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Topic: Hospital Care, Cost, and Use
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Transforming Hospitals
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Full Research Reports
September
1
2012
20120901
Transforming Hospitals
September
1
2012
20120901
Users of Public Reports of Hospital Quality: Who, What, Why, and How?
Other Research & Data
Language barriers related to increased hospital readmissions for Chinese- and Spanish-speaking patients
Low health literacy linked to higher risk of death and more emergency room visits and hospitalizations
Re-engineered discharge project dramatically reduces return trips to the hospital
Press Releases
September
10
2012
20120910
AHRQ Patient Safety Project Reduces Bloodstream Infections by 40 Percent
News & Numbers
March
7
2012
20120307
Hospital Readmission Rates Higher for Chronic Conditions
December
1
2011
20111201
Cost of Hospitalization Highest Among the Nonelderly
October
6
2011
20111006
Blood Infections Most Costly Hospital Care in 2009
September
14
2011
20110914
Hospital Readmissions for COPD Highest Among Black Patients
August
4
2011
20110804
Arizona and Maryland See Great Drop in In-Hospital Deaths From Pneumonia
May
12
2011
20110512
More Rural Americans Treated in Emergency Departments for Eye Injuries
August
4
2010
20100804
Heart Bypass Surgery Death Rates Drop Sharply
May
20
2010
20100520
Hospital Heart Attack Deaths Plummet
Other News & Events
No consistent association found between volume or quality and outcomes of complex surgeries for cancer
24-hour staffing of intensive care units with intensivists has benefits as well as some tradeoffs for patients and physicians
A few preoperative factors can be used to predict inpatient deaths following surgery
A high percentage of patients with sickle cell disease self-discharge from hospital care
A hospital's ability to rescue patients from complications after high-risk surgery determines mortality rates
A large proportion of hospitalized children receive numerous medications during their hospitalization
A small number of drugs are used most commonly during pediatric hospitalizations
AHRQ Patient Safety Project Reduces Bloodstream Infections by 40 Percent
AHRQ patient safety indicator can be used to identify cases of hospital-acquired collapsed lung
AHRQ safety project reduces bloodstream infections by 40 percent
AHRQ toolkit helps hospitals improve antibiotic selection to reduce deadly C. difficile infections
Accuracy of ultrasound for ectopic pregnancy in the emergency department is not helped by measuring a key pregnancy hormone
Aching back sends more than 3 million to emergency departments
Adjusting hospital admissions by day can help with overcrowding in children's hospitals
Administration of antimicrobials just prior to surgery reduces the risk of surgical site infections
Admission rates from emergency departments vary widely
Adverse drug event surveillance tailored to hospitalized children
Adverse drug reactions a major cause of unplanned hospitalizations of elderly veterans
Adverse events occurring during pediatric sedation are recorded in charts but not always reported
Alcohol screening questionnaire can help identify high-risk drinkers with increased postoperative health care use
Aldosterone antagonist therapy at hospital discharge linked to modest reduced risk of rehospitalization for heart failure
Arizona and Maryland see great drop in in-hospital deaths from pneumonia
Assessment of hospital computerized physician order entry systems finds many medication errors are missed
Automated screening of patient electronic medical records is only the first step to identifying a medication problem
Being overweight prior to transplant surgery slows improvement in the physical functioning of liver transplant patients
Benefits and risks of helicopter transport for trauma patients investigated
Better adherence to diabetes medications means fewer hospitalizations and emergency department visits
Better hospital quality of care for the elderly is associated with lower mortality after discharge
Birth defects may be linked to high blood pressure, not use of ACE inhibitors in early pregnancy
Black children are more likely to be hospitalized for a ruptured appendix than white children
Blacks and patients at hospitals with a high percentage of black patients more likely to suffer adverse events
Blood infections most costly hospital care in 2009
Body fat distribution in obese trauma patients is not linked to increased inflammation, infections, or mortality
Bundled payments for heart failure disease management programs can save money while reducing readmissions
COPD drug triad associated with reduced death and hospitalization rates
California nurse staffing mandate did not reduce nursing workforce skill levels
Care process model to treat feverish infants with possible serious bacterial infections improves outcomes, lowers costs
