A free, online resource on the principles and interventions needed to reduce healthcare associated infections, with suggested control measures across different resource levels.
Related: Global nursing movement launches – Devex (free) AND Nursing Now campaign: raising the status of nurses – The Lancet (free registration required)
See also: Nursing Now Website
“Intravenous devices known as PICCs should be reserved for long-term use, but a new study shows 1 in 4 are used for 5 days or less” (from ScienceDaily)
“Negative staff experiences are often a precursor for negative patient experiences”.
Original article: Are quality improvement collaboratives effective? A systematic review – BMJ Quality & Safety (link to abstract – $ for full-text)
“There’s moderate quality evidence that behavioural support to motivate & sustain smoking cessation delivered by nurses can lead to a modest increase in the number of people who achieve prolonged abstinence” (via @CochraneUK see Tweet)
E-learning for health professionals – Cochrane Library (link to abstract – $ for full-text)
Original article: Prolonged versus short-term intravenous infusion of antipseudomonal β-lactams for patients with sepsis: a systematic review and meta-analysis of randomised trials – The Lancet Infectious Diseases (link to abstract – $ for full-text)
Commentaries in the same issue: Evidence-Based Guidelines for Fatigue Risk Management in Emergency Medical Services: A Significant Step Forward and a Model for Other High-Risk Industries (free) AND What an Evidence-based Guideline for Fatigue Risk Management Means for Us: Statements From Stakeholders (free) AND Proposed Performance Measures and Strategies for Implementation of the Fatigue Risk Management Guidelines for Emergency Medical Services (free) AND Evidence-Based Guidelines for Fatigue Risk Management in Emergency Medical Services: A Step in the Right Direction Toward Better Sleep Health (free)
Commentaries: Older adult-friendly emergency department staff help reduce hospital admissions – American Geriatrics Society, via EurekAlert (free) AND Emergency department program for older adults cuts hospitalizations by 33 percent – Northwestern University, via EurekAlert (free)
Related White Paper: Achieving Hospital-wide Patient Flow: The Right Care, in the Right Place, at the Right Time – Institute for Healthcare Improvement (free registration required – PDF)
Original article: Early warning systems and rapid response to the deteriorating patient in hospital: A systematic realist review – Journal of Advanced Nursing (link to abstract – $ for full-text)
Night Shift Work Increases the Risks of Multiple Primary Cancers in Women: A Systematic Review and Meta-analysis of 61 Articles – Cancer Epidemiology, Biomarkers & Prevention Online (link to abstract – $ for full-text)
Commentaries: Night shifts raise women’s cancer risk – Medical News Today (free) AND Night Shifts Increase Breast Cancer Risk, Especially for Nurses – Medscape (free registration required) AND Female Night Shift Workers May Have Increased Risk of Common Cancers – American Association for Cancer Research (free)
“There is moderate quality evidence that behavioural support to motivate and sustain smoking cessation delivered by nurses can lead to a modest increase in the number of people who achieve prolonged abstinence”.
Managing Mental Health Emergencies in the ED – American Nurse Today, via Medscape (free registration required)
White Paper: Achieving Hospital-wide Patient Flow: The Right Care, in the Right Place, at the Right Time – Institute for Healthcare Improvement (free registration required – PDF) (via @brhospitalist and @TheIHI see Tweet)
Comparative Effectiveness of Implementation Strategies for Blood Pressure Control in Hypertensive Patients: A Systematic Review and Meta-analysis – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Meta-Analysis: It Takes a Team to Optimize Hypertension Tx – MedPage Today (free registration required) AND Blood pressure control best achieved with a multilevel, multicomponent approach – American College of Physicians, via EurekAlert (free)
Can sleep quality and burnout affect the job performance of shift-work nurses? A hospital cross-sectional study – Journal of Advanced Nursing (link to abstract – $ for full-text)
Commentary: Shift work linked to burnout in sleep-deprived nurses – Reuters (free)
Original article: Effectiveness and cost-effectiveness of a nurse-delivered intervention to improve adherence to treatment for HIV: a pragmatic, multicentre, open-label, randomised clinical trial – The Lancet Infectious Diseases (free)
New Guide from Choosing Wisely Canada: Nine Things Nurse Practitioners and Patients Should Question – Nurse Practitioner Association of Canada (free)
Commentaries: The burden of triumph: meeting health and social care needs – The Lancet (free) AND Do we really need 200,000 more care home beds? – The Guardian (free) AND Time spent frail in old age ‘doubles’ – BBC (free)
“The amount of time spent needing daily care in late life has doubled in England over the past two decades, a study suggests”. (from BBC)
Commentaries: At Last, a Big, Successful Trial of Probiotics – The Atlantic (free) AND Probiotic Bacteria Could Protect Newborns From Deadly Infection – NPR Goats and Soda (free) AND Seeding the Gut Microbiome Prevents Sepsis in Infants – The Scientist (free)
A National Implementation Project to Prevent Catheter-Associated Urinary Tract Infection in Nursing Home Residents – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentaries: Study Shows 54 Percent Drop in CAUTIs Among Nursing Home Residents – Infection Control Today (free) AND AHRQ safety program helps cut catheter infections by more than 50% among nursing home patients, JAMA study shows – Healthcare Finance (free) AND Implementing technical and socioadaptive bundles may decrease catheter-associated urinary tract infections in nursing homes – 2 Minute Medicine (free) AND Nursing homes cut urinary tract infections in half through focused effort on catheter care – Michigan University, via EurekAlert (free)
Occupation and Risk of Developing Rheumatoid Arthritis: Results From a Population-Based Case-Control Study – Arthritis Care & Research (link to abstract – $ for full-text)
Commentaries: Certain occupations linked to an increased risk of rheumatoid arthritis – Willey, via EurekAlert (free) AND Occupational Exposures Increase Rheumatoid Arthritis Risk – Medscape (free registration required) AND Some jobs tied to higher risk of rheumatoid arthritis – Reuters (free)
Case-control study suggests bricklayers, concrete workers, electricians and nurses are at increased risk.
