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With the misuse and overuse of antibiotics driving drug resistance in general and emerging Clostridium difficile in particular, infection preventionists and health care epidemiologists want to have a greater role in antimicrobial stewardship programs.
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While the pressure grows to raise the rate of influenza vaccination of health care workers to 90%, an identical Healthy People 2020 goal for hepatitis B vaccination of health care workers remains quietly unmet.
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Dramatic progress in reducing several major health care associated infections (HAIs) in recent years has been offset by the unrelenting rise of Clostridium difficile, the spore-forming pathogen that can cling steadfast to hands even after washing with soap and water.
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With all the talk about needing more outcomes measures rather than process measures, there are some well-loved projects that could get left out in the cold, simply because it is hard to prove they have a direct impact on improved outcomes.
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It has been seven years since Medicare started requiring hospitals to publicly report their performance for core measures related to heart attack, heart failure and pneumonia. Ask the hospitals participating in Hospital Compare whether this has affected their quality improvement and patient safety efforts and the vast majority will answer in the affirmative.
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If you have patients waiting for long periods of time in your emergency department, you better start thinking about ways to cut those times.
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Perhaps the saddest thing about the Hospital Survey on Patient Safety Culture: 2012 User Comparative Database Report, released in February by the Agency for Healthcare Research and Quality (AHRQ) is not that so many people believe the culture in their hospitals is an impediment to error reporting, but that so many people who work in the patient safety arena are not surprised at the high number of people responding that way.
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