Showing posts with label Preventable Infections. Show all posts
Showing posts with label Preventable Infections. Show all posts

Monday, February 28, 2011

Fast response crucial in outbreaks of food-borne illness, study finds - USATODAY.com

Nearly three years after a nationwide salmonella outbreak that sickened about 1,500 people and claimed two lives, U.S. epidemiologists have learned that speed is of the essence in identifying sources of food contamination and preventing further infection.

    But speed requires resources that cost money and, as an editorial accompanying the paper in the Feb. 23 online issue of the
New England Journal of Medicine points out, funds may not be forthcoming.

Although the recently signed Food Safety Modernization Act could help the U.S. Food and Drug Administration respond better to outbreaks of food-borne illness, the reality is that Congress still needs to authorize the money, the editorial stated.

Click on the "via" link for the rest of the article.

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Sunday, February 20, 2011

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.

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Friday, February 18, 2011

C. Difficile Spreads from Hospital to Community, ACG from MedPage Today

Clostridium difficile infection has spread from the hospital to the community but has proved manageable thus far, according to data reported here.

From 1991 to 2005, the incidence of community-acquired C. difficile in Olmsted County, Minn., quadrupled but still remained less common than the hospital-acquired gastrointestinal infection, Sahil Khanna, MD, of the Mayo Clinic in Rochester, Minn., said at the American College of Gastroenterology meeting.

"Patients with community-acquired C. difficile infection were younger, more likely to be female, and less likely to have severe infections," Khanna observed.

Epidemiologic studies have shown an increasing incidence of both nosocomial and community-acquired infections. However, few studies have looked at the incidence of community-acquired C. difficile, said Khanna.

Click on the "via" link for the full article.

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Sick doctors who work are doing more harm to their patients than good

Doctors: if you’re sick, don’t go to work.

The stereotype of doctors is that they go to work, despite whatever symptoms ail them. Calling in sick places strain on colleagues. Especially in residency, where team members are expected to pick up the slack.

In a recent column, the New York Times’ Pauline Chen discusses the image of self-sacrifice that a sick doctor going to work portrays:

Hacking, febrile or racked with the sequelae of chronic illnesses, doctors who are sick have continued for generations to see their patients. Although published reports for over a decade have linked patient illnesses like the flu, whooping cough and resistant bacterial infections to sick health care workers, as many as 80 percent of physicians continue to work through their own ailments, even though they would have excused patients in the same condition.

In today’s age of H1N1 influenza and other assorted public health worries, presenteeism is being looked at. Interestingly,

researchers in the business world have begun to question this assumption. Instead of focusing on problems incurred by absenteeism, these researchers have analyzed the impact of what’s been called presenteeism, or working despite being ill. And it turns out, at least in early studies, that those employees who choose to go to work sick are expensive. Presenteeism costs companies more than $150 billion a year in lost worker productivity.

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Friday, February 11, 2011

Balancing infection control with the patient experience, KevinMD.com

by Kevin Pho, MD

Hospitals have recently been stepping up their infection control procedures, in the wake of news about iatrogenic infections afflicting patients when they are admitted.

Doctors are increasingly wearing a variety of protective garb — gowns, gloves and masks — while seeing patients.

In an interesting New York Times column, Pauline Chen wonders how this affects the doctor-patient relationship.

She cites a study from the Annals of Family Medicine, which concluded that,

fear of contagion among physicians, studies have shown, can compromise the quality of care delivered. When compared with patients not in isolation, those individuals on contact precautions have fewer interactions with clinicians, more delays in care, decreased satisfaction and greater incidences of depression and anxiety. These differences translate into more noninfectious complications like falls and pressure ulcers and an increase of as much at 100 percent in the overall incidence of adverse events.

Hospitals are in a no-win situation here. On one hand, they have to do all they can to minimize the risk of healthcare-acquired infections, but on the other, doctors need to strive for a closer bond with patients — which protective garb sometimes can impede.

More research is clearly needed to determine how much protection is actually needed to prevent the spread of infectious disease.

For instance, Dr. Chen cites studies where,

researchers at the Medical College of Virginia in Richmond found that the rate of infection was identical whether health care workers wore gowns and gloves with only the patients in isolation or whether they wore only gloves with all patients.

So there’s some evidence that being overly protective may not necessarily help.

The key is finding the right balance between infection control and preserving the physician-patient relationship. With rapidly advancing, and sometimes impersonal, technology, combined with the legitimate fear of hospital-acquired contagion, it’s easy to forget about the patient experience during their hospital stay.

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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Thursday, February 3, 2011

CMS Initiative Will Link Incentives With Reduced Infections, Readmissions - California Healthline

CMS is planning a "major multi-year financial commitment" involving Medicare, Medicaid and private insurers that aims to curb hospital-acquired infections and readmissions, according to a confidential draft of a CMS document, Inside Health Reform reports.

The so-called National Patient Safety Initiative -- which is being developed by CMS' innovation center -- would link $70 billion in Medicare funds across 10 years to hospitals' ability to achieve new standardized performance metrics. Under the plan, 6% of hospitals' Medicare payments will be contingent on reporting errors and meeting safety measures, with the proportion of payments increasing to 9% by 2015.

By hiring state contractors, CMS will develop measures and monitor progress, and then use results to determine payments.
Medicaid and private insurance plans that chose to participate in initiative also will link a larger portion of payments to patient safety goals, affordability and patient-centered care.

The innovation center also will fund studies that aim to determine how to disseminate best practices data, and support states and health systems that develop networked learning projects, Inside Health Reform reports (Inside Health Reform, 1/26).

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Andrew Lopez, RN
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38 Tattersall Drive, Mantua New Jersey 08051
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Wednesday, February 2, 2011

Central line-associated bloodstream infections (CLABSIs) Portal | Home Content

As a healthcare professional, you recognize the importance of preventing healthcare-associated infections (HAIs) and keeping your patients safe. Yet, even with advances in modern-day medicine, HAIs persist. Central line-associated bloodstream infections (CLABSIs) have the highest patient mortality and the highest financial cost of any HAIs.

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The good news: Scientific evidence demonstrates — time and again — that CLABSIs are preventable!
 
Why are CLABSIs so prevalent and how can they be prevented?

This “I Believe in Zero CLABSIs” website was created to be a comprehensive, multidisciplinary resource to discuss and answer questions about CLABSIs while providing resources and answers.

Here you will find information on the root causes of CLABSIs and the tools you need to address this devastating — and preventable — problem.

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  Throughout this website, you will find tools, resources, case studies, and personal stories of success to prepare you — and inspire you — to help all healthcare institutions achieve ZERO CLABSIs.

These credible, proven strategies have been shared by the most renowned experts in the field. They are led by Dr. Peter Pronovost and represent a broad spectrum of clinical experts.

We not only believe in Zero CLABSIs — we know it is possible, and these tools and resources will show you how.

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Andrew Lopez, RN
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38 Tattersall Drive, Mantua New Jersey 08051
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