Original systematic review: Skin-to-skin care for procedural pain in neonates – Cochrane Library (link to abstract – $ for full-text)
“Skin-to-skin care probably is an effective intervention for pain during procedures for neonates”.
Alternatives to hospital admission for people aged over 65 years can be safe and reduce costs across a range of acute and chronic conditions.
Invited commentary: Early Orthostatic Hypotension and Orthostatic Intolerance—More Than an Observation or Annoyance (free)
Practice Changing – Orthostatic hypotension within 1 min of standing (rather than at 3 minutes) has greater relation to falls, fracture, syncope, motor vehicle crash, and mortality.
Invited Commentary: Fluoroquinolone restriction to control fluoroquinolone-resistant Clostridium difficile (free)
Redesigning Care for High-Cost, High-Risk Patients – Harvard Business Review (a few articles per month are free) (RT @pash22 see Tweet)
Related: Designing a High-Performing Health Care System for Patients with Complex Needs: Ten Recommendations for Policymakers – The Commonwealth Fund (free) AND Caring for High-Need, High-Cost Patients — An Urgent Priority – New England Journal of Medicine (Free) AND Multimorbidity: clinical assessment and management – NICE Guideline (free) AND Multimorbidity in Older Adults with Cardiovascular Disease – American College of Cardiology, Latest in Cardiology (Free full text) AND Focusing on High-Cost Patients — The Key to Addressing High Costs? – NEJM Catalyst (free) AND Richard Smith: The challenge of high need, high cost patients – The BMJ Blogs (free) AND Playbook: Better Care for People with Complex Needs – Institute for Healthcare Improvement (free)
This viewpoint suggests a more selective use of contact precautions for the control of endemic pathogens.
Topical antimicrobial agents for treating foot ulcers in people with diabetes – Cochrane Library (link to summary – & for full-text)
This study compared two different approaches to measure adverse events, the “Trigger Tool system” and the “Two-stage review”
“Untrained bystander CPR had better outcomes when given telephone advice from EMS services to perform continuous CPR, rather than interrupted CPR with rescue breaths”. For trained EMS professionals, “it is possible that there is little or no difference between the two approaches”.
Commentaries: Working while sick – ACP Internist (free) AND Health worker survey reveals many work during flu illness – CIDRAP (free)
Over 40% of surveyed health care personnel worked with self-reported influenza-like illness. “To reduce levels of health-worker–associated flu transmission, the researchers said that misconceptions about working while sick and sick leave policies both need to be addressed” (from CIDRAP)
Viewpoint: Can Personalized Care Planning Improve Primary Care? – JAMA (free)
See more on caring for people with Complex Needs in our April 24th issue (see #4),
Evidence for the treatment of pressure ulcers reviewed.
Invited commentary: Surgical Site Infection Prevention – What We Know and What We Do Not Know – JAMA Surgery (free)
Commentary: ‘Long-Awaited’ CDC Guidelines on SSI Prevention Released – Medscape (free registration required)
“How frequently should indwelling urinary catheters be changed? Are catheter washouts effective? Which type of catheter reduces rates of urinary tract infection?”. This post look at the evidence regarding urinary catheter care.
See also: Use of Medications of Questionable Benefit at the End of Life in Nursing Home Residents with Advanced Dementia – CBCNews (free) AND Many With Advanced Dementia Receiving Drugs of Uncertain Benefit – Medscape (free registration required)
The wound/burn guidelines – Japanese Dermatological Association (all guidelines are free)
Wounds in general / Guidelines for the diagnosis and treatment for pressure ulcers / Guidelines for the diagnosis and treatment for diabetic ulcer/gangrene / Guidelines for the management of skin ulcers associated with connective tissue disease/vasculitis / Guidelines for the management of lower leg ulcers/varicose veins / Guidelines for the management of burns