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  • Replacing Warfarin for Atrial Fibrillation Treatment — A Foregone Conclusion!

    In nonvalvular atrial fibrillation patients, rivaroxaban was noninferior to warfarin for the prevention of stroke or systemic embolism. However, an intention-to-treat analysis did not show superiority of rivaroxaban over warfarin.
  • Strokes More Severe When Occurring During Sleep

    It has been well recognized that a peak in stroke onset occurs during the early morning hours. This possible circadian periodicity is not well understood, and may in part represent stroke onset earlier during the night that goes unrecognized until the patient arouses.
  • Many HCWs don't know correct PPE sequence

    Your annual training in the use of personal protective equipment may not be good enough. According to a study of PPE use during the H1N1 pandemic in Canada, most health care workers don't know how to choose the right items or how to put them on or take them off correctly.
  • Joint Commission: New year will usher in new CAUTI prevention requirements

    The Joint Commission's new National Patient Safety Goal (NPSG) on preventing indwelling catheter-associated urinary tract infections which emphasizes prompt removal of unnecessary devices and surveillance for CAUTIs is effective January 1, 2012 for hospitals.
  • OSHA: Take steps to reduce work violence

    In its compliance directive on workplace violence, the U.S. Occupational Safety and Health Administration advises employers to conduct a hazard analysis, assess needs for physical changes to reduce risk, provide employee training, and implement a variety of controls, such as bright lighting and security cameras.
  • JC Q&A: Active testing for MRSA

    The Joint Commission recently posted the following answer to a frequently asked question on screening for methicillin-resistant Staphylococcus aureus (MRSA).
  • JC Q&A: What if CAUTI a low risk?

    The Joint Commission recently posted the following answer to a frequent asked question on catheter-associated urinary tract infections (CAUTIs).
  • Flu shot mandates spur a backlash

    Late in her pregnancy and fearful of the flu vaccine, the nurse wanted to hold off on immunization. At her hospital, though, the flu vaccine was mandatory. Get the shot or lose your job, her supervisor told her.
  • VA programs cuts CLABSIs by >50%

    The Joint Commission targets central lineassociated bloodstream infections in its 2011 national patient safety goals, with NPSG.07.04.01 calling for hospitals to "implement evidence-based practices to prevent (CLABSIs)."
  • 'Violence is not part of anybody's job'

    After his cheek was fractured when a patient smashed a fist into his jaw in the emergency department, Jeaux Rinehart, RN, BSN, PHN, figured he'd had enough. He worked for 32 years as an emergency room nurse and loved it, but finally he could no longer tolerate patients hitting, yelling, cursing, or spitting at him.