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The 2008 Hospital-Acquired Conditions Initiative payment changes for pressure ulcers have had a minimal effect

2008 Initiative Had Minimal Impact on Pressure Ulcer Charges

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Hospital-Acquired Conditions Initiative cut payment in 0.003 percent of discharges
Millions more Americans have affordable health insurance

Patients Report Improved Care Access, Better Health With ACA

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Gains seen in how many adults have insurance and a doctor, and say they are in better health
About one-third of survivors of sepsis or septic shock are readmitted within 30 days

One-Third of Septic Shock Survivors Readmitted

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Readmitted patients have higher chronic illness burden, prevalence of health care-linked sepsis
About 10 percent of cases where a drug does serious harm are not reported to the U.S. Food and Drug Administration within the required 15-day period

Delays Noted in the Reporting of Serious Patient Harms to FDA

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Analysis found roughly 10 percent of cases were filed after 15-day deadline passed
More infants are being treated in neonatal intensive care units at many U.S. hospitals

Neonatal Intensive Care May Be Overused

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Newborns admitted to NICUs bigger, less premature than in prior years
As a result of the increasing popularity of high-deductible health care plans

Expansion of High-Deductible Plans to Impact Physician Care

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Physicians must be able to balance provision of good clinical care with ability to limit costs
For contacts of individuals with multidrug-resistant tuberculosis

Fluoroquinolones Halt Multidrug-Resistant-TB in Contacts

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FQN preventive therapy linked to health system savings and lower mortality versus no therapy
Pharmacological thromboprophylaxis does not reduce the risk of venous thromboembolism in patients with cirrhosis

Pharmacological Prophylaxis Doesn’t Cut VTE in Cirrhosis

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Low rate of VTE in hospitalized patients with cirrhosis; unaffected by pharmacological prophylaxis
Many U.S. hospitals overestimate their ability to provide fast delivery of tissue plasminogen activator to stroke patients

Adherence to Stroke Guidelines Overestimated by Hospitals

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Study shows delivery of tissue plasminogen activator is often later than staff believes
Many health care workers do not remove personal protective equipment correctly

Inadequate Adherence for Proper Removal of Protective Gear

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Forty-three percent of health care workers remove personal protective equipment in incorrect order