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Anticipation of how providers will receive feedback is important for antimicrobial stewardship programs to consider in informing educational messaging

How Doctors Receive Feedback Is Key for Antimicrobial Programs

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For inpatient providers, disagreement about antimicrobial use attribution rises with complexity
A hospital certification program offered by the American Heart Association and The Joint Commission will be made available to hospitals seeking to implement exceptional efforts to foster better quality of care and outcomes for patients with advanced heart failure

AHA Introduces Heart Failure Certification Program

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Program for heart failure management and implementation of clinical practice guidelines
Children and their mothers have poorer quality sleep in pediatric hospital wards than they do at home

Pediatric Ward Noise at Night Exceeds Recommended Levels

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Poorer quality sleep for children, parents attributed to high levels of noise
An increase in inpatient volume is associated with a greater increase in diversion hours for ambulances when the volume increase occurs among inpatients versus emergency department visitors

Inpatient Volume Greater Driver of Ambulance Diversion

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10 percent increase in patient volume resulted in seven-fold greater increase in hours on diversion
The rate of 30-day index readmissions after acute exacerbation of chronic obstructive pulmonary disease is 19.2 percent

Readmission Rate 19.2 Percent After Acute Exacerbation of COPD

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Patients and clinical factors predict readmissions within 30 days of index admission for AECOPD
Cross-continuum communication after hospital discharge can improve patient outcomes and overall health

Cross-Continuum Communication Beneficial After Discharge

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Hospitals should have strong processes for communicating with post-acute-care providers
A comprehensive assessment of health care organization composition and structure is necessary before determining infection preventionist staffing needs

Infection Prevention Staffing Needs May Be Underestimated

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Systematic approach needed to determine staffing, coverage needs based on all care settings
There are significant variations in practice patterns and resource utilization in patients treated by teaching staff for acute exacerbations of chronic obstructive pulmonary disease

Variations in Practice Patterns Seen in Patients Treated for COPD

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Differences in use of steroids, antibiotics noted between teaching and non-teaching hospital staff
Having a mobility plan can prevent the functional decline associated with lack of mobility among hospitalized patients

Mobility Plan Can Neutralize the Harms of Bedrest in the Hospital

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Having mobility plan in the hospital can prevent functional decline associated with lack of mobility
Adoption of electronic health records is associated with a reduction in mortality rates in U.S. hospitals

Adoption of EHR Linked to Reduction in Mortality Rates

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0.21-percentage-point reduction in mortality rate per year per function for each new function adopted