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Methods We conducted a collaborative cohort study predominantly in ICUs in Michigan. An evidence-based intervention was used to reduce the incidence of catheter-related bloodstream infections.

Multilevel Poisson regression modeling was used to compare infection rates before, during, and up to 18 months after implementation of the study intervention. Rates of infection per 1000 catheter-days were measured at 3-month intervals, according to the guidelines of the National Nosocomial Infections Surveillance System. Results A total of 108 ICUs agreed to participate in the study, and 103 reported data. The analysis included 1981 ICU-months of data and 375,757 catheter-days. The median rate of catheter-related bloodstream infection per 1000 catheter-days decreased from 2.7 infections at baseline to 0 at 3 months after implementation of the study intervention (P≤0.002), and the mean rate per 1000 catheter-days decreased from 7.7 at baseline to 1.4 at 16 to 18 months of follow-up (P.

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Catheter-related bloodstream infections are common, costly, and potentially lethal. Each year in the United States, central venous catheters may cause an estimated 80,000 catheter-related bloodstream infections and, as a result, up to 28,000 deaths among patients in intensive care units (ICUs). Given that the average cost of care for a patient with this infection is $45,000, such infections could cost up to $2.3 billion annually.

According to the National Nosocomial Infections Surveillance (NNIS) system of the Centers for Disease Control and Prevention (CDC), the median rate of catheter-related bloodstream infection in ICUs of all types ranges from 1.8 to 5.2 per 1000 catheter-days. Interventions aimed at decreasing the infection rate are needed to reduce the serious public health consequences of this hospital-acquired infection. How many of these infections are preventable is unknown. Several single-hospital studies and two multicenter studies have shown reductions in the rates of catheter-related bloodstream infection. To build on this research, we studied the extent to which these infections could be reduced in Michigan, using an intervention as part of a statewide safety initiative regarding patients in ICUs, known as the Michigan Health and Hospital Association (MHA) Keystone Center for Patient Safety and Quality Keystone ICU project, which was funded predominantly by the Agency for Healthcare Research and Quality (AHRQ). The objective of the study was to evaluate the effect of the intervention up to 18 months after its implementation. Fifa 14 Ps2 Ntsc Iso Torrent.

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Project Management (Seventh Edition)

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Published by New Age International (P) Limited(2015)

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Book Description New Age International (P) Limited, 2015. Softcover. Condition: New. 5th or later edition. The book is primarily intended to serve as a Textbook for undergraduate as well as postgraduate students of Management Studies and also for postgraduate students of Construction Management. It covers the syllabus prescribed by most universities/institutes on the subject â Project Managementâ and the book will also be of use to commerce students and students of professional courses like AICWA, ACA and CFA. All aspects of projects, viz., Project Identification, Project Planning and Scheduling, Project Implementation, Project Evaluation, Project Financing and Project Audit have been covered. The book also touches upon finer aspects of Project Analysis and Project Implementation which will be of great use to entrepreneurs. The subject matter has been presented in a simple and lucid form. Project Scheduling techniques have been explained in detail with the aid of graded examples to bring home the concepts clearly. Case studies taken from real life situations add value to the book as this will help understand the practicalities involved in the discipline of Project Management. Though the book is primarily addressed to students, it will be equally useful to Project Appraisers, Project Managers and Entrepreneurs as well. The book has been recommended as a Text/Reference book by many Universities and Institutions in India. Printed Pages: 712. Seller Inventory # 87565

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