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Featured Articles

June 12, 2019

Sedation and Controlled Paralysis Do Not Improve Survival of ICU Patients with ARDS

Reversibly paralyzing and heavily sedating hospitalized patients with severe breathing problems do not improve outcomes in most cases, according to a clinical trial conducted at dozens of North American hospitals. The trial -- which was stopped early due to futility -- settles a long-standing debate in the critical care medicine community. Read More

Patients Give More ‘5-Star’ Ratings to Hospitals with Fewer Services

Compared to smaller facilities, hospitals that provide complex care for critical illness or serious injury may find it harder to make patients happy, a U.S. study suggests. Patients may be more likely to give top ‘5-star’ ratings to hospitals that don’t offer many commonly sought-after services like emergency rooms and intensive care units, the study found. In an effort to help patients find high quality care, the U.S. Centers for Medicare and Medicaid Services (CMS) publishes hospital rankings based on patients’ experiences, on a website called Hospital Compare. Research to date hasn’t offered a clear picture of how much patients’ ratings, on a scale of 1 to 5, might help people find the best place to go for care, researchers note in JAMA Internal Medicine.  Read More

Post-ICU Depressive Symptoms Correlate With Income, Education, and Function

Researchers of a study published in CHEST found that moderate to severe depressive symptoms after a stay in an intensive care unit (ICU) are associated with decreased income, lower education, and higher functional dependence. Moreover, age correlates curvilinearly with symptom severity. Read More

Reducing Inpatient Falls and Injury Rates by Integrating New Technology with Workflow Redesign

By integrating a novel patient-observer technology into a redesigned clinical workflow, the neuroscience unit at Mission Hospital in Asheville, North Carolina, achieved a 23% reduction in falls and a 12% reduction in fall-related injuries over a 1-year pilot period. Furthermore, the technology and clinical workflow was scaled to two additional units and, collectively, the three units achieved a 40% reduction in fall-related injuries. These results supported scaling the solution to a total of five inpatient units, effectively expanding the number of patients capable of being monitored from six (during the pilot period) to 164.  Read More