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Featured Articles

May 2, 2019

Self-Care ‘Critically Important’ to Avoid Compassion Fatigue, Prevent Burnout

Self-care is critically important for health care providers to avoid compassion fatigue and prevent burnout, according to a presenter at HOPA Ahead 2019. “The work we do exposes us to tremendous amounts of suffering and ‘what-if’ questions,” Justin N. Baker, MD, FAAP, FAAHPM, Baker, MD, FAAHPM, FAAP, chief of the division of quality of life and palliative care, director of the hematology/oncology fellowship program and full member of the department of oncology at St. Jude Children’s Research Hospital, said during a presentation. “The personal and professional impact of chronic patient death is profound. If we don’t talk about self-care, and if we don’t contemplate what the impact of doing this work every day has on each of us, we won’t be able to help [our patients].” Read More

Taming Building Automation System Alarm Fatigue

In hospitals all over the country, there exist extremely robust building automation systems (BAS), designed to provide constant monitoring of critical equipment. They are screaming for help, and no one is paying attention. It isn’t due to negligence or apathy. It is due to a condition known as alarm fatigue. Alarm fatigue is caused by two major oversights at the infancy of installation and design of the system. Read More

Nebulized Antibiotics: What is Their Place in ICU infections?

Inhaled antibiotics have been used as adjunctive therapy for patients with pneumonia, primarily caused by multidrug resistant (MDR) pathogens . Most studies have been in ventilated patients, although non-ventilated patients have also been included (but not discussed in this review), and most patients have had nosocomial pneumonia. Aerosolized antibiotics are generally added to systemic therapy, and have shown efficacy , primarily as salvage therapy for failing patients and as adjunctive therapy after an MDR gram-negative has been identified. An advantage to aerosolized antibiotics is that they can achieve high intra-pulmonary concentrations that are potentially effective , even for highly resistant pathogens, and because they are generally not well- absorbed systemically, it is possible to avoid some of the toxicities of systemic therapy. Read More

Bathing Patients with an Antiseptic Reduces Bloodstream Infections

Research Medical Center’s Dr. Olevia Pitts, center, explains the bathing protocol to a surgical patient. A common practice at hospitals is to ensure all patients bathe once a day with common soap and water to ward off infections. A 2013 study HCA participated in found bathing intensive-care unit patients with soap containing the antiseptic chlorhexidine cut the incidence of central line bloodstream infections by 44%. Read More