"July effect" on death rates is real, researchers conclude
A meta-analysis of 39 studies found that death rates at teaching hospitals climb in July -- when new groups of medical residents arrive for training -- while care efficiency decreases, suggesting that the "July effect" is real. People in need of treatment should not put off care in the summer but should consider bringing a friend or family member as an advocate, said the lead author of the study published in the Annals of Internal Medicine. HealthDay News
Okay so new residents are not perfect...LOL..Who Knew? Really, that's why they have advisers and mentors and more experienced residents to rely on...
More cardiac arrest patients survive with body cooling in study
A study of 140 cardiac arrest patients who received therapeutic hypothermia -- a treatment in which the body is cooled after the restoration of the patient's heartbeat -- found that 56% survived, compared with 10% of those in the U.S. who suffer cardiac arrest outside hospitals, a study in the journal Circulation found. Each hour of delay before cooling therapy began raised the risk of death by 20%, researchers reported. An organized system of referrals to regional medical centers also plays a role in improving patients' chances of survival, the study found. The Wall Street Journal (tiered subscription model) (7/12)
This is a great therapy, care intensive and definitely places the patient in a 1:1 nursing status, but it is definitely proving beneficial.
A shift in perspective can improve nurse retention, CNO says
Hospital leaders may be able to reduce a looming exodus by adopting strategies that address the needs of nurses who might otherwise retire or seek a new job. Among those that should be considered are flexible scheduling and allowing some work to be done at home, said Marcia Donlon, a registered nurse and hospital executive in Manitowoc, Wis. Nurses should also discover their job potential and try new roles, Donlon says. "We as nurses trap ourselves, sometimes saying 'I've worked on Med/Surg for 20 years; what else can I do?' But there are so many things we can do." HealthLeaders Media (7/11)
Interesting concepts, will be interesting to see what other ideas are generated and if this is ever given the consideration it deserves.
Standardized measures of ED crowding backed by ANA, other groups
The ANA, the Emergency Nurses Association and seven other health care associations signed a consensus statement aimed at standardizing emergency department metrics that include definitions of arrival, triage and offload times. Organizations have long measured ED use, but the groups say the new, common metrics can yield more useful information in the hunt for solutions to crowding, leading to better care for patients and safer work environments for providers. Nurse.com (7/13)
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