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Staff at many outpatient health care facilities in New Mexico failed to follow recommendations for hand hygiene more than one-third of the time

Health Care Workers Skip Hand Washing One-Third of the Time

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Outpatient facility staff also found to be lacking at safe injection practices
U.S. hospital procedures and questionnaires used to manage patient pain lead to overprescribing of addictive opioids and need to be changed

Coalition Calls for Changes to Hospital Pain Assessments

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Petition asks government to release proposal for a new pain questionnaire for hospital patients
New-onset atrial fibrillation after acute myocardial infarction is strongly tied to in-hospital complications and higher short-term readmission rates

New-Onset A-Fib Post Acute MI Ups Complications, Readmission

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In-hospital complication rate higher, as is 30-day readmission rate
A quality improvement intervention does not reduce in-hospital mortality for critically ill patients treated in intensive care units

Quality Improvement Process Doesn’t Cut ICU Mortality

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No reduction in in-hospital mortality for critically ill patients from ICUs in Brazil
Use of the word "breakthrough" in the U.S. Food and Drug Administration's expedited approval process could mislead doctors about the new drugs' actual benefits

Doctors Can Be Misled About FDA ‘Breakthrough’ Drug Designation

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Many believe meds supported by stronger evidence than the law requires to achieve designation
A radical proposal has been suggested for eliminating all Veterans Affairs (VA) medical centers and outpatient facilities in the next 20 years

VA Commission on Care: Eliminate VA Medical Centers

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Eight veterans organizations denounce document in letter to Commission Chairwoman
For acute myocardial infarction survivors

ACEI/ARBs Up AMI Outcomes Regardless of Renal Status

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Treatment linked to improved long-term survival, regardless of underlying kidney function
There is considerable variation in estimates of sepsis mortality using death certificates and health services utilization data (administrative claims)

Variation in Estimates of Sepsis-Linked Mortality by Data Source

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Variation seen comparing mortality based on deaths certificates and health services utilization data
For patients with worsening heart failure

Diuretic Dose Not Linked to Outcome in Heart Failure

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In multivariate analysis, no correlation seen for patients with worsening heart failure

March 2016 Briefing – Critical Care

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Here are what the editors at HealthDay consider to be the most important developments in Critical Care for March 2016. This roundup includes the...