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The widespread shortages of injectable opioids and small-volume parenteral solutions are jeopardizing patient care and placing a strain on hospital operations

ASHP: SVP, Injectable Opioid Shortages Threaten Patient Care

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98.4 percent of respondents report moderate, severe shortages of morphine, hydromorphone, fentanyl
Acute kidney injury is independently associated with a higher risk of cardiovascular events

Acute Kidney Injury in Hospital Ups Risk of Later Heart Failure

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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

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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

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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

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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

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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

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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

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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

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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

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Among patients with short-term peripherally inserted central catheter, about 1 in 10 has a complication