U.S. sees fewer hospital-acquired infections in critically ill children | Better sepsis survival rates seen at high-volume hospitals | Study looks at how self-reported compliance affects ICU measures
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September 9, 2014
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U.S. sees fewer hospital-acquired infections in critically ill children
An analysis of data from 174 hospitals across 39 states found a decline in the rate of central line-associated bloodstream infections among children between 2007 and 2012. The rate of ventilator-related infections also dropped, from under two infections per 1,000 days to less than one. The findings appear in the journal Pediatrics. The Washington Post (tiered subscription model)/The Associated Press (9/8)
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Better sepsis survival rates seen at high-volume hospitals
Sepsis patients treated in hospitals that had 500 or more cases annually had a 36% higher likelihood of survival, compared with patients in facilities that had fewer than 50 cases per year, researchers reported in the American Journal of Respiratory and Critical Care Medicine. Lead author Dr. David Gaieski said physicians at high-volume hospitals may be more likely to notice nonspecific symptoms and have protocols to detect sepsis in critically ill patients. BeckersHospitalReview.com (9/4)
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6 Texting Mistakes in Hospitals Are Making Today
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Medicine in the News
Respiratory virus sends hundreds of children to EDs across U.S.
Approximately 450 children were treated at Children's Mercy Hospital in Kansas City for a respiratory viral infection, 60 of whom required intensive care, health officials said. The CDC found that at least 19 of these patients tested positive for enterovirus D68. Colorado, Illinois and Ohio are among the states also reporting cases displaying similar symptoms. CNN (9/7), CNN (9/9)
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CMS says it will resume release of HAC data
The CMS said it will again publicly release data on eight hospital-acquired conditions that were removed last summer from the Hospital Compare website but kept available for researchers and safety experts until last month. USA Today (9/7)
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Trends and Technology
Mont. ICU specialists use telemedicine to help small, rural hospitals
St. Vincent Healthcare pediatric ICU specialists are using telemedicine to help smaller, rural hospitals in Montana and Wyoming care for critically ill patients. Dr. Richard Salerno said the specialists can help de-intensify care, such as recommending when to put a child on a ventilator, and may reduce the need for risky and expensive patient transports. Billings Gazette (Mont.) (9/5)
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Study: Interference microscopy can measure blood cell stiffness
A team from the University of Illinois analyzed the stiffness of stored red blood cells using spatial light interference microscopy. While cells maintained their shape, mass and hemoglobin, they did stiffen within 42 days, which can make it more difficult to travel through the smallest capillaries, the study team reported in the journal Scientific Reports. Spatial light interference microscopy could be widely used to assess the safety of banked blood, the researchers suggested. MedicalDaily.com (9/5), FoxNews.com (9/5)
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SmartQuote
I must govern the clock -- not be governed by it."
-- Golda Meir,
former Israeli prime minister
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