Better adherence to guidelines seen in ICU for pediatric CAP patients | Research compares end-of-life care for surgical, medical patients | Data validate CDC definitions of ventilator-associated conditions
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October 14, 2014
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Better adherence to guidelines seen in ICU for pediatric CAP patients
Data showed 84.4% of children with community-acquired pneumonia who were admitted to an ICU had complete blood counts done and 77.1% had blood cultures, compared with 78% and 60.6%, respectively, for all children in the study. Researcher Jordan Sack told the American Academy of Pediatrics annual meeting the question is whether better testing rates were due to ICU patients being sicker or ICU physicians being more likely to follow guidelines. Healio (free registration) (10/13)
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Research compares end-of-life care for surgical, medical patients
Data from the Veterans Health Administration from 2008 to 2012 showed 38.3% of surgical patients were given palliative or hospice care in their last year of life, compared with 41% of medical patients. The study in JAMA Surgery found both palliative and hospice services increased over the course of the study. Medscape (free registration) (10/10)
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Medicine in the News
U.S. must rethink ways to prevent Ebola outbreak, CDC director says
U.S. hospitals should become more knowledgeable about diagnosing and preventing Ebola infection, CDC Director Thomas Frieden said Monday. Following the death of Thomas Eric Duncan from Ebola, 26-year-old Dallas nurse Nina Pham tested positive for the disease, becoming the first known Ebola transmission in the U.S. "We have to rethink the way we address Ebola infection control because even a single infection is unacceptable," Frieden said. Modern Healthcare (subscription required) (10/13), The Wall Street Journal (tiered subscription model) (10/13)
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U.S. sees fewer anesthesia-related complications
The number of complications from anesthesia use dropped from 11.8% in 2010 to 4.8% in 2013, according to a study presented at the American Society of Anesthesiologists meeting. Nausea and vomiting were the most frequently reported minor anesthesia-related complications, while medication error was the most common major complication. HealthDay News (10/12)
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Trends and Technology
NICU naming system reduces errors in EMR data
Creating an identification system for yet-to-be-named neonates helped one NICU reduce errors when clinical orders were entered into an EMR system, researchers from Montefiore Medical Center in the Bronx, N.Y., told the American Academy of Pediatrics annual meeting. Dr. Jason Adelman said a survey of more than 300 NICUs found more than 80% used BabyBoy, BabyGirl or BB/BG for unnamed infants, which increases the risk of mix-ups in patient charts. MedPage Today (free registration) (10/13)
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Medical device coating resists blood clots, bacterial growth
Harvard University researchers have developed a coating for medical devices that blocks the formation of blood clots and biofilms on 20 tested materials. Implants with the tethered-liquid perfluorocarbon coating were tested in pig blood vessels without heparin, according to the study in the journal Nature Biotechnology. MedicalDaily.com (10/12)
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SmartQuote
The free soul is rare, but you know it when you see it -- basically because you feel good, very good, when you are near or with them."
-- Charles Bukowski,
German-born American writer
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