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October 23, 2012
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  Critical Care Update 
  • PICU study shows high level of off-label drug use
    A study found that of the 335 different drugs used in a pediatric ICU over five months, 75% were prescribed for off-label purposes at least one time. Researchers, presenting at the American Academy of Pediatrics meeting, said 96% of children got at least one drug off-label and the medications most used for off-label purposes were morphine, ondansetron, metoclopramide, dopamine and fentanyl. MedPage Today (free registration) (10/21) LinkedInFacebookTwitterEmail this Story
  • Interrupted sedative infusion may not help critically ill patients
    Combining daily interruption of sedative infusions with protocolized sedation among critically ill patients failed to reduce the duration of mechanical ventilation, according to a study in the Journal of the American Medical Association. Researchers noted that the interruption group had a greater nurse workload compared with the protocolized sedation alone group. (10/17) LinkedInFacebookTwitterEmail this Story
  • Other News
6 Lessons Learned About Hospital Smartphone Integration
As more and more hospitals work to incorporate smartphones into their communication network, they have learned important lessons that can help other facilities make a smooth transition. Read white paper.

  Medicine in the News 
  • Report: Hospital quality varies significantly by state
    A Healthgrades report said the quality of hospital care varies significantly among states but Arizona, California, Illinois and Ohio have the highest care ratings for coronary artery bypass graft, heart attack, pneumonia and sepsis. The report, which analyzed data from the CMS, said patients treated at the best hospitals have a 55% lower risk of death and a 42% lower risk of complications. USA Today (10/23) LinkedInFacebookTwitterEmail this Story
  • Greater antibiotic use raises incidence of C. diff infections
    Mayo Clinic researchers assessed data on about 13.7 million children and 1.3 million adults in hospitals and found that greater use of antibiotics was the reason behind an increase in the incidence and severity of Clostridium difficile infections. They noted that the risk of dying was highest among children and adults over age 65 with C. difficile infections. The findings will be presented at the American College of Gastroenterology meeting. HealthDay News (10/22) LinkedInFacebookTwitterEmail this Story
Brown Exec. Master of Healthcare Leadership
The Brown University Executive Master of Healthcare Leadership is an intensive 16-month program for mid-career professionals. Gain a comprehensive perspective that goes beyond local concerns, and develop skills to create flexible, responsive and sustainable healthcare organizations.
  Trends and Technology 
  • More mobile apps are designed to streamline clinician workflow
    Mobile health applications have made strides in clinical settings to the point where developers have begun integrating their software directly into clinicians' workflow, according to attendees at a health technology event last week. Companies showcased applications that have reduced hospital readmissions, cut emergency department wait times and provided nurses with data before patients arrive at medical care sites. InformationWeek (10/21) LinkedInFacebookTwitterEmail this Story
Too often man handles life as he does the bad weather. He whiles away the time as he waits for it to stop."
--Alfred Polgar,
Austrian journalist

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