1/2017 12:00:00 AM Novant Health, one of the finalists for the 2013 Health Devices Achievement Award, saved money and time by developing an endoscope repair and instrument sharpening program to centralize and track repairs across its hospital system.
How Halton Healthcare Services Used Bedside Bar Coding to Improve Specimen Identificationhttps://www.ecri.org/components/HDJournal/Pages/Using-Bedside-Bar-Coding-to-Improve-Specimen-Identification.aspxHow Halton Healthcare Services Used Bedside Bar Coding to Improve Specimen Identification5/1/2017 12:00:00 AM Halton Healthcare Services, one of the finalists for the 2013 Health Devices Achievement Award, implemented bar-code technology at the bedside to help reduce the number of mislabeling or misidentification incidents.
Home Care: Staff-Related Riskshttps://www.ecri.org/components/CCRM/Pages/QualRisk5_1.aspxHome Care: Staff-Related Risks1/17/2017 12:00:00 AM This Guidance Article discusses home care issues, including employment issues; injuries, illnesses, and workers’ compensation; and risks in the social environment and community.
Fecal Microbiota Transplantation for Treating Recurrent Clostridium difficile Infectionhttps://www.ecri.org/components/Target/Pages/12037.aspxFecal Microbiota Transplantation for Treating Recurrent Clostridium difficile Infection7/21/2016 12:00:00 AM Fecal microbiota transplantation involves introducing saline-diluted fecal matter from a healthy donor into the gastrointestinal tract of a patient with recurrent Clostridium difficile infection.