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Search results for "Nosocomial Infections"
Journal Article > Study
Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events.
Zahar JR, Garrouste-Orgeas M, Vesin A, et al. Intensive Care Med. 2013;39:2153-2160.
Contact isolation, which requires health care workers to wear a gown, gloves, and mask before entering a patient's room, has been shown to decrease the spread of multidrug resistant bacteria, including methicillin-resistant staphylococcus aureus (MRSA). Prior studies have documented adverse outcomes for patients placed in contact isolation while hospitalized. This study examines whether more adverse events occur for patients in intensive care units who are placed on contact isolation compared with those not on contact isolation. The authors found an increased incidence of hypoglycemia, hyperglycemia, error in anticoagulant prescription, and ventilator-associated pneumonia among patients in contact isolation. These findings suggest that the benefit of limiting the spread of health care–associated infections should be weighed against the risks to patients. An AHRQ WebM&M perspective reveals a nurse's experience with MRSA.
Journal Article > Review
Understanding factors that impact on health care professionals' risk perceptions and responses toward Clostridium difficile and methicillin-resistant Staphylococcus aureus: a structured literature review.
Burnett E, Kearney N, Johnston B, Corlett J, Macgillivray S. Am J Infect Control. 2013;41:394-400.
This systematic review found that health care professionals have a poor technical understanding of Clostridium difficile and the effectiveness of measures to prevent it. Many physicians and nurses did not believe that control is achievable.
Journal Article > Commentary
Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service in Italy.
Bellandi T, Albolino S, Tartaglia R, Filipponi F. Transplant Proc. 2010;42:2187-2189.
This case study discusses errors that contributed to transplantation of infected organs and provides recommendations to improve test result communication and organizational safety culture.
Journal Article > Study
Hugonnet S, Chevrolet JC, Pittet D. Crit Care Med. 2007;35:76-81.
Lower nurse-to-patient ratios on hospital wards have been associated with an increased rate of post-surgical complications and an increased rate of overall complications of inpatient care. This single-center study evaluated the effect of changes in nurse staffing on nosocomial infection rates in the intensive care unit (ICU) and found that a slightly higher number of patients per nurse was associated with a significantly increased infection risk, after controlling for patient risk factors. The authors hypothesize that increased nursing workload may lead to breaches in infection control protocols.