Statin may not reduce delirium in ICU patients on ventilator | Chlorhexidine baths do not increase resistant MRSA, data show | Study analyzes incidence, risks of Pseudomonas aeruginosa in ICU
 
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February 5, 2016
Critical Care SmartBrief
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Statin may not reduce delirium in ICU patients on ventilator
Delirium and cognitive impairment were not reduced when ICU patients on mechanical ventilation for sepsis-related acute respiratory distress were given the statin drug rosuvastatin, according to a study conducted at 35 US hospitals and published in The Lancet Respiratory Medicine. Researchers said the data contradict results from earlier studies that linked statin medication to reductions in daily delirium for ICU patients. MedPage Today (free registration) (2/4)
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Chlorhexidine baths do not increase resistant MRSA, data show
A study found no increase in methicillin-resistant Staphylococcus aureus resistant to chlorhexidine when the antiseptic was routinely used to bathe ICU patients, researchers reported in the journal Infection Control & Hospital Epidemiology. The study at Barnes-Jewish Hospital in St. Louis included analysis of chlorhexidine resistance in 500 MRSA samples from 2005 through 2012. BeckersHospitalReview.com (2/2)
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Help Shape the National Action Plan for COPD
Make your voice heard by joining the 2016 Town Hall Meeting in Bethesda, MD on February 29 and March 1. Your input is critical in creating a National Action Plan that will provide states across the country a unified and comprehensive plan to help reduce the burden of COPD. Click here to register.
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Medicine in the NewsAdvertisement
Hospitals take steps to reduce preventable errors
US hospitals are making efforts to reduce the occurrence of preventable errors through programs that encourage hand hygiene, provide care that prevents pressure ulcers and blood clots in immobile patients, detect sepsis early, and prevent falls. For hospitals to establish a culture of safety, nurses must be able to correct physicians, clinicians must be able to talk about mistakes, and patients and their loved ones must be engaged in care, David Bornstein writes. The New York Times (free-article access for SmartBrief readers) (2/2)
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Hospital sees benefits when officials admit mistakes to patients
Stanford Hospital's Process for Early Assessment, Resolution and Learning program, also known as Pearl, helps the medical center avoid costly legal action, explain errors and apologize to patients in the event of medical accidents. Stanford has seen a 50% decrease in lawsuit frequency and a 40% reduction in indemnity costs in paid cases under the program. Officials also waive the affected patient's medical bill, provide financial compensation and talk through the event with patients, prioritizing transparency and emotional support. The Wall Street Journal (tiered subscription model) (2/1)
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Trends and Technology
Study analyzes sources, impact of EHR-related medical errors
A study showed 31% of cases of electronic health record-related harm were related to medication errors, 31% were linked to complications from treatment and 28% were related to diagnostic mistakes, researchers reported in the Journal of Patient Safety. The study showed 80% of malpractice cases related to EHRs involved moderate or severe harm, and that errors more often were found in ambulatory care settings than inpatient settings. Health Data Management (2/3)
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Firm gets $2.25M grant for critical care monitoring system
The NIH awarded San Francisco-based Potrero Medical a $2.25 million Small Business Innovation Research grant. The firm will use the money for a study of its Accuryn Monitoring System, which is intended to spot physiological signatures of sepsis and other critical diseases. The product delivers data on intra-abdominal pressure, core temperature and urine output. MassDevice.com (Boston) (2/2)
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SmartQuote
Whatever you think the world is withholding from you, you are withholding from the world."
-- Eckhart Tolle,
writer
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