Kurt Stevenson

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OBJECTIVE To assess whether a multifaceted intervention can reduce the number of prescriptions for antimicrobials for suspected urinary tract infections in residents of nursing homes. DESIGN Cluster randomised controlled trial. SETTING 24 nursing homes in Ontario, Canada, and Idaho, United States. PARTICIPANTS 12 nursing homes allocated to a(More)
CONTEXT Central line-associated bloodstream infection (BSI) rates, determined by infection preventionists using the Centers for Disease Control and Prevention (CDC) surveillance definitions, are increasingly published to compare the quality of patient care delivered by hospitals. However, such comparisons are valid only if surveillance is performed(More)
CONTEXT The impact of clinical decision support systems (CDSS) on antimicrobial prescribing in ambulatory settings has not previously been evaluated. OBJECTIVE To measure the added value of CDSS when coupled with a community intervention to reduce inappropriate prescribing of antimicrobial drugs for acute respiratory tract infections. DESIGN,(More)
Rapid organism detection of Staphylococcus aureus bacteremia and communication to clinicians expedites antibiotic optimization. We evaluated clinical and economic outcomes of a rapid polymerase chain reaction methicillin‐resistant S. aureus/S. aureus blood culture test (rPCR). This single‐center study compared inpatients with S. aureus bacteremia admitted(More)
PURPOSE Economic factors, market dynamics, and safety issues are largely responsible for decisions to withdraw pharmaceutical products from the market. In this study, new molecular entities (NMEs) approved by the Food and Drug Administration (FDA) were examined in the USA from 1980 to 2009. METHODS Data were obtained from the FDA, Micromedex, Medline, and(More)
Long-term care facilities (LTCFs) may be defined as institutions that provide health care to people who are unable to manage independently in the community. This care may be chronic care management or short-term rehabilitative services. The term nursing home is defined as a facility licensed with an organized professional staff and inpatient beds that(More)
BACKGROUND Postoperative infection in tissue expander breast reconstruction causes increased morbidity, cost, and suboptimal patient outcomes. To improve outcomes, it is important to preoperatively identify factors that might predispose to infection and minimize them when possible. It is hypothesized that certain patient characteristics are associated with(More)
OBJECTIVE To compare incidence of hospital-onset Clostridium difficile infection (CDI) measured by the use of International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) discharge diagnosis codes with rates measured by the use of electronically available C. difficile toxin assay results. METHODS Cases of hospital-onset CDI(More)
OBJECTIVE To develop a standardized surveillance system for monitoring hemodialysis vascular-access infections in order to compare infection rates between outpatient sites and to assess the effectiveness of infection control interventions. DESIGN Prospective descriptive analysis of incidence infection rates. SETTING An outpatient hemodialysis center(More)
Antimicrobial stethoscope covers impregnated with silver ions have been developed to prevent surface contamination and potential transmission of bacterial pathogens to patients. To test their practical utility, covers were distributed with the manufacturers' recommendations to a mixed group of health care professionals in a medical/surgical intensive care(More)