Killing copper
In Europe, nosocomial infections cause about 25,000 deaths every year. Copper has strong antibiotic effects and may reduce hospital acquired infections.
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Human error – or a fault in the system?
Medication errors sit among the top ten causes of harm to patients. They can, of course, occur in any department, but it’s still a surprise that they happen as frequently in anaesthetics departments, considering anaesthetists’ expertise is in handling tricky medication. However, apparently they are not the fault of the professional, but of the nature of the processes. Report: Karoline…
Battling the bugs
In terms of health politics, no hospital-related subject is more explosive than hygiene. However, although this reaction is common across Europe, approaches towards tackling nosocomial infections varies among our EU countries. Karoline Laarmann reports from Germany and Jane MacDougall from France…
Dose discussion: How low can you go?
How low? During the GE Healthcare Lunch Symposium of GE Healthcare at this year’s ECR in Vienna, Michael Maher, Professor of Radiology at the University College, Cork, provided an answer: 1.2 millisievert – at least for abdominal CT scans in patients with Crohn’s disease.
Cardiac conundrum
France – Re-opening clogged arteries with metal stents has proved a life-saver for a majority of patients with coronary disease. Yet the high rates of complications and mortality for patients with diabetes following a percutaneous coronary intervention (PCI) continue to baffle cardiologists. Report: John Brosky
Copper: The relentless killer on our side
Professor Bill Keevil, Director of the Environmental Healthcare Unit at University of Southampton’s School of Biological Sciences, was among the first microbiological researchers to experiment on copper’s efficiency against pathogenic and nonpathogenic strains of E. coli bacteria and demonstrate the inherent anti-microbial property of the metal.
Concerted efforts to combat prosthetic joint infections
Bacteria are highly flexible when it comes to choosing a vehicle to enter a human body. During orthopaedic surgery, they may well settle on a prosthetic joint and cause immediate or delayed infections.
Medical devices are not scrutinised enough
United Kingdom – A call has been made for tighter regulatory controls to ensure the safety regulation of medical devices, following joint investigations carried out by the British Medical Journal and the Channel 4 TV programme Dispatches, which were televised and published online at BMJ.com this May.
At war with nosocomial infections: Software that looks hard to beat
The clinical informatics firm ICNet International Ltd, which develops case management and surveillance software, has produced a software package using the SSI (Surgical Site infection surveillance) Monitor to combine information about patient movements in a hospital with data held by the laboratory and theatre systems -- and to alert staff if a patient is either infected or at risk of contracting…
C. difficile increases death risk six-fold in IBD cases
The UK -- Patients admitted to hospital with inflammatory bowel disease (IBD) face a six-fold greater risk of death if they become infected with Clostridium difficile, according to a new study carried out by researchers at Imperial College London and St George’s Healthcare NHS Trust (pub: Alimentary Pharmacology and Therapeutics).
Sharper scrutiny on valve repair
One year ago interventional cardiologists raised champagne glasses to celebrate the first publication of clinical evidence showing that transcatheter valve implants (TAVI) is safe and effective. In May at EuroPCR 2011, cardiologists raised magnifying glasses to look closer at further clinical results. John Brosky reports from Paris
Sharing radiological data
When thinking about sharing radiological data within a multi-site center or even within a region, the initial question that arises always sounds the same: How should we cross-link all the data from the existing PACS solutions without going bankrupt? Because drawing a line and installing new systems all over the site in most of the cases is simply not affordable. On the other hand, the…
Born with heart defect but living longer
Adults with congenital heart failure (CHD) are a growing special subset of patients with specific needs; most need lifelong care, but in adulthood many fail to receive it. By Holger Zorn
Contrast-induced nephropathy
Contrast induced nephropathy (CIN) is widely recognised as a potentially serious complication of contrast media use -- a risk that increases with a patient’s age and decreased renal function. Mark Nicholls reports
Identifying risk, averting risk
The introduction of comprehensive risk management to a hospital is challenging. Although initiating quality and safety processes is often easy, the structural changes in a microcosmic hospital are harder to crack. However, successfully integrated risk management can represent a decisive, competitive advantage in the healthcare market. By Karoline Laarmann
Dell’s Mobile Clinical Computing solution
Preliminary results from a large, ongoing study involving medical staff in 11 hospitals in six European countries indicate that Dell’s Mobile Clinical Computing (MCC) system has made the use of applications easier for doctors and nurses, significantly increased efficiency in IT management and raised IT acceptance in the hospitals involved.
CeBIT’s theme: Work and Life with the Cloud
The new cloud hovering over the IT industry bodes pleasant and sunny business weather. Reason enough for the organisers of CeBIT 2011, the large international IT event held in Hanover this March, to make ‘cloud computing’ the keynote theme, dubbed ‘Work and Life with the Cloud’. EH reporter Walter F Schäfer questions what cloud computing is and what promise it might hold for healthcare…
TeraRecon’s iNtuition Cloud enters Europe
The global software provider TeraRecon is recognised for strong clinical applications containing advanced image processing and 3-D visualisation for CT, MRI and PET. Since May 2010, this Silicon Valley company (Frost & Sullivan’s 2010 ‘Company of the Year Award’ winner, for European Advanced Visualisation Applications) has been expanding its core business into cloud computing services…
Hitachi’s all-in-one data management system
A mix of hardware, software and services, the Hitachi Clinical Repository (HCR) system draws together all patient data from many information sources, thus providing quicker and better use of records. At Hitachi Data Systems, Mark Clark explained: ‘HCR basically provides the infrastructure to put together both clinical and non-clinical data into a centralised, non-proprietary-repository to…
Think thin, go big
To meet the high demands of today’s radiological environment, a PACS must provide far more than archiving, controlling and distribution of electronic data. Post processing and upgradable network structuring capabilities are just as important to guarantee efficient workflow. The Visage Thin Client looks like a smart solution indeed.
Antibiotic resistance spreads rapidly between bacteria
The part of bacterial DNA that often carries antibiotic resistance is a master at moving between different types of bacteria and adapting to widely differing bacterial species, shows a study made by a research team at the University of Gothenburg in cooperation with Chalmers University of Technology. The results are published in an article in the scientific journal Nature Communications.
Taking the customer’s pulse
With 1,600 customers and a 30-40% market share in Germany, Austria, France and Switzerland, IT and imaging enterprise Agfa and its hospital-wide IT solution Orbis are ahead of the game. Dr Volker Wetekam, Executive Vice President of the IT Division, Agfa Healthcare, speaks of a technological advantage of as much as two to three years in the key segments -- PACS, cardiology and regional health --…
Easy breathe - new tools for prolonged lung support
Often a life-saving intervention, mechanical ventilation also has some serious drawbacks: the need for sedation, the risk of ventilator associated pneumonia, intubation or tracheostomy related complications. In 1972, Donald Hill from Pacific Medical Centre, Los Angeles, reported the first successful long-term mechanical lung assist device with extracorporeal membrane oxygenation (ECMO).
Keeping everything under control in the ICU
During intensive care, hyperglycaemia and insulin resistance are widespread in diabetics as well as non-diabetics. However, whether the normalisation of blood glucose levels with insulin therapy improves the prognosis of such patients is still debated. Karoline Laarmann reports
England: Foot and limb losses must be cut
Much of the newly revealed variation in amputation rates in England is due to many diabetics not receiving nine key care processes, including checks on weight, blood pressure, blood glucose, cholesterol, urine and, in particular, consistent foot care checks.