Certain factors increase risk of medication errors in the neonatal intensive care unit (NICU)
Certain factors linked to risk of early death of intensive care patients after discharge
Certain hospital characteristics influence mortality after complications following high-risk surgery
Certain hospital strategies lower mortality rates for heart attack patients
Certain patients with lupus are more likely to end up in the emergency department three or more times a year
Children with cerebral palsy who undergo gait assessment before surgery are less likely to need additional surgery later
Children's hospitals are pressed to capacity by response to pandemic outbreaks
Clinical algorithm can identify and locate serious internal bleeding related to oral anticoagulant use
Clopidogrel increases bleeding risk in cardiac patients with drug-eluting stents
Combining strategies cuts hospitals’ healthcare-associated infection rates
Communication problems between hospitalists and primary care providers lead to postdischarge problems for seniors
Community hospitals care for psychiatric patients in medical-surgical beds when psychiatric units are full
Complications and in-hospital deaths more frequent among patients who undergo anterior rather than posterior spine fusion
Complications increase mortality of trauma patients
Computer display helps reduce the rates of ventilator-associated pneumonia in surgical intensive care units
Connecting local providers to academic medical centers using video improved hepatitis C outcomes
Contact isolation of new patients reduces adherence to process-of-care quality measures for pneumonia
Continuing beta blockers after noncardiac surgery improves patient outcome
Cost of hospital treatment for blood infection surges
Cost of hospitalization highest among the non-elderly
Costs of congenital heart operations vary among hospitals
Deaths from hospital complications drop, disparities remain
Decision support intervention prompts clinicians to update patients' problem lists in their medical records
Decision support may aid emergency physicians in interpreting benign from serious eye movement patterns in dizzy patients
Delays in reporting medical errors at Japanese hospital nearly triple that of United States hospital
Depending on a woman's age, hysterectomy may be the best option for resolving chronic pelvic pain and heavy bleeding
Developing community health resources entices more elderly patients to seek hospital care locally
Diagnostic coding formulas underestimate hospitalizations for acute exacerbations of COPD
Dilators more cost-effective than surgery for correcting congenital condition in females
Discharge to skilled nursing facilities after a heart attack or heart failure explains little of variation in hospital readmissions
Drug-eluting stents appear safe for older patients with chronic kidney disease
Dual Veterans Administration/Medicare users are not hospitalized more for ambulatory care sensitive conditions
Duplicate medication order errors increase after computerized provider order entry is implemented
Early followup with a physician reduces readmissions for Medicare patients hospitalized for heart failure
Electronic medical records reduce negative outcomes and related costs after patient safety events occur
Electronic order sets can help treatment conform to guidelines for antibiotic use after surgery
Emergency department patients and visitors are most interested in education about stress and depression
Emergency department treatment of asthma with systemic corticosteroids is not always timely
Emergency departments have increasingly become the health care safety net for adults insured by Medicaid
Emergency departments treat 3.5 million crash victims a year
Emergency physicians suggest ways to reduce errors in patient handoffs during shift changes
Enrollment in Medicare Advantage managed care plans reduces racial/ethnic disparities in primary care quality in some States
Evidence lacking on optimal transition-of-care programs for heart attack and stroke patients following hospitalization
Evidence-based strategies substantially reduce the incidence of ventilator-associated pneumonia in ICUs
Extending use of anti-clotting medication following major orthopedic surgery may help prevent post-operative blood clots
FACE cards have a small positive effect on hospital patients' ability to identify their physicians
Fewer public psychiatric hospital beds may lead to higher suicide rates
Fewer than 1 in 5 emergency departments implement recommendations for HIV screening
Final 2014 clinical quality measures available
For 1 in 10 Medicaid patients, it's back to the hospital in a month
Four million hospital admissions potentially unnecessary
Fragmentation of care for complex diabetes patients may be associated with greater use of the emergency department
From the Director
