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Amid increasing sensational press exposés and consumer advocates demanding release of hospital infection rates, comes this cold truth from a leading public health official: Health care-associated infections are fraught with so many variables that epidemiologists dont really know how many occur and how many can be prevented.
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New infection control standards by the Joint Commission describe a widely supported and collaborative program that represents one of a hospitals top priorities. Highlights of the 2005 standards, which are effective next Jan. 1, include this statement in the overview:
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Infection control professionals have the expertise to handle a rapidly expanding job definition, but must have the resources and staff to accomplish the new demands on the profession, a leading ICP recently said in Chicago at a conference held by the Joint Commission on Accreditation of Healthcare Organizations.
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Diagnosing potentially deadly central venous catheterrelated bloodstream infections may be difficult, but the authors found that a lot of it may be a matter of timing.
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Adverse events and hospital deaths are common, and when these are combined, a large proportion of deaths are deemed preventable. Are there organizational approaches we can adopt in the ICU that will create a safer place?
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The primary objective of this study was to determine whether patients receiving mechanical ventilation who tolerate kinetic therapy have better pulmonary function than patients treated with standard turning. A secondary objective was to assess the cost-effectiveness of kinetic therapy.
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GEMINI Trial; CAMELOT Trial; INVEST Trial; The Dangers of Vitamin E; FDA Actions.
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Mortality among patients with advanced cirrhosis who required intubation and mechanical ventilation was related more to the derangement of liver function than to the severity of critical illness as assessed by APACHE II or SAPS.
