How to Find the Best Hospital Near You - US News and World Report

Some Americans are fortunate enough to live down the street from a world-class hospital. For them, where to go for highly skilled care is clear.

For most of us, though, finding a hospital that offers both excellent care and local convenience has long been a challenge. Healthcare consumers have faced a dearth of reliable information about how the hospitals near them stack up. The problem is most acute in large metropolitan areas, which are crowded with hospitals that offer varying degrees of expertise across a range of medical specialties.

In principle, going to a renowned medical center such as one of the nationally ranked U.S. News Best Hospitals is a solid option. But that could be difficult if it requires travel, expensive if not covered by insurance, and unnecessary except in the most challenging medical cases. No wonder most hospital patients stay close to home.

via health.usnews.com

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Arch Intern Med -- Abstract: Patient Education to Prevent Falls Among Older Hospital Inpatients: A Randomized Controlled Trial, March 28, 2011, Haines et al. 171 (6): 516

Arch Intern Med. 2011;171(6):516-524. doi:10.1001/archinternmed.2010.444

Background  Falls are a common adverse event during hospitalization of older adults, and few interventions have been shown to prevent them.

Methods  This study was a 3-group randomized trial to evaluate the efficacy of 2 forms of multimedia patient education compared with usual care for the prevention of in-hospital falls. Older hospital patients (n = 1206) admitted to a mixture of acute (orthopedic, respiratory, and medical) and subacute (geriatric and neurorehabilitation) hospital wards at 2 Australian hospitals were recruited between January 2008 and April 2009. The interventions were a multimedia patient education program based on the health-belief model combined with trained health professional follow-up (complete program), multi-media patient education materials alone (materials only), and usual care (control). Falls data were collected by blinded research assistants by reviewing hospital incident reports, hand searching medical records, and conducting weekly patient interviews.

via archinte.ama-assn.org

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Antiseptic baths 'reduce infection risk' | News | Nursing Times

Using 2% chlorhexidine gluconate cloths for the daily bathing of inpatients, instead of soap and water, reduces the risk of hospital-acquired infections, according to US researchers.

The study found a 64% decrease in the risk of acquiring either MRSA or Vancomycin-resistant Enterococcus. A group of 7,699 general medical patients were bathed daily by healthcare assistants with CHG antiseptic cloths for the duration of their admission, while a control group of 7,102 patients were bathed with soap and water.

• Kassakian SZ, et al. Impact of chlorhexidine bathing on hospital-acquired infections among general medical patients. Infection Control and Hospital Epidemiology 2011; Advance online publication.

via nursingtimes.net

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