General hospitals are stepping up specialty services in response to competition from single specialty hospitals
Going smooth can help relieve weekday crowding at children's hospitals
Greater use of preventive measures needed for hospitalized patients with suspected venous thromboembolism
Growth in Medicaid patient hospital admissions outpace those for privately insured patients
HCUP 2010 NEDS database now available
Half of all annual medical expenditures are for chronic diseases
Health care-associated infections greatly increase the length and cost of hospital stays
Health information exchange can save money by reducing admissions from the emergency department
Heart attack victims should use emergency transport services, not self or family to get to the hospital
Heart block in children following heart surgery increases length of hospital stay and total costs
Heart disease, cancer, and trauma-related disorders among the most costly conditions for men
High-volume hospitals have low rates of adverse events for high-risk surgeries
Higher in-hospital complication rate for primary posterior versus primary anterior cervical fusion
Higher nurse-patient ratios result in societal cost benefits for some hospital areas
Hospital Compare data may not help surgical patients find hospitals with better outcomes
Hospital boards adopt practices to enhance oversight on quality of care
Hospital charges for 1 in 20 hospital stays average $18,000 a day
Hospital charges for the uninsured have soared
Hospital charges surpass the trillion dollar mark
Hospital deaths from heart failure cut by half over 7 years
Hospital discharge software slightly boosts patient and outpatient physician satisfaction
Hospital heart attack deaths plummet
Hospital lung cancer surgery volume is not correlated with lower mortality
Hospital readmissions for COPD highest among black patients
Hospital readmissions higher for chronic conditions
Hospital report cards on coronary bypass surgery are more accurate when based on 2-year data
Hospital risk managers more likely than physicians to recommend error disclosure, but less likely to apologize
Hospital volume does not predict mortality for patients undergoing lung cancer surgery
Hospital-acquired infections dramatically increase trauma patients' risk of in-hospital death and hospital stay
Hospitalists modestly improve quality of care
Hospitalization rates have declined over 5 years for patients with HIV infection, but disparities still exist
Hospitalizations for bacterial pneumonia in Texas towns bordering Mexico three times higher than the national average
Hospitalizations for children with influenza and skin infections increased in the last decade
Hospitalizations for eating disorders declined, but big increase seen in pica disorder
Hospitalizations for kids with inflammatory bowel disease are frequent and costly
Hospitalizations for medication and illicit drug-related conditions on the rise among Americans aged 45 and older
Hospitals face dilemmas about disclosure of large-scale adverse events
Hospitals vary greatly in the quality of their trauma care
Hospitals vary widely in their use of dopamine and dobutamine in preterm/low birthweight neonates
Hospitals with a high volume of sepsis admissions have lowest mortality rates
Hospitals with a teamwork culture have better patient safety climates
Hospitals with more patients who receive angioplasty within 90 minutes of a heart attack have lower mortality rates
ICU scoring system better predicts the risk of death for trauma patients
ICUs in Michigan sustain zero bloodstream infections for up to 2 years
Immersive simulation training for CPR shows no benefit over standard training
Implantable heart defibrillator is effective in reducing deaths among older heart failure patients
Increased child hospitalizations are associated with the mother's mental state and confidence in parenting
Increased estradiol levels during critical illness are associated with higher mortality
Individuals who seek care for coughs and colds in emergency departments have social support
Interdisciplinary team training with in-situ simulation helps reduce adverse events in obstetric patients
Intravenous fentanyl can be given safely to trauma patients for pain in the prehospital setting
Kidney stone rates in children may be on the rise
Kidney-sparing surgery for children with renal tumors has equivalent in-hospital results to kidney removal surgery
Knee replacements up dramatically among adults 45 to 64 years old
Label changes, manufacturer's warning letter did not reduce use of propofol for conscious sedation in children
Language barriers related to increased hospital readmissions for Chinese- and Spanish-speaking patients
Large variations in Medicare payments for surgery underscore savings potential from bundled payment programs
Large vessel occlusion after a mini stroke predicts functional decline
Leapfrog survey may not accurately report use of safe practices in trauma centers
