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For cardiac surgical patients

Discharge Day Does Not Impact Readmission After Cardiac Sx

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Readmission performance no worse with weekend, holiday discharge for cardiac surgery patients
Clostridium difficile spores are able to survive laundering through a commercial washer extractor

Clostridium difficile Spores Survive Laundering of Sheets

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Spores on bed sheets able to survive laundering through a commercial washer extractor
Of older adults who undergo intubation in the emergency department

One-Third of Older Adults Die After Emergency Intubation

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Twenty-four percent of adults aged ≥65 years who undergo intubation in ED are discharged home
Among Medicare patients with six major diseases

Medicare Patient Readmit Rates Higher in Proprietary Hospitals

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For six major diseases, readmission rates up in for-profit versus government, nonprofit hospitals
Curtains surrounding patient beds become progressively contaminated with bacteria

Hospital Privacy Curtains Become Increasingly Contaminated

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Ten to 14 days after being hung, curtains show increased MRSA positivity
On average

Hospitals Charge 479 Percent of Cost of Drugs on Average

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Seventeen percent of hospitals charge 700 percent of cost; 8 percent have markup over 1,000 percent
Fourteen percent of older adults hospitalized with non-cardiac conditions are discharged with intensified antihypertensive treatment

HTN Tx Intensification Common Upon Discharge in U.S. Vets

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Fourteen percent of older adults admitted to hospital for non-cardiac conditions had intensification of tx
Rivaroxaban does not lower risk of symptomatic venous thromboembolism and related death in medical patients after hospital discharge

No Clear Benefit for Rivaroxaban After Hospital Discharge

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Incidence of major bleeding low with rivaroxaban, but clot risk not lower
The weighting systems that underlie hospital performance rating tools should incorporate the needs

Personalized Weighting Could Enhance Hospital Rating Tools

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Incorporating needs, values, preferences of patients would make rankings more useful to them
Hospitals receiving bundled payments are reducing skilled nursing facility use and improving care integration to improve quality and control costs

Hospitals Using Two Strategies to Up Quality, Lower Costs

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Findings based on interviews with hospitals participating in Medicare bundled payments