Editor's Note A study analyzing data from 124,577 suspected sepsis cases across 236 US hospitals found that antibiotic de-escalation—switching to narrower-spectrum antibiotics or stopping broad-spectrum antibiotics—occurred in less than 30% of cases but was associated with improved patient outcomes, according to December 6 report from the Center for Infectious Disease…

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Editor's Note A cohort study conducted across 10 hospitals in the Mass General Brigham system found that stopping universal masking and SARS-CoV-2 testing significantly increased hospital-onset respiratory viral infections, while reinstating masking for healthcare workers reduced those rates. As detailed in a November 27 research letter in Jama Network Open,…

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Editor's Note A study analyzing data from the National Database of Nursing Quality Indicators (NDNQI) revealed that nursing-sensitive quality indicators (NSIs) worsened during the COVID-19 pandemic and remain elevated years after the onset of the pandemic, reflecting ongoing challenges in nursing practice. Published in the journal Nursing Research, the findings…

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Reliable and robust enough for daily use on most medical devices, steam is the most common sterilant in healthcare facilities. However, using steam properly requires a balancing act. For example, too much moisture can lead to wet packs, while steam that is too dry might not be sufficient to achieve…

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Enhanced Recovery After Surgery (ERAS) represents a transformative approach in modern surgical care, emphasizing evidence-based, multidisciplinary protocols to optimize patient recovery. Spanning decades, ERAS has grown from a novel concept into a global standard for perioperative care, with benefits that include shorter hospital stays, fewer complications, and reduced healthcare costs.…

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Editor's Note During the past few years, US hospitals have improved significantly in reducing healthcare-associated infections (HAIs), adhering to hand hygiene best practices, and preventing medical errors, according to the fall 2024 Hospital Safety Grades from The Leapfrog Group, a nonprofit focused on patient safety. Released November 15, the rankings…

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Editor's Note The American College of Surgeons (ACS) has recognized 77 US hospitals for “exceptional surgical outcomes” in 2023 based on performance metrics tracked as part of the ACS National Surgical Quality Improvement Program (NSQIP). According to an October 30 ACS announcement, these hospitals were selected from among 609 eligible…

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Editor's Note Research published in the American Journal of Infection Control finds that inadequate infection prevention and control (IP) staffing is associated with higher rates of healthcare-associated infections (HAIs), including central line-associated bloodstream infections (CLABSI), catheter-associated urinary tract infections (CAUTI), Clostridioides difficile infections, and colon surgical site infections.  Medical Xpress…

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Editor's Note Patients prescribed a glucagon-like peptide-1 agonist (GLP-1) showed higher postoperative infection rates after ankle-fusion procedures in a study presented at the annual meeting of the American Orthopaedic Foot & Ankle Society. Healio reported the news September 20.   Conducted by a team at the Milton S. Hershey Medical…

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Editor's Note According to this report published by The Leapfrog Group this month, hospitals in the US have significantly improved hand hygiene compliance, with 74% meeting the Leapfrog Hand Hygiene Standard in 2023, up from 11% in 2020. Among other factors, the report attributes this improvement to increased use of…

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