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Clinical Notebook| Volume 35, ISSUE 6, P548-550, November 2009

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Checking Hospital-acquired Infections at the ED Door: Are We Missing a Significant Opportunity?

Published:August 20, 2009DOI:https://doi.org/10.1016/j.jen.2009.06.013
      A fundamental purpose of the nation’s hospital system is to provide places for the treatment of disease. As such, patient acquisition of disease while hospitalized presents a disturbing health care dilemma. Approximately 37 million Americans are hospitalized annually,
      • DeFrances CJ
      • Hall MJ
      2005 National hospital discharge survey.
      over 15 million of whom arrive through emergency departments.
      • Schappert SM
      • Rechtsteiner EA
      Ambulatory medical care utilization estimates for 2006.
      Of those hospitalized, 1.7 million acquire an infection during their stay, 99,000 of whom die from those infections,
      • Klevens RM
      • Edwards JR
      • Richards Jr, CL
      • et al.
      Estimating health care-associated infections and deaths in U.S. hospitals, 2002.
      resulting in a mortality rate that is double the annual number of deaths on all of our nation’s highways combined.
      National Highway Traffic Safety Administration
      Traffic safety facts: 2006 data. DOT HS 810 809 (updated March 2008).
      With over 119 million ED patient visits in the United States annually and ED admissions constituting over 40% of hospital admissions, emergency departments are opportunistic environments for the control of hospital-acquired infection.
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      Biography

      Eric Larsen is Registered Nurse, Urgent Care, Olympia Medical Center, Olympia, WA.