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Simulation training has a long history with examples ranging from modeling in the animal kingdom (eg, a lion teaching hunting skills to a cub), to war games designed to better prepare soldiers for battle.
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In this prospective study, cook and associates looked at prevalence and incidence of deep vein thrombosis (DVT) as diagnosed by compression ultrasonography in ICU patients.
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Doering and colleagues used a nonrandomized, comparative, longitudinal design to study 72 patients after CABG surgery to investigate the association among depressive symptoms, infections, and impaired wound healing.
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Implementation of the Health Insurance Portability and Accountability Act (HIPAA), and especially its Privacy Rule, has affected everyone who works in health care. This study from the University of Michigan sought to determine the potential effect of the Privacy Rule on the conduct of clinical research in the form of a telephone interview-based follow-up study.
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Normal circulating plasma glucose concentration is maintained by a delicate constant balance between glucose utilization (i.e., glycolysis or storage as glycogen by various tissues) on one hand and glucose production on the other (i.e., glycogenolysis and gluconeogenesis induced in certain tissues, such as liver, muscle, renal parenchyma, and adipose tissue). During the late post-absorptive period or starvation, normal glucose concentration is maintained by facilitating glucose production while inhibiting glucose uptake.
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Though recently released with much fanfare in Pennsylvania, the first state infection rate report with hospital-specific data contains a key caveat: it should not be used to compare one hospital against another.
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The prevention of multidrug-resistant organisms (MDROs) is a "national priority . . . that requires all health care facilities and agencies assume responsibility," the Centers for Disease Control and Prevention emphasizes in long-awaited new guidelines on the issue.
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New guidelines by the Centers for Disease Control and Prevention on control of multidrug resistant pathogens (MDROs) include a section on "intensified interventions" such as active surveillance cultures (ASC). The CDC recommendations in this area include the following:
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Revising guidance on the use of surgical masks and respirators during a pandemic, the Centers for Disease Control and Prevention (CDC) now advises that it is "prudent" for health care workers to use N95 respirators during "direct care activities involving patients with confirmed or suspected pandemic influenza."
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The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) is emphasizing that knowledge is power when it comes to patients. Recent Joint Commission initiatives indicate a growing trend toward patient education and empowerment to enhance a culture of safety and prevent infections.
