Bold Voices - December 2011 - (Page 15)

AT THE BEDSIDE Australian Study: ‘How Dangerous Is a Day in Hospital?’ Addressing the underlying causes of adverse events is better than discharging patients early to alternative care, says a study to assess the benefits and costs of hospital stays. “How Dangerous Is a Day in Hospital? A Model of Adverse Events and Length of Stay for Medical Inpatients,” which appears online in a recent issue of Medical Care, was conducted at Monash University, Australia, and Imperial College London. It adds that if addressing these underlying causes is “costly, difficult, or impossible, at least in the short run,” then research supports “hospital managers in making Preventing adverse informed hospital events is better treatment and discharge than early discharge to decisions.” A related avoid alternative care. article in The Sydney Morning Herald notes that “one in five patients who stay a week in hospital will pick up an infection during their stay.” Lead author Katharina Hauck, Imperial College London, says in the article that these infections were primarily from “non-sterile equipment, sub-standard hygiene or mistakes with catheters, which are known to cause urinary-tract infections.” The study’s hospital-acquired infections also included “pneumonia and respiratory-tract infections because they are considered complications of hospital care,” it adds. AACN Resources About Adverse Events • “Predictors of Adverse Events in Patients After Discharge From the Intensive Care Unit” — American Journal of Critical Care • “Enhanced ICU Cleaning May Reduce MRSA, VRE” — AACN Bold Voices • AACN Practice Alerts • HHS-CCSC Awards for reducing or eliminating healthcare-associated infections You’ll find direct links to these and other resources in this issue’s digital edition at Although study authors did not look at the causes of these events, “Hauck said checklists, electronic patient records, extra care with hygiene and staff training could all improve prevention of adverse events,” the article notes. fall is in the air Need a Gut Check? Do you or your patients and their families have questions about colon cancer screening — such as early detection and treatment effectiveness? For answers, visit gutcheck. — an easy-to-follow site, sponsored by the U.S. Department of Health and Human Services. The site lists screening options that work, ones that don’t and those that are being studied. You also can filter your search according to the least invasive, longest lasting and most private. Compare among screening choices such as home stool test, flexible sigmoidoscopy and colonoscopy. got fleece? AACN BOLD VOICES DECEMBER 2011 15

Table of Contents for the Digital Edition of Bold Voices - December 2011

Front/Digital Edition Viewing Guide
Another Angle
AACN Boards and Contact Information
Dec. 19 Deadline: National Awards Recognize Excellence, Leadership in HAI Prevention
Box Office Hit 'Contagion' Raises Questions About Virus
New Privacy Recommendations for Storing Newborn Screening Specimens
Motor Training Can Advance Social Development in Infants With Autism
In-Hospital Mobility Benefits Older Patients
NSAIDs May Harm Patients with Heart Disease, Hypertension
Pain Code' Encourages Use of Maximum Dosage
FDA's Treatment Recommendations for Simvastatin 80
Study Identifies Predictors of Sudden Cardiac Death Versus Surviving Heart Attack
Study Seeks Initiator of Post-Trauma Intestinal Cell Damage
Australian Study: 'How Dangerous is a Day in Hospital'
In Our Journals
ICU Staff Composition May Decrease Burnout
Use of Manikins May Improve Emergency Care
Celebrate Certification
AACN Financials
From the President

Bold Voices - December 2011