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As more patients are surviving critical illness, there is documentation of serious cognitive, physical, and psychiatric consequences arising from lengthy ICU stays in these patients.
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In this issue: Dementia and benzodiazepines; effectiveness of omega-3 fatty acid and Ginkgo biloba supplements; and FDA actions.
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Doernberg and colleagues sought to determine whether receipt of doxycycline was associated with protection from development of Clostridium difficile infection (CDI) in hospitalized patients being treated with ceftriaxone, a known high-risk antibiotic for CDI.
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Approximately one in five children evaluated in the emergency department (ED) are physically abused: Emergency physicians and primary care physicians have a responsibility to consider abuse in the differential of every injured child. This article reviews the identification, evaluation, and management of a child with possible physical abuse.
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Memo to the Centers from Medicare & Medicaid Services (CMS) from two leading surgeons on the literal cutting edge of infection prevention in the OR: Hospitals and federal regulators should encourage the use of newer and safer types of surgery and more transparency with patients on procedure options and possible outcomes. That would do more to reduce surgical site infection (SSI) rates than inspections by CMS and other government regulators.
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As the lines blur between patient safety and worker safety, employee health professionals including those "two-hat" infection preventionists with dual responsibilities can expect much more scrutiny from regulators who traditionally focused on patient care.
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Recently I've chosen a major change in job responsibilities. For the second time I'm the sole Infection Preventionist (IP) for a facility, but this time the realm of 'Quality' is included, and my facility is a 32-bed surgical hospital including a four-bed ICU. It was time to challenge myself to keep learning new approaches to age-old problems surrounding patient safety. Talk about moving out of the comfort zone!
