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The results have shown that the Ethicon 6-row stapler had more misfires and the Autosuture Endo-GIA 6-row stapler resulted in more bleeding complications.
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Just 14 weeks after The Joint Commission approved an interim action that allowed pharmacists to retrospectively review ED medication orders to comply with element of performance (EP) 1 for standard 4.10 of medication management, the action was suspended.
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Imagine being in the position of publicly critiquing a competing hospital's compliance with Joint Commission requirements. Would you be able to be completely objective? Even if you were, would your colleagues really trust your ability to be impartial?
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Most ED managers breathed a sigh of relief after The Joint Commission approved an interim action, effective Jan. 1, 2007, that changed the requirement for pharmacy review of ED medication orders [element of performance (EP) 1 for standard 4.10 of medication management].
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The quality and safety of stroke care in U.S. hospitals can be vastly improved if risk managers first understand how patients may be injured as a result of medical mishaps, according the experience of Strong Memorial Hospital in Rochester, NY.
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The program developed at Johns Hopkins University Hospital in Baltimore that pushed catheter-related bloodstream infection rates to zero in some intensive care units is based on the following four overriding principles. Sara Cosgrove, MD, hospital epidemiologist, comments on each one as follows:
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Infection control practices and other "hospital factors" specific to individual institutions appear to be a greater influence on infection risk than a patient's severity of illness, researchers found.
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Sandiumenge and colleagues evaluated the effects of three strategies of antibiotic prescribing in a 14-bed ICU. The strategies were applied serially, beginning with an initial 10-month period during which patients with suspected ventilator-associated pneumonia received "patient-specific therapy" in which multiple antibiotic regimens, chosen on the basis of length-of-stay and recent antibiotic exposure, were used.
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Empowering nurses and other clinicians to speak up when they perceive a patient safety problem may be the most important component of emerging new programs designed to drive infection rates to zero, emphasizes Sara Cosgrove, MD, hospital epidemiologist at John Hopkins in Baltimore.