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Despite calls for aggressive action by some epidemiologists, new draft federal guidelines on multidrug-resistant organisms (MDROs) argue against adoption of the most comprehensive methods as the sole approach to this problem.
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In an increasingly small infectious-disease world characterized by speed, connectivity, and globalization, infection control professionals are emerging as the critical link between clinical care and public health, said Julie Gerberding, MD, director of the Centers for Disease Control and Prevention (CDC).
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Rather than a dreaded, unnecessary task, a new requirement to conduct a root-cause analysis (RCA) for fatal and impairing infections is an idea whose time has come in the new era of patient safety, said Denise Murphy, RN, MPH, CIC, chief of patient safety at Barnes Jewish Hospital at Washington University Medical Center in St. Louis.
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New draft patient isolation guidelines by the Centers for Disease Control and Prevention include the following performance measures.
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Quarantine is depressing and anxiety provoking
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Denise Murphy, RN, MPH, CIC, chief of patient safety at Barnes Jewish Hospital at Washington University Medical Center in St. Louis, and colleagues developed the following scenarios to assist infection control professionals in identifying sentinel events related to infections.
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In this randomized, controlled trial, European investigators looked at the role of vasopressin in treating out-of-hospital cardiac arrest. Although the study did not show any benefit of using vasopressin when compared to epinephrine in terms of survival to hospital, this study nonetheless makes a weak argument to use vasopressin in cardiac arrest patients with asystole.
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This article points out the disadvantages of partial DNR ordersfor both clinicians and patientsand offers clear steps for mitigating the problem by developing a supplemental patient care plan for patients who are less than full code.