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In reviewing the risk of seasonal influenza and the controversial question of health care worker immunization, Thomas Talbot, MD, MPH, paused on a mysterious case study an 'N of 1," if you will, that suggests patients come into hospitals and die of influenza contracted during treatment.
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Timsit et al conducted a 2x2 randomized, controlled trial comparing chlorhexidine-impregnated sponges in the dressing of vascular catheters with control dressings.
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With more hospitals in recent years considering mandatory seasonal flu immunizations for health care workers, the rise and highly anticipated seasonal resurgence of H1N1 influenza A raises a compelling question: Will the first pandemic in 41 years add momentum to increasing calls to make flu immunization a condition of health care employment?
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A new political climate and a growing roster of state laws have given new life to efforts to mandate safe patient handling in the nation's health care system.
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As the Food and Drug Administration approves new drugs for new uses, the list of potential occupational hazards grows.
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If you want your employees to report to work during a pandemic, make sure you have plenty of antiviral medications. Let them know how you'll help them manage the unique work-life balance issues of an emergency, such as child care when schools are closed. And underscore how important they are to the organization - even if their duties are clerical or custodial.
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Think of the outbreak of a novel H1N1 virus this spring as a colossal pandemic preparedness drill - either for a future virus or for a stronger resurgence of the strain later this year. So, how did hospitals do in their mission to protect health care workers, including providing appropriate protective equipment, training, and communication?
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Amid uncertainties about the novel H1N1 virus (swine flu), there's one clear edict: Vaccinate early and often for seasonal influenza.
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With persistent outbreaks but milder-than-expected disease severity, novel H1N1 posed a unique dilemma for hospitals. They first needed to assuage fear, then to prevent against complacency. They needed to monitor employee illnesses and provide adequate precautions, yet encountered varying guidance.
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News: A woman presented at a hospital emergency department (ED) with abdominal pain. X-rays and a CT scan were performed. The emergency physician discussed the findings with a radiologist who noted the findings in his report. The emergency physician noted the CT as negative and ordered the woman to take morphine and fentanyl. Twelve hours later, the woman was seen by a different physician, who reviewed the previous record but did not mention the X-rays or the CT scan.