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The calculus of nursing education and patient outcomes
By Keith Carlson
With the publication of a new study in The Lancet, it appears that the call for more baccalaureate-prepared nurses just became louder, and the results of said study appear to carry a great deal of weight in both the academic and clinical worlds. Using discharge data from more than 400,000 hospitalized European patients, this well-received study demonstrates that increasing a hospital nurse's workload by only one patient leads to a 7 percent increase in the chances that a patient will die within 30 days of admission.
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MARN MEMBER SAFE STAFFING SURVEY
We are developing our public policy platform for the coming year and we cannot do this without knowing the thoughts and wishes of the membership. The patient safety act ballot initiative for November 2014 seeks to change the landscape for nursing. Your participation is extremely important to the future direction of your association.
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Red Sox vs. Cincinnati Reds - Tuesday, May 6, 2014
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Tuesday, May 6, 2014 - 7:00 p.m. (game time)
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Applying the 2013 ANCC Criteria to Nursing Continuing Education
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NURSING & HEALTHCARE NEWS
Telehealth could cut Medicare Advantage costs, group says
Government Health IT
The Telecommunications Industry Association would like Congress to stay aware of how useful remote patient monitoring can be when it comes to containing healthcare costs.
For example, cites TiA, remote patient monitoring — just one aspect of telehealth services – is expected to save $36 billion globally by 2018, with North America accounting for slightly more than three-quarters of these savings, according to one study.
Research shows sedation before nerve block boosts risk, not relief
Sedating patients before a nerve block needed to diagnose or treat chronic pain increases the costs, risks and potential for unnecessary surgeries, and sedation does not increase patient satisfaction or long-term pain control, according to new research.
“Sedation doesn’t help, but it does add expense and risk,” study leader Steven P. Cohen, M.D., said in a news release. Cohen is a professor of anesthesiology and critical care medicine at Johns Hopkins University School of Medicine in Baltimore. “In some places, every patient is being sedated. Our research shows it should be used very sparingly.”
Insulin-related hypoglycemia: Common, costly, preventable
Medscape (free subscription)
Over a 5-year period, the study authors calculate that emergency-room visits for hypoglycemia cost the U.S. healthcare system an estimated $600 million — and this is not including hospitalization costs.
"This is important, because many of the emergency room visits for insulin-related hypoglycemia may be prevented," lead author Andrew I. Geller, M.D., from the Centers for Disease Control and Prevention, in Atlanta, Georgia, told Medscape Medical News. Dr. Geller and colleagues publish their findings online in JAMA Internal Medicine.
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Researchers stress weight-bearing exercise for bone strength
When Denise Allee went shopping at Terre Haute's Honey Creek Mall on a recent Saturday, she left with some piece of mind.
Future health care providers from Indiana State University had set up a booth inside the mall's main entrance, offering free bone-density scans as part of a research project.
"We have a few bone problems that go in the family, so I just thought I would go ahead and have it checked out," said Allee, 59, of Bloomingdale. "I was surprised how good I did."
Computer program calls parents when asthma scrips run low
Family Practice News
A newly developed computer program mines electronic medical records to find pediatric asthma patients who are about to run out of their inhaled corticosteroid inhalers, then calls their parents to help them order new ones. It’s not a robocall. Parents don’t push buttons to signal their response.
Nursing staff cuts associated with increased risk of preventable deaths
2 minute medicine
Recent policy reforms in Europe aimed at shortening hospital stays would result in intensified nursing care of inpatients, raising concerns of adverse outcomes for quality of care. This study sought to inform the decisions around this key issue, and concluded that both nurse staffing and nurses’ education were significantly associated with mortality. These results challenge the recent European Union decision to continue endorsing vocational nursing education after only 10 years of general education.
Buprenorphine prescribing 'disappointingly low'
Medscape (free subscription)
Few family doctors who complete the required training to prescribe buprenorphine for opioid-addicted patients actually do, new research shows.
A study conducted by researchers at the University of Washington in Seattle showed that following completion of training, fewer than a third of physicians reported prescribing buprenorphine to treat addiction.
"It's actually quite frustrating because the problem of opioid addiction has grown enormously in the US over the last 15 years, to the extent that unintentional lethal overdoses from opioids now exceed the number of deaths from car accidents," study investigator Roger A. Rosenblatt, M.D., MPH, said.
Rating sites becoming an important tool for patients
By Pamela Lewis Dolan
Despite physicians' dislike of online rating sites, a survey finds patients are increasingly relying on them when shopping for a new doctor. A survey conducted by researchers at the University of Michigan Medical School found that when choosing a doctor, physician rating sites weren't ranked as high as other factors such as word of mouth from family and friends or whether a physician accepts the patient's insurance. But there is evidence the rating sites have become an important tool. And use of them is likely to continue growing.
Even 15-minute delays in stroke treatment make huge difference
Every 15-minute delay in delivering tissue plasminogen activator after ischemic stroke robs survivors of about a month of disability-free life, according to a study.
On the other hand, speeding treatment by just one minute means another 1.8 days of healthy life, researchers reported March 13 on the website of the journal Stroke.
“‘Save a minute, save a day’ is the message from our study, which examined how even small reductions in treatment delays might benefit patients measurably in the long run,” Atte Meretoja, M.D., PhD, MSc, said.
Poor comprehensive geriatric assessment linked to long-term mortality in older HF patients
A poor score on a comprehensive geriatric assessment was associated with higher rates of long-term mortality among older patients hospitalized with HF, researchers reported in a new study. Previous research has demonstrated a correlation between poor comprehensive geriatric assessment and worse prognosis during hospitalization for HF and soon after discharge. However, researchers said the correlation with long-term mortality was uncertain.
Health education not routinely provided to patients
For patients with chronic disease, health providers do not routinely provide health education, according to a study published March 6 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.
Tamara S. Ritsema, M.P.H., from the University of Nebraska Medical Center in Omaha, and colleagues examined the rate of health education provision by physicians, physician assistants, and nurse practitioners/certified midwives using data from 2005 to 2009 from the National Hospital Ambulatory Medical Care Survey. Data were abstracted for 136,432 adult patient visits for chronic conditions, including asthma, chronic obstructive pulmonary disease (COPD), depression, diabetes, hyperlipidemia, hypertension, ischemic heart disease and obesity.
Study: Blood biomarker could help with concussion diagnosis
Concussion or mild traumatic brain injury in athletes who play competitive contact sports, such as hockey, football and boxing, is a growing problem, according to background information in the study, which was published March 13 on the website of JAMA Neurology. While mild concussions generally cause no loss of consciousness, they can induce other symptoms such as dizziness, nausea, trouble concentrating, memory problems and headaches. Severe concussions can cause a loss of consciousness. Most concussions resolve in days or weeks, but some patients can suffer symptoms more than a year after injury.
Bracing for Obamacare, 1 in 3 health facilities adding doctors
Facing an influx of newly insured patients under the Affordable Care Act and a wave of demographic trends, 31 percent of health facility managers plan to increase their medical staffs, according to a new report.
The findings are the latest data from a nationwide survey of hospitals and medical groups by Staff Care, a subsidiary of health care staffing firm AMN Healthcare (AHS). The survey polled 230 hospital and medical group managers.
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