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Division of Infectious Diseases, Department of Medicine, Mount Sinai Hospital and University Health Network; Department of Medicine, University of Toronto; Mount Sinai Hopsital, 600 University Avenue, Suit 415, Toronto, ON M5G 1X5, Canada. amorris@mtsinai.on.ca.
ABSTRACT: You are responsible for a large medical surgical ICU. Your hospital administration has been very focused on reducing rates of hospital-acquired infections particularly in the wake of increasing public attention. However, it is time for budget preparation and your financial officer is concerned about the escalating costs associated with patient isolation and barrier precautions/personal protective equipment. Having become aware of the high costs associated with these interventions, you start to wonder about the wisdom of spending so much in this area. Your hospital administration wants your direction on next year's expenditures. You are debating whether the expense is worthwhile and advise your hospital administration accordingly.
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