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Acute kidney injury is independently associated with a higher risk of cardiovascular events

Acute Kidney Injury in Hospital Ups Risk of Later Heart Failure

Findings based on one-year follow-up after a hospitalization complicated by acute kidney injury
An intervention targeting the use of intravenous opioids may reduce opioid exposure

Practice Intervention Targeting IV Opioids May Cut Exposure

Reduction of 84 percent in intravenous opioid doses, and a 55 percent reduction in all parenteral opioids
Early general medicine readmissions are more likely than late readmissions to be preventable with hospital-based interventions

Early Readmissions More Preventable Than Later Ones

General medicine readmissions within seven days more amendable to hospital-based interventions
U.S. hospitals will have to post their standard prices online and make it easier for patients to access their electronic medical records

Medicare Requiring Hospitals to Post Prices Online

Medicare would base part of a hospital's payments on how easy it is for patients to access medical records
There are pervasive income-based disparities in pediatric inpatient bed-day rates

Income-Based Disparities Seen in Pediatric Hospitalizations

Inpatient bed-day rates increase with severity of poverty across conditions and subspecialties
A quality improvement initiative rapidly reduced unnecessary electrolyte testing among hospitalized pediatric patients

QI Project Reduces Unnecessary Peds Inpatient Electrolyte Testing

Decrease tied to nearly $300,000 in savings without any unintended adverse events
Medicare's Hospital Readmissions Reduction Program is associated with a narrowing of racial disparities in hospital readmissions

Medicare Program Narrows Racial Disparities in Readmissions

However, gaps remain between whites, blacks at minority-serving hospitals and others
Current publicly reported measures may not be good surrogates for overall hospital quality related to 30-day readmissions

Condition Readmission Measures Don’t Reflect Overall Quality

Differ from non-Medicare patients with same conditions, Medicare patients with unreported ones
About 25 percent of peripherally inserted central catheters (PICCs) placed have a dwell time of five days or less

Many PICCs Placed Have Dwell Time of No More Than Five Days

Among patients with short-term peripherally inserted central catheter, about 1 in 10 has a complication
There is limited understanding of patients' and health care professionals' perceptions about appropriate patient involvement in promoting hand hygiene compliance in the hospital setting

Patient Involvement May Promote Hand Washing in the Hospital

More research needed on best way for patients to promote health care providers hand hygiene