Neonatal clinicians develop QI plan for antibiotic use | Research finds peripheral thermometers may not give accurate readings | Study: Therapeutic hypothermia may boost survival odds in cardiac arrest
November 20, 2015
Critical Care SmartBrief
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Critical Care Update
Neonatal clinicians develop QI plan for antibiotic use
Neonatal clinicians at the Vermont Oxford Network used key CDC protocols for hospital-based antibiotic stewardship in developing the quality improvement initiative iNICQ 2016: Choosing Antibiotics Wisely. The joint initiative between the VON and CDC will focus on increased monitoring of infections and antibiotic use, best practices for preventing infections and improving communications. (11/19)
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Research finds peripheral thermometers may not give accurate readings
Peripheral thermometers are not clinically accurate enough to use when precise core body temperatures may affect medical decisions, Canadian researchers reported in the Annals of Internal Medicine. Researchers said the study, which compared peripheral thermometers with central thermometers, showed that at extremes of body temperature, peripheral readings may be 1 degree to 2 degrees off from actual body temperature. Medscape (free registration) (11/16)
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Medicine in the NewsAdvertisement
Joint Commission: 31.5% of hospitals make Top Performers list
The Joint Commission said 31.5% of 3,300 hospitals that submitted quality data won spots on its Top Performers on Key Quality Measures list. To qualify, hospitals had to have a cumulative score of at least 95% across all 49 accountability measures. Joint Commission President Mark Chassin said the overall trend since 2002 is that "everyone has improved dramatically." HealthLeaders Media (11/18)
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Bill would pay Medicare recipients for completing advance directive
Bipartisan legislation would give Medicare patients a small financial payment if they give physicians and family clear legal guidance on their care preferences should they become incapacitated. The Medicare Choices Empowerment and Protection Act also would provide a website telling Medicare patients they can decide to reject or accept medical care based on their values. The Examiner (Washington, D.C.) (11/19)
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Blend Content and Community to Create Truly Interactive Websites
Websites need to evolve. Visit any website today and they're much the same as those in the 1990's: entirely one-way. In this eBook, we detail six reasons for blending an online community to make your website interactive.

Trends and Technology
Researchers create "analytics as a service" tool for NICU monitoring
The University of Ontario and IBM used a customized version of the big-data Artemis-IC framework to create an "analytics as a service" program for real-time and retrospective NICU monitoring. Other health care organizations also are using big-data analysis in their NICUs. FierceHealthIT (11/19)
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Mortality from drug overdose quadruples among youths in 5 states
The mortality rate for teenagers and young adults has more than doubled across the US and increased fourfold in Kansas, Montana, Ohio, Wisconsin and Wyoming, according to a new report. The Trust for America's Health found 7.3 deaths per 100,000 people ages 12 to 25 years were due to drug overdose in 2011-2013, up from 3.1 in 1999-2001. Over half of overdoses in 2013 were attributed to prescription painkillers. HealthDay News (11/19)
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Character cannot be developed in ease and quiet. Only through experience of trial and suffering can the soul be strengthened, vision cleared, ambition inspired, and success achieved."
-- Helen Keller,
writer and activist
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