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Pragmatic, cluster randomized trial of a policy to introduce low-low beds to hospital wards for the prevention of falls and fall injuries.
From: Virtual Journal Club

Related Articles Pragmatic, cluster randomized trial of a policy to introduce low-low beds to hospital wards for the prevention of falls and fall injuries. J Am Geriatr Soc. 2010 Mar;58(3):435-41 Authors: Haines TP, Bell RA, Varghese PN OBJECTIVES: To evaluate the efficacy of a policy to introduce low-low beds for the prevention of falls and fall injuries on wards that had not previously accessed low-low beds. DESIGN: This was a pragmatic, matched, cluster randomized trial with wards paired according to rate of falls. Intervention and control wards were observed for a 6-month period after impleme...
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Reducing Clostridium difficile infection in acute care by using an improvement collaborative.
Related Articles Reducing Clostridium difficile infection in acute care by using an improvement collaborative. BMJ. 2010;341:c3359 Authors: Power M, Wigglesworth N, Donaldson E, Chadwick P, Gillibrand S, Goldmann D PROBLEM: In 2006, despite a focus on infection control, Salford Royal had the fourth highest rate of Clostridium difficile infection in north west England. DESIGN: Interrupted time series in five collaborative wards (intervention group) and 35 non-collaborative wards (control group). SETTING: University teaching hospital with 850 acute beds. KEY MEASURES FOR IMPROVEMENT: Number of cases of C difficile infection per 1000 occupied bed days. STRATEGIES FOR CHANGE: In February 2007, a newly formed antimicrobial team led the implementation of revised guidelines in all war...
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Accidental falls in hospital inpatients: evaluation of sensitivity and specificity of two risk assessment tools.

Related Articles Accidental falls in hospital inpatients: evaluation of sensitivity and specificity of two risk assessment tools. J Adv Nurs. 2010 Mar;66(3):690-6 Authors: Lovallo C, Rolandi S, Rossetti AM, Lusignani M AIM: This paper is a report of a study comparing the effectiveness of two falls risk assessment tools (Conley Scale and Hendrich Risk Model) by using them simultaneously with the same sample of hospital inpatients. BACKGROUND: Different risk assessment tools are available in literature. However, neither recent critical reviews nor international guidelines on fall prevention have identified tools that ...
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Long-Term Control of Endemic Hospital-Wide Methicillin-Resistant Staphylococcus aureus (MRSA): The Impact of Targeted Active Surveillance for MRSA in Patients and Healthcare Workers.
Related Articles Long-Term Control of Endemic Hospital-Wide Methicillin-Resistant Staphylococcus aureus (MRSA): The Impact of Targeted Active Surveillance for MRSA in Patients and Healthcare Workers. Infect Control Hosp Epidemiol. 2010 Jun 4; Authors: Rodríguez-Baño J, García L, Ramírez E, Lupión C, Muniain MA, Velasco C, Gálvez J, Del Toro MD, Millán AB, López-Cerero L, Pascual A Objective. To evaluate the long-term impact of successive interventions on rates of methicillin-resistant Staphylococcus aureus (MRSA) colonization or infection and MRSA bacteremia in an endemic hospital-wide situation. Design. Quasi-experimental, interrupted time-series analysis. The impact of the interventions was analyzed by use of segmented regression. ...
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A cluster-randomized trial to improve stroke care in hospitals.

Related Articles A cluster-randomized trial to improve stroke care in hospitals. Neurology. 2010 May 18;74(20):1634-42 Authors: Lakshminarayan K, Borbas C, McLaughlin B, Morris NE, Vazquez G, Luepker RV, Anderson DC OBJECTIVE: We evaluated the effect of performance feedback on acute ischemic stroke care quality in Minnesota hospitals. METHODS: A cluster-randomized controlled trial design with hospital as the unit of randomization was used. Care quality was defined as adherence to 10 performance measures grouped into acute, in-hospital, and discharge care. Following preintervention data collection, al...
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Controlled trial of ligation plus nadolol versus nadolol alone for the prevention of first variceal bleeding.

Related Articles Controlled trial of ligation plus nadolol versus nadolol alone for the prevention of first variceal bleeding. Hepatology. 2010 Jul;52(1):230-7 Authors: Lo GH, Chen WC, Wang HM, Lee CC Both nadolol and ligation have proved to be effective in the prophylaxis of first variceal bleeding. This study was conducted to evaluate the effects and safety of combining nadolol with ligation. Cirrhotic patients with high-risk esophageal varices but without a bleeding history were considered for enrolment. Eligible patients were randomized to receive band ligation plus nadolol (Combined group, 70 patients) or nadolo...
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