Enhanced Recovery Program Aids Bariatric Surgery Outcomes
Implementation of a large-scale, enhanced recovery project for bariatric surgery is feasible and results in a decrease in extended length of stay (ELOS).
Hospital Medicine
Considerable Proportion of ICU Admissions May Be Preventable
ICU hospitalizations for ambulatory care-sensitive conditions have decreased during a 10-year period.
Some Hospital-Acquired Pressure Injuries Are Unavoidable
The researchers found that 41% of HAPIs were unavoidable. Unavoidable HAPIs were less likely for patients with congestive heart failure and those who were chemically sedated, had systolic blood pressure below 90 mm Hg, and received at least one vasopressor (odds ratios, 0.22, 0.38, 0.52, and 0.44, respectively).
Missed Clinic Appointments Predictive of Hospital Admission in Sickle Cell Disease
Depressive symptoms, spirituality, and missed clinic appointments were all found to correlate with hospital admission in sickle cell disease.
Low Nurse and Support Staffing Tied to Higher Inpatient Mortality
The effect on patient mortality risk may be intensified when both RN and nursing support staffing are low.
Cleaning Bundle Cost-Effective for Preventing Hospital-Associated Infection
Implementation of an environmental cleaning bundle in Australia was associated with a decrease in infectious caused by S aureus and vancomycin-resistant enterococci.
Proposed Decision Pathway for Admission Into Cardiac Intensive Care Units
Researchers propose a set of detailed criteria to aid practitioners in determining the appropriateness of CICU admissions stratified by goals of care, quality of care required, and risk for clinical deterioration.
Risk Score Prediction Model Estimates Potentially Avoidable Hospital Readmissions
Swiss researchers analyzed variables assessing specific characteristics that led to an increased risk for potentially avoidable hospital readmission.
Hospitals Step Up Community Health as Charity Care Burden Scales Back
As federal healthcare reform has expanded medical insurance to millions of people, hospitals have an increasing role in improving community health.
Hospital-Acquired Complications From Low-Value Care: Prevalence and Effects
Although only 7 procedures were analyzed, researchers identified high rates of harm.
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