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Preventable hospital-acquired complications are associated with increased risk of adverse outcomes

Hospital-Acquired Complications Especially Dangerous in CKD

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Increased risk of mortality, longer LOS, readmissions, especially among those with CKD

EHR Documentation May Help in Harm Reduction Initiatives

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EHR-based initiative tied to more than 30 percent reduction in harm for hospital-acquired infections
Implementation of a family-centered rounds (FCR) checklist and associated provider training is associated with an increase in the number of FCR elements performed

Checklist for Family-Centered Rounds Deemed Beneficial

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Implementing checklist improves delivery of FCRs, impacting quality and safety of care
A new model can accurately predict pediatric patient hospitalization early in the emergency department encounter by using data commonly available in electronic medical records

Model Predicts Which Pediatric ER Patients Likely to Be Admitted

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Data available in the first 30 minutes of the visit can be used to make accurate predictions
Patients are more willing to provide sexual orientation data than providers in the emergency department think they are

Most Patients Willing to Provide Sexual Orientation Data

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However, emergency department providers expect most to refuse to provide the information
Vertical integration

Vertical Integration Linked to Reduction in Readmissions

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Reduction in readmissions in four of six hospitals, with positive effect for limited number of conditions
Fewer Americans with Crohn's disease are being hospitalized than in the past

CDC: Hospitalization Rates Stabilizing for Crohn’s Disease

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Improvement from 1998 to 2004 which saw more than 4 percent increases in hospitalizations each year
Nurses are usually quick to react when alarms are urgent

Chronic Alarm Fatigue Key Determinant of Response Time

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Study at a children's hospital evaluated response time to bedside alarms
Asymptomatic carriers of toxigenic Clostridium difficile in hospitals increase infection risk in other patients

Asymptomatic C. difficile Ups Risk for Other Hospital Patients

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Amount of exposure to asymptomatic carriers increases risk of infection
Inpatient penicillin allergy testing is effective for ruling out penicillin allergy

Ruling Out Penicillin Allergy by Testing Inpatients Saves Money

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Inpatient allergy testing led to change in antibiotic selection that was greater in intensive care unit