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Through a retrospective analysis, this study examined ICU resource use and costs for 121,747,260 inpatient hospitalizations, and found a rapid rise in Medicare ICU use with stable adjusted daily critical care costs, but increasing costs for care outside the ICU.
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This single-center, randomized controlled trial demonstrated that intensive insulin therapy targeting blood glucose values of 80-110 mg/dL does not improve mortality, but does increase the incidence of hypoglycemia in a group of critically ill medical and surgical patients.
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Having proposed federal "hospital report card" legislation while in the U.S. Senate that specifically cites heath care-associated infections (HAIs), President-elect Barack Obama comes into power this month with an unprecedented history of interest and advocacy about infection prevention.
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Infection preventionists have been drawn into the white-hot national spotlight on health care-associated infections in recent years, sometimes being accused by overzealous patient advocates as being as much a part of the problem as the solution.
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With the rise of a new Democratic administration and a continuing Congressional majority, there is an increasing perception that the health care system could be subject to new federal regulations.
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The quote above underscores the importance of infection preventionists building a bond with their clinical laboratory colleagues, an important outreach presumably made somewhat easier when the IP is the laboratorian.
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Donald Wright, MD, MPH, principal deputy assistant secretary for health at the Department of Health and Human Services (HHS), is chairman of the newly formed HHS Steering Commission for Prevention of Healthcare Associated Infections.
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It began with an exchange between an infection preventionist and a clinical manager over a piece of equipment, a walker used to allow unassisted movement by patients.
