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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
The Braden QD Scale reliably predicts both immobility-related and device-related pressure injuries in hospitalized pediatric patients

Risk Tool Predicts Pressure Injuries in Hospitalized Children

Braden QD Scale reliably predicts pressure injuries related to immobility, medical devices
Survival after in-hospital cardiac arrest (IHCA) that occurs during off-hours remains lower versus on-hours IHCA

In-Hospital Cardiac Arrest Survival Differs With Time of Day

Survival lower for in-hospital cardiac arrest that happens overnight and/or on weekends
A quality improvement intervention can improve documentation of geriatric assessments during transitions of care

Charting Intervention Improves Geriatric Assessment Notes

Includes templates, education, outreach, reminders for documenting function, cognition, care planning
Hospitals that volunteered to be under financial incentives for more than a decade as part of the Premier Hospital Quality Incentive Demonstration do not have better process scores or lower mortality than hospitals where these incentives were implemented later under the Hospital Value-Based Purchasing program

For Hospitals, No Benefit for Early Adoption of Financial Incentives

Hospitals with early adoption do not have better process scores, lower mortality than late adopters