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Intrinsic qualities of safety-net hospitals

Safety-Net Hospitals Have Higher Costs, Worse Outcomes

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Found to have higher mortality, readmission, surgical costs after controlling for patient factors
Complications from epidural and spinal anesthetic procedures during cesarean deliveries dropped 25 percent over a recent 10-year period

Epidural-Related Complications Down for C-Sections

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Certain complications down 25 percent over decade
Women in certain racial/ethnic groups are more likely to be diagnosed with more advanced breast cancer

Advanced-Stage Breast CA More Likely in Certain Racial Groups

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African-American, white Hispanic women more likely to receive non-guideline-concordant treatment
Black and Hispanic women have significantly higher readmission rates than white women after childbirth

Racial Disparity Seen in Childbirth-Related Readmission

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Blacks, Hispanics have higher readmission rates after both vaginal birth, C-section
Preoperative six-minute walk distance is significantly associated with post-lung transplant survival

Six-Minute Walk Distance Predicts Lung Transplant Survival

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Increase in walk distance up to 1,400 feet confers incremental survival advantage
More nurses and electronic medical records can help hospitals overcome the "weekend effect" associated with urgent general surgery procedures performed on weekends

Hospital Factors Can Overcome ‘Weekend Effect’

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Improved staffing; electronic records; additional inpatient, aftercare resources help
When compared to 12 other industrialized nations

Americans Spend More on Health Care, but Fare Worse

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Comparison with 12 industrialized nations shows more money spent, but life expectancy is lowest
In 2012

Minimally Invasive Hysterectomy May Be Underused

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Racial disparities associated with use of the procedure for uterine, cervical cancers
For patients with an open fracture

Wound Irrigation Pressure Doesn’t Affect Outcome

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For patients with open fracture, reoperation rate higher with use of castile soap than with saline
Two decision instruments have high sensitivity for identifying blunt trauma patients with clinically significant thoracic injuries

Two Decision Instruments ID Major Injuries in Blunt Trauma

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Decision instruments have high sensitivity for identifying clinically significant thoracic injuries