Leaving the emergency department without being seen more likely at hospitals that serve more low-income patients
Leg compression devices are not a significant factor in in-hospital falls
Length of stays in emergency departments varies considerably
Liver transplant patients who taper off or do not take corticosteroids after transplantation have better quality of life
Low health literacy linked to higher risk of death and more emergency room visits and hospitalizations
Lower complications are seen after laparoscopic kidney removal
Lower mortality rates after surgery at high-volume hospitals due to fewer complications and other factors
MEPS respondents underreport emergency department and office visits, but accurately report hospital stays
Majority of conditions treated in emergency departments are treatable in primary care clinics
Mandated increases in nurse staffing levels unevenly affect uncompensated care growth rates in California hospitals
Many surgeons do not discuss advance directives with their patients before surgery
Market competition has only marginal effect on hospital performance for heart failure
Medicare Advantage enrollees are admitted to hospitals with higher mortality rates than Medicare fee-for-service enrollees
Medicare managed care reduced preventable hospitalizations in 2004 more than fee-for-service Medicare
Medicare pays for nearly half of rural hospital stays
Medication side effects, injuries up dramatically
Men more likely to be readmitted to hospital after discharge
Mental demands of pediatric hospital pharmacy staff have varying effects on likelihood of medication errors and adverse events
Mental disorders and/or substance abuse related to one of every eight emergency department cases
Mental status deficits a major factor in elderly falls in the hospital
Midwest hospitals lead in newborn male circumcision rates
Minimally invasive heart treatments have reduced bypass surgeries and influenced valve repair and replacement
Minimally invasive prostatectomy in young men has fewer complications
Minority patients are less likely to have surgery performed by high-volume surgeons and hospitals
Minority status has no effect on patient outcomes in the intensive care unit
Minority-serving hospitals have problems with quality of care and patient satisfaction
More research is needed on outcomes after maternal-fetal surgery
More rural Americans treated in emergency departments for eye injuries
More safeguards needed to prevent adverse drug events caused by medication administration errors
More than 20,000 emergency room visits for air and paintball gun injuries in 2008
More than half of all hospital procedures are outpatient
More than one in five hospital patients in 2008 were born in 1933 or earlier
Most American women experience complications during delivery
Most acute-care hospitals follow national guidelines for the prevention and treatment of MRSA infections
Most process-of-care events do not harm transplant patients, but they boost costs and lengthen hospital stays
Most public hospitals are in rural areas
Nearly 9 percent of children experience agitation during sedation for nonsurgical procedures
Nearly one-third of emergency department visits involve nonideal care events
New approach reduces microemboli responsible for neurologic injury following open-heart surgery
New effectiveness review discusses treatment options for inguinal hernia
New rule on when to have a trauma surgeon meet a transported trauma patient is found more sensitive than existing criteria
New study counters the urban legend that insurers won't cover patients who leave the hospital prematurely
New study finds rotator cuff injuries treatable, but evidence unclear whether surgery is preferable
New tool developed to reduce risks to patients during clinical handoffs
No greater risk or mortality observed for endoscopic vein harvesting for coronary bypass surgery
Noninvasive positive pressure ventilation improves COPD patient outcomes
Nonplatinum chemotherapy agents more likely to lead to hospitalizations for older women with ovarian cancer
Nurses in hospital units with a higher proportion of short-term patients take longer to respond to patient call lights
Obese patients with hypertension and diabetes have a greater risk of dying after noncardiac surgery
Obstetrician malpractice claims lead to small reduction in inpatient deliveries, but not C-section rates
Octogenarians fare well after aortic valve replacements
One in 16 women hospitalized for childbirth has diabetes
One in four patients experiences revolving-door hospitalizations
One patient safety indicator may offer a glimpse at a hospital's overall safety record
One-fifth of mothers do not receive recommended antenatal corticosteroids before delivery of premature infants
One-third of patients with hospital-acquired infections are readmitted
Operating room procedures account for nearly half of hospitals' treatment costs
