Wearing gloves after hand-washing reduces infection risks in NICUs | QI bundle helps curb catheter-related UTIs in children's hospital | CT scans are more effective than X-ray for pediatric pelvic trauma
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August 12, 2014
Critical Care SmartBrief
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Critical Care Update
Wearing gloves after hand-washing reduces infection risks in NICUs
Among extremely premature infants treated in a neonatal intensive care unit, those who were cared for by medical personnel who wore gloves after washing their hands had fewer cases of necrotizing enterocolitis compared with the group cared for by staff who only washed their hands, a study in the journal JAMA Pediatrics found. Wearing gloves after hand-washing also was associated with reduced rates of gram-positive bloodstream infections and central line-associated bloodstream infections. HealthDay News (8/11)
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QI bundle helps curb catheter-related UTIs in children's hospital
A quality-improvement prevention bundle reduced the number of catheter-associated urinary tract infections in a pediatric hospital by 50%, according to a study in the journal Pediatrics. Most of the infected young patients were girls, were admitted to pediatric or cardiac intensive care units, and had one or more complex chronic medical disorder. PhysiciansBriefing.com/HealthDay News (8/11)
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Medicine in the News
Closing an ED may increase area inpatient mortality rates
Harvard Medical School researchers reported in Health Affairs that when an emergency department at one hospital closed, inpatient mortality rates increased at nearby facilities. The study included emergency department closures in California hospitals between 1999 to 2010. PhysiciansBriefing.com (8/11)
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CMS unveils stage 2 MU attestation data
The CMS released data showing that 78 eligible hospitals and 1,898 eligible professionals have attested to meaningful use stage 2 as of this month. Compared with the 10-hospital stage 2 attestation figure last month, the number of hospitals that attested for MU has significantly increased; however, the data still show that health care facilities struggle to meet the standards set for stage 2. BeckersHospitalReview.com (8/8)
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Trends and Technology
Sutter Health finds e-ICU improves patient outcomes
Sutter Health has used e-ICU technology for 10 years and ICU manager Deborah Mensch, of Sutter Auburn Faith Hospital, said having the additional monitoring has improved outcomes for patients on ventilators and those with sepsis. Sutter has 49 intensivists and 57 critical care nurses on its eICU team, and they handle about 80 service calls daily plus 150 calls from ICU staff throughout the hospital system. Auburn Journal (Calif.) (8/10)
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App allows doctors to share medical images
Figure 1 is an application providing clinicians a way to share photos of medical cases with colleagues while protecting patient privacy, and it has found a fan base among 125,000 users. The images generate discussions about tests and diagnoses, and although only medical professionals can post photos and comment, anyone can join. Figure 1 co-founder and critical care physician Dr. Joshua Landy saw a need for such a tool after finding that physicians collaborated by texting photos to one another and searched for medical information on their mobile devices. Fortune (8/6)
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No matter what people tell you, words and ideas can change the world."
-- Robin Williams,
American actor and comedian
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