Although standardizing central-line care elements led to a significant statewide decline in NICU CLABSIs, site of care remains an independent risk factor. Using maintenance checklists reduced CLABSIs.

that Pyd and Dpd are poor markers of bone resorption in this clinical situation.Serum CrossLaps was highly correlated with ICTP at presentation and, to an even greater extent, after refeeding. By contrast, CrossLaps and ICTP showed no significant correlations with either (a) the urinary markers of bone resorption, Pyd and Dpd, or (b) markers of bone formation, even during catch-up weight gain when collagen synthesis, as reflected in PICP, was apparently supranormal. This suggests that CrossLaps and ICTP are not merely markers of overall bone collagen turnover. Our contrasting observations that both ICTP and CrossLaps were high at presentation and decreased during refeeding, whereas markers of bone formation were low at presentation and increased during refeeding, confirms that bone formation and resorption are uncoupled in severely malnourished children, as described for adolescents and young adults with anorexia nervosa (8, 9 ). We conclude that serum CrossLaps is a valid marker of bone resorption in children in this clinical situation.

Because there can be no delay in providing identification wristbands to newborns, some hospitals assign newborns temporary first names such as Babyboy or Babygirl. These nondistinct naming conventions result in a large number of patients with similar identifiers in NICUs. To determine the level of risk associated with nondistinct naming conventions, we performed an intervention study to evaluate if assigning distinct first names at birth would result in a reduction in wrong-patient errors.