Critical Care Newsline — November 10, 2011

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 websites that will keep you informed on issues affecting nurses and the nursing profession.

Nov. 10, 2011

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1. NEWS Study finds critical care is associated with favorable outcomes for most patients
2. EVIDENCE Telemedicine ICU program decreases hospital mortality, study says
3. NEWS AHRQ awards $34 million to fight HAIs
4. CALL TO ACTION Apply for HHS-CCSC HAI award
5. CALL TO ACTION November is Lung Cancer Awareness Month
6. CALL TO ACTION Comment on AHRQ’s VTE Common Format
7. PATIENT SAFETY AJCC publishes patient safety studies
8. CALL TO ACTION Submit nominations for AACN President’s Award for Chapters
9. MEMBER BENEFIT New edition of best-selling book ‘Crucial Conversations’ available
10. MEMBER BENEFIT Free enrollment in ChangeAnything.com for one year
11. CLINICAL PRACTICE RESOURCES
12. AACN RESOURCES Find jobs at NursePath.com
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1. NEWS Study finds critical care is associated with favorable outcomes for most patients
ICU patients receive “active treatments” that often include life support and end-of-life counseling, and ICU admission is “associated with favorable outcomes for most patients,” according to “Benchmark Data From More Than 240,000 Adults That Reflect the Current Practice of Critical Care in the United States,” in November’s CHEST.

2. EVIDENCE Telemedicine ICU program decreases hospital mortality, study says
A telemedicine ICU program in a five-hospital system reduced ICU length of stay and relative risk of hospital mortality, according to “Clinical Outcomes After Telemedicine Intensive Care Unit Implementation,” published online Oct. 20 by Critical Care Medicine.

3. NEWS AHRQ awards $34 million to fight HAIs
On Nov. 2, the Agency for Healthcare Research and Quality, Rockville, Md., announced it has awarded $34 million in grants and contracts to hospitals and other healthcare-related institutions in fiscal year 2011 to “expand the fight against healthcare-associated infections” (HAIs).

4. CALL TO ACTION Apply for HHS-CCSC HAI award
Apply by Dec. 19 for national awards recognizing sustained improvements in reducing or eliminating healthcare-associated infections (HAIs) in critical care. Now in its second year, this awards program is sponsored by AACN and its partnering organizations in the Critical Care Societies Collaborative (CCSC), U.S. Department of Health and Human Services (HHS), Office of the Assistant Secretary for Health, and Office of Healthcare Quality, emphasizing success related to reducing or eliminating central line-associated bloodstream infections and ventilator-associated pneumonia. Access eligibility, selection criteria and application requirements.

5. CALL TO ACTION November is Lung Cancer Awareness Month
Participate in Lung Cancer Awareness Month by accessing suggestions, including organizing rallies and contacting Congress, from Lung Cancer Alliance, Boston. Lung cancer is the leading cause of cancer death in the U.S.

6. CALL TO ACTION Comment on AHRQ’s VTE Common Format
Comment by Wednesday, Nov. 30, on the new Venous Thromboembolism (VTE) Common Format from the Agency for Healthcare Research and Quality (AHRQ), Rockville, Md. Common Formats help healthcare providers collect and submit standardized information on patient safety events.

7. PATIENT SAFETY AJCC publishes patient safety studies
November’s American Journal of Critical Care (AJCC) contains two patient safety studies. “Patients’ Instability, Emergency Response, and Outcomes in the Radiology Department” found that “patients with comorbid conditions, from a general care unit, and at risk for neurological deterioration arrive in the radiology department with potentially underestimated support needs.” “Adverse Drug Events in Intensive Care Units: A Cross-Sectional Study of Prevalence and Risk Factors” states that adverse drug events are common and associated with “illness severity and nursing workload.”

8. CALL TO ACTION Submit nominations for AACN President’s Award for Chapters
Nominate chapters for the 2012 AACN President’s Award for Chapters, which recognizes the chapters that best exemplify the association’s annual theme. Learn more and nominate by Wednesday, Feb. 15, 2012.

9. MEMBER BENEFIT New edition of best-selling book ‘Crucial Conversations’ available
The second edition of The New York Times’ best-selling book “Crucial Conversations: Tools for Talking When Stakes Are High” summarizes new research, inspires readers with powerful stories that illustrate key principles and provides links to videos that demonstrate effective ways to conduct crucial conversations. AACN members receive a discount on their purchase.

10. MEMBER BENEFIT Free enrollment in ChangeAnything.com for one year
Take control of the sources of influence that impact your behavior by becoming both the subject and the scientist of your change. In partnership with Change Anything, a division of VitalSmarts, AACN welcomes members to ChangeAnything.com — a social media website based on award-winning research. Sign up by Dec. 31 for free one-year premium membership in this unique online resource.

11. CLINICAL PRACTICE RESOURCES
Patient Safety
On Nov. 4, the Food and Drug Administration, Silver Spring, Md., announced a recall of EnVe Ventilators, manufactured by CareFusion, San Diego, because potential defects can interrupt ventilation to the patient.

On Oct. 31, President Barack Obama issued “Executive Order: Reducing Prescription Drug Shortages,” which states drug shortages “pose a serious and growing threat to public health” and directs the Food and Drug Administration (FDA), Silver Spring, Md., to take steps to prevent and reduce supply disruption. Access the related report: “A Review of FDA’s Approach to Medical Product Shortages.”

Evidence
July’s Pediatric Research contains “Patient Safety in the Context of Neonatal Intensive Care: Research and Educational Opportunities,” which summarizes the work of a panel of experts who developed a research and educational agenda in neonatology. Topics discussed at the workshop included errors during resuscitation, mechanical ventilation and performance of invasive procedures; medication errors; diagnostic errors and misidentification of patients.

Two recent studies address care of intubated patients. Continuous control of tracheal cuff pressure decreases microaspiration of gastric contents, according to “Continuous Control of Tracheal Cuff Pressure and Microaspiration of Gastric Contents in Critically Ill Patients,” published in the Nov. 1 American Journal of Respiratory and Critical Care Medicine. “Oropharyngeal Secretion Volume in Intubated Patients: The Importance of Oral Suctioning,” published in November’s American Journal of Critical Care, recommends oropharyngeal suctioning at least every four hours; more frequent suctioning may be needed in a subset of patients.

Resource
Preventing Surgical Fires” from the Food and Drug Administration, Silver Spring, Md., includes videos, checklists and recommendations for healthcare professionals.

Guidelines
The Nov. 8 Circulation contains “2011 ACCF/AHA Focused Update of the Guideline for the Management of Patients With Peripheral Artery Disease.”

12. AACN RESOURCES
Find jobs at NursePath.com
Are you a recent graduate? Or are you a mid- or senior-career acute or critical care nurse looking to change jobs or locations? Visit NursePath.com, AACN’s online career site, to find employment opportunities in high acuity and critical care across the U.S.

Notable Quote
“Forgetfulness and disorientation were once considered a normal part of aging. It was believed that if one lived long enough, such impairments were inevitable. Currently, dementia is considered an abnormal state with many causes that can often be identified.” — Cynthia D. Steele. “Nurse to Nurse Dementia Care: Expert Interventions.”

Together. Stronger. Bolder.
From November’s AACN Bold Voices
One Size Doesn’t Fit All” — Mary Stahl, AACN President 2011-2012
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