Oregon and Vermont show fewest hospitalizations for children with asthma
Organizational culture distinguishes top-performing hospitals in patient outcomes from heart attack
Outcomes of trauma patients depend heavily on whether recommended practices are followed
Over 3 million look to hospitals for headache relief
Overcrowding in emergency departments increases the risk of preventable medical errors
Pain management in emergency departments has improved but can still be better
Paramedics sometimes interrupt CPR to open airway
Parents and primary care physicians are satisfied with children's use of nonurgent emergency department services
Parents using electronic kiosk provide more accurate clinical information than emergency room providers
Patient flow strategies may help to address emergency department crowding
Patient gender does not influence the management or diagnosis of acute abdominal pain in the elderly, but affects outcome
Patient outcomes are better than hospital volume for identifying high-quality bariatric surgery centers
Patient preferences are important when making clinical decisions for those who can't, but other factors also play a role
Patient surveys are an additional useful tool for identifying adverse events occurring during hospital stays
Patients admitted to the hospital on weekends wait for major procedures
Patients at small urban hospitals are more likely to suffer from pressure sores than those at small rural hospitals
Patients hospitalized for burn injuries in New York have comparable outcomes at major burn centers
Patients recovering in the hospital from total knee or hip replacement have increased risk of falls
Patients taking only salmeterol seen in the emergency department for asthma more likely to be hospitalized
Patients transferred to the intensive care unit within 24 hours of admission
Patients who suffer strokes and are seen at designated stroke centers fare better in the short and long run
Patients who take a proton-pump inhibitor with medicine to prevent blood clots are less likely to be hospitalized for bleeding ulcers
Patients who undergo knee ligament reconstruction do better when the doctor or hospital perform it frequently
Patients with financial worries or no insurance delay going to the hospital for a heart attack
Patients with inherited cancer syndrome need help with decisions and long-term support from their surgeons
Patients with sepsis fare better when admitted via the emergency department rather than directly to the hospital
Patients' income and where they live influence hospitalization for chronic lung disease
Pay-for-performance did not spur more rapid quality improvement among low-performing hospitals
Pay-for-performance project showed early gains but tapered in the fourth and fifth years
Pediatric emergency department visits surged during the 2009 H1N1 flu pandemic, but few children were hospitalized
Pelvic ultrasound imaging by emergency physicians is highly effective in ruling out ectopic pregnancy
People harmed by unintentional, non-fire-related carbon monoxide poisoning results in hospital costs of more than $26 million
Perceived reputation and other factors influence consumers' hospital choices
Performance measures requiring antibiotics for pneumonia have not boosted antibiotic use in nonpneumonia patients
Performing cardiac catheterization and heart surgery on different hospital admissions may reduce risk of kidney damage
Physician recommendations for defibrillator therapy not influenced by race or gender
Physicians cultivate colleagues' esteem differently at low- and high-prestige hospitals
Physicians more reluctant to deactivate some life-sustaining devices than others
Potential role of physical therapy in ICU patients
Potentially avoidable hospitalizations for heart failure lowest in mountain States
Potentially avoidable hospitalizations high among Medicare and Medicaid patients
Primary anterior cervical fusion has lower in-hospital complication rates and deaths than posterior cervical fusion
Primary care doctors often don't know that a child sought care for asthma in the emergency department
Public reporting of performance data seems to motivate and energize improvements to hospital performance
Quality improvement initiative successful in sustaining reduction in bloodstream infections caused by catheters
Quality measures are not used with all patients who suffer heart attacks
Rates of emergency department use greater among women and low-income, older, and rural Americans
Rates of pneumonia dramatically reduced in patients on ventilators in Michigan intensive care units
Re-engineered discharge project dramatically reduces return trips to the hospital
Readmissions in 30 days or less account for 1 in 9 hospital admissions
Relative inefficiency of rural critical access hospitals must be balanced against their contributions to care access and quality
