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December 11, 2012
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  Critical Care Update 
  • C. diff infections lead to long ICU stays, study shows
    A study of 500 hospital patients diagnosed with C. difficile infection found 12.4% were admitted to an ICU for a mean length of stay of 12 days and half required isolation. The average treatment cost was $35,621, a HealthCore researcher reported. Swetha Rao Palli reported at the American Society of Health-System Pharmacists that C. difficile infections were increasingly common and that "severe infections are associated with long inpatient stays and high resource utilization, and result in a substantial economic burden." MedPage Today (free registration) (12/8) LinkedInFacebookTwitterEmail this Story
  • Study: Chest compression CPR best for heart attack survival
    When bystanders use chest compression-only CPR and a defibrillator, cardiac arrest patients had a better chance of surviving at least a month with good brain function, Japanese researchers said. The study in Circulation: Journal of the American Heart Association noted that for children, conventional CPR with rescue breathing is still best because their cardiac arrests are less likely to have cardiac origins. MedPage Today (free registration) (12/10) LinkedInFacebookTwitterEmail this Story
  • Other News
  Medicine in the News 
  • Cleveland Clinic keeps focus on costs, quality
    Doctors at Cleveland Clinic are salaried and on one-year contracts, and they undergo professional reviews each year in an effort to reward quality over quantity, says CEO Delos Cosgrove, whose contract also is renewed annually. The hospital has reorganized with a focus on what a patients needs, rather than having separate departments for surgery, medicine and pediatrics. Outcomes and costs are measured and reported, and doctors are aware of how much supplies cost. Business Insider (12/5) LinkedInFacebookTwitterEmail this Story
  • Other News
  Trends and Technology 
  • Studies: Computer use leads to pain for doctors
    Data from two Cornell University studies showed physicians, nurse practitioners and physician assistants are spending more time at the computer and paying a price in repetitive strain injuries linked to poorly designed work spaces. One study found that most female physicians and more than 40% of the males had repetitive strain-related pain in the neck, shoulder and back at least once a week. HealthDay News (12/7) LinkedInFacebookTwitterEmail this Story
  • Study supports shorter clinical rotations in hospitals
    Two-week and four-week clinical rotations led to similar rates of patient revisits after hospital discharge, but the shorter rotations could reduce stress and burnout for attending physicians who teach students, Chicago researchers reported in JAMA. Dr. Brian Lucas said education leaders find short rotations are disruptive and "truncate student-teacher relationships" but if they lower stress for attending physicians it could improve relationships with patients and care quality. Medscape (free registration) (12/5) LinkedInFacebookTwitterEmail this Story
  SmartQuote 
Put a grain of boldness into everything you do."
--Baltasar Gracián,
Spanish writer


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