Critical Care Newsline — August 27, 2009

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Critical Care Newsline, the electronic newsletter from the American Association of Critical-Care Nurses, contains information selected just for you by our clinical practice experts. In each issue, you’ll find links to resources, research abstracts (individual sites may require registration and a fee to access complete articles) and Web sites that will keep you informed on issues affecting nurses and the nursing profession.

Aug. 27, 2009

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1. RESEARCH New tool may help predict mortality among Clostridium difficile patients
2. PATIENT SAFETY CDC releases vaccine recommendations for seasonal influenza
3. NEWS Quality of Care for Acute Coronary Syndrome Patients With Known Atherosclerotic
Disease: Results From the Get With the Guidelines Program
4. NEWS Joint Commission expects most hospitals to ban smoking by end of 2009
5. NEWS Critical care interventions should be tested on children and adults simultaneously
6. NEWS Joint Commission requests volunteer hospitals for review of proposed osteoporosis
measures
7. CLINICAL PRACTICE RESOURCES
8. AACN RESOURCES
9. REMINDERS
10. CORRECTION

1. RESEARCH New tool may help predict mortality among Clostridium difficile patients
A new bedside tool, able to predict 30-day mortality rates, may help clinicians optimize treatment for patients with Clostridium difficile infection according to September’s Critical Care Medicine. Patients age 65 and older make up about half of ICU patients with Clostridium difficile and are more likely to die within 30 days than their younger counterparts, the research states.

2. PATIENT SAFETY CDC releases vaccine recommendations for seasonal influenza
This report updates the 2008 recommendations by CDC’s Advisory Committee on Immunization Practices regarding the use of influenza vaccine for the prevention and control of seasonal influenza. Information on vaccination issues related to the recently identified novel influenza A H1N1 virus will be published later in 2009.
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5808a1.htm, errata at
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5832a4.htm

3. NEWS Quality of Care for Acute Coronary Syndrome Patients With Known Atherosclerotic Disease: Results From the Get With the Guidelines Program
Compared with acute coronary syndrome patients without prior vascular disease, those with prior atherosclerosis had higher in-hospital mortality yet were paradoxically less likely to receive specific evidence-based acute coronary syndrome treatments, which can form the basis for targeted intervention.

4. NEWS Joint Commission expects most hospitals to ban smoking by end of 2009
By the end of 2009, most U.S. hospitals will be smoke-free according to a new Joint Commission study. About 45 percent of the 1,916 hospitals surveyed now ban smoking on campus with 15 percent more working to achieve a smoke-free environment. Non-teaching and nonprofit hospitals report “high proportions of smoke-free campus policies” the study states.

5. NEWS Critical care interventions should be tested on children and adults simultaneously
Authors of a September article in Critical Care Medicine call for testing critical care interventions on children simultaneously with adults unless otherwise specified. The authors challenge the current standard of conducting research in adults before children, saying that most perceived safety barriers can be overcome.

6. NEWS Joint Commission requests volunteer hospitals for review of proposed osteoporosis measures
The Joint Commission needs 50 volunteer hospitals to review a draft of osteoporosis measures. Applications must be received by Sept. 1. Each hospital team will submit a Likert scale evaluation with comments. No chart data collection required. Read more.

7. CLINICAL PRACTICE RESOURCES

EVIDENCE-BASED PRACTICE
Meta-analysis shows acetaminophen increases the risk of asthma and wheezing in children and adults. Read more.

PATIENT SAFETY
Children’s deaths prompt call to prevent post-op hyponatremia
Roche warns of pure red cell aplasia in patients with CellCept

RESEARCH
Early administration of broad-spectrum antibiotics and drotrecogin alfa (activated) reduces mortality in patients with severe sepsis according to a prospective, multicenter, observational study. Read more

8. AACN RESOURCES
For information about AACN’s many resources for acute and critical care nurses, such as moral distress. Read more

9. REMINDERS
AACN members can visit www.aacn.org/ce to access unlimited free continuing education (CE) credits, CE certificates, CCRN/PCCN self-assessment exams, exam registration and personal transcript records.

10. CORRECTION
The Aug. 13 issue of “Critical Care Newsline” assigned the headline “Fresh frozen plasma increases risk of multiple organ failure and acute respiratory distress syndrome” to the Web link in the “Clinical Practice Resources”.

The correct headline, “Fresh frozen plasma associated with increased risk of multiple organ failure and acute respiratory distress syndrome,” now appears in the archived Aug. 13 issue available in the “Critical Care Newsline Archive” at the link here. AACN apologizes for the error.

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