Remote intensive care monitoring is cost effective for sickest patients
Remote supervision of stroke therapy is safe and effective at smaller hospitals
Respiratory syncytial virus is more serious than the flu in young children
Risk of venous thromboembolism low for young trauma patients without a central venous catheter
Risks high for elderly patients receiving angioplasty to fix narrowed heart artery
Risks, benefits of emerging heart valve replacement technique not fully understood
Rotavirus was culprit in one-fourth of children's diarrhea-related emergency department visits prior to vaccine
Routine opt-out HIV emergency department screening only slightly improves identification of patients with HIV infection
Rural elderly with dementia are hospitalized more often for conditions that primary care visits might have caught
Rural patients with a serious form of gallstone disease are less likely than urban patients to receive treatment
Serious complications from bariatric surgery are fewer when done by high-volume hospitals and surgeons
Simulating equipment failures can be useful to hone anesthesia providers' skills
Simulation training in the operating room improves competency for the entire operating room team
Six of every 10 rural emergency departments visits made by poor patients
Sleep apnea and pulmonary hypertension affect in-hospital outcomes of noncardiac surgery
State Medicaid Policy Changes Increasingly Driven by Evidence
Stroke education program improves medication knowledge and satisfaction with health care providers' explanations
Studies explore rapid treatment of sepsis and cardiac arrest
Studies link adverse drug interactions to elevated risk for hospitalization among the elderly
Study fails to find link between guideline-based emergency treatment for pediatric asthma and patient outcomes
Study provides insights into problems confronting quality improvement educational programs in rural hospitals
Study reveals high rates of rehospitalizations and emergency pain treatment for sickle cell disease
Study reveals patterns of readmissions to the intensive care unit
Study suggests caution in interpreting impact of nurse staffing levels on postsurgical complication rates
Superficial surgical site infections are a reliable measure of hospital quality
Surgeons are more reluctant to withdraw postoperative life support for patients with complications from surgeon error
Surgery and imaging rates for children's kidney stones are stable, but vary greatly from hospital to hospital
Surgery for ureter congenital abnormality results in efficacy and long-term durability
Surgical infection prevention measures reduce postoperative infections when used together, but not singly
Surgical simulation training improves speed and confidence in residents learning endoscopic sinus surgery
Systems to detect adverse drug events need buy-in from leaders and staff to become part of hospital routine
The quality of children's asthma care is affected by emergency department crowding
The role of hospital care in general medical care has declined over time
Thoracic surgeons can help patients stop smoking with a brief smoking cessation program
To reduce hospital deaths, managing surgical complications may be as important as preventing them
Trauma care costs less at hospitals with lower mortality rates
Trauma center patients treated after hours or on weekends have no difference in mortality rates
Trauma centers vary in screening for deep vein thrombosis
Trauma patients are more likely to die after a major complication in high-mortality hospitals
Trauma patients often receive repeat CT imaging that increases radiation exposure and costs
Trauma triage system tends to overestimate injury severity
Treating Americans with diabetes cost hospitals $83 billion
Treating blood infections tops annual hospital cost increases
Treatment for blocked carotid arteries varies depending on where you live
Treatment guideline reduces hypoglycemic events in critically ill children
Trigger tools have potential to detect adverse events following outpatient surgery
Tumor necrosis factor-antagonists in patients with autoimmune diseases showed no overall increased risk of hospitalizations for serious infections than non-biologic drugs
Two approaches help identify cardiac surgery patients at risk for postoperative kidney failure
Two different tools help measure tracheal intubation adverse events and performance in pediatric intensive care units
Uncertainty surrounds use of terbutaline to prevent preterm birth
Uncontrolled asthma events among Massachusetts patients declined between 2002 and 2007
Uninsured and Medicaid-insured emergency department patients are more likely to accept the screening than commercially insured patients
Uninsured hospital stays surged from 2003 to 2008
Up to $500 million in Affordable Care Act funding will help health providers improve care
Use of episiotomy and forceps during childbirth down, C-section rates up