That's half of the title of a piece I did recently. The full title is "Infection Control: More Confusion Means More Deaths."
Lest you think the title is overkill, we make the case for confusion causing at least the deaths of two preemies in Los Angeles last year. We relate actual correspondence between doctors and an infection control expert. The doc is confused by conflicting standards, and the expert has to make his recommendations in an environment of regulatory malfeasance. This would include the miserable influence of an NGO (Non-Governmental Organization) that has WAY too much say-so in these matters.
As you will see, the FDA does not exactly have clean hands in this case, either.
At least the state of California finally overruled the absurd recommendations of AORN. Of course, we understand that even then, the state relied very heavily on the free advice of this same expert. That's fine, I guess, but you would think that they would have a bit more courage in their convictions.
Read all about it here, and bear in mind that despite this very public bitch-slapping, AORN has not changed anything in their best practices for the particular medical device involved.
Don't think for a moment that confusion in infection control is limited to this one case.