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Medication poisonings in children; rosuvastatin vs atorvastatin for atherosclerosis; saw palmetto for prostate symptoms; using atypical antipsychotics for off-label indications in adults; and FDA actions.
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The management of chronic heart failure patients would benefit from an accurate noninvasive way to estimate left atrial pressure (LAP).
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Patients who have had percutaneous coronary intervention (PCI) with either bare metal stents (BMS) or drug-eluting stents (DES) require dual antiplatelet therapy until the stent struts are endothelialized.
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The Joint Commission's new National Patient Safety Goal (NPSG) on preventing indwelling catheter-associated urinary tract infections which emphasizes prompt removal of unnecessary devices and surveillance for CAUTIs is effective January 1, 2012 for hospitals.
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[Editor's note: In this issue we continue with the second part of Patti Grant's IP Newbie column that was featured in our September issue. As you may recall, she described an all too common situation: How various professionals in healthcare are expected to participate in activities beyond their original area of expertise. This expectation does not seem so much a direct consequence of the struggling economy as a reflection of the attempt by various specialties to move from "silos" to a team approach to problem solving, Grant noted, observing that "Patient safety will most likely be less precarious in this multi-disciplinary improvement environment, but it can come with hefty growing pains." Of course, as an IP Newbie, you're often the one growing.]
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The Joint Commission targets central lineassociated bloodstream infections in its 2011 national patient safety goals, with NPSG.07.04.01 calling for hospitals to "implement evidence-based practices to prevent (CLABSIs)."
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The needle is beginning to move. Four key healthcare associated infections (HAIs) are declining nationally as the result of unprecedented interest and action that includes everything from sweeping state and federal collaboratives to the outrage of individual patients.
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Doing the right thing doesn't guarantee that everyone is going to be pleased, says Frederick S. Southwick, MD, professor of medicine in the Division of Infectious Diseases and quality projects manager for the senior vice president for health affairs at the University of Florida Shands Health in Gainesville.
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