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Ceftriaxone-Resistant Salmonella Typhi in the United States Associated with Travel to or from Pakistan and Iraq
Typhoid fever resulting from antibiotic-resistant strains is being imported from Pakistan and Iraq.
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Compliance Oversight Necessary with COVID-19 Relief Funds
Funds provided to hospitals through the Coronavirus Aid, Relief, and Economic Security Act require careful compliance efforts to avoid substantial liability. The money comes with many strings attached.
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Some Hospitalized Patients Admitted to ICU, Contrary to Stated Wishes
Research has demonstrated that completed Physician Orders for Life-Sustaining Treatment (POLST) forms can help people with chronic illness avoid unwanted hospitalizations and CPR. However, there is more to learn about what happens when patients with POLST forms are admitted to the hospital near the end of life.
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IDSA Sepsis Committee and SEP-1 Quality Measures
The IDSA Sepsis Committee proposes that The Centers for Medicare & Medicaid Services’ Severe Sepsis and Septic Shock Early Management Bundle (SEP-1) should be applied only to septic shock, not sepsis without shock.
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Some Attorneys Vow Not to Sue Over COVID-19 Care
Risk managers are bracing for what some fear will be a wave of malpractice claims related to COVID-19 care. However, some attorneys say they will not take these cases, arguing the treatment standard is unclear, and substandard care claims cannot be substantiated.
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Survey: Nurses Say They Lack Direct Role in Informed Consent
Researchers interviewed 20 registered nurses from various clinical settings at a large academic medical center. All but one agreed patient safety is directly linked to how well patients understand informed consent.
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Contact Isolation Is Not Better than Standard Precautions for Decreasing Acquisition of ESBL-Producing Enterobacterales
In a multicenter, cluster-randomized crossover trial, researchers compared standard precautions vs. contact isolation for preventing acquisition of ESBL-producing Enterobacterales (ESBL-E) in non-intensive care unit settings. Contact isolation did not decrease the number of hospital-acquired ESBL-E cases, which questions the value of the practice.
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Patients Want to Know if Treatment Is No Better than Placebo
Many patients may be surprised to find out the treatment they are taking is not any better than a placebo. Clinicians may think this is no big deal, as long as the person is feeling better and is grateful.
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Preoperative Assessments Can Be Weak Point, Increase Liability Risks
Preoperative assessments are critical to patient safety and reducing liability risks. Some assessments are inadequate and fail to identify risks that could be avoided.
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Monotherapy of Pseudomonas aeruginosa Bacteremia — Which β-Lactam Antibiotic Is Best?
No significant difference in the mortality of patients with Pseudomonas aeruginosa bacteremia was seen regardless of treatment with a carbapenem, ceftazidime, or piperacillin-tazobactam. However, the emergence of resistance occurred significantly more frequently in those treated with a carbapenem — largely related to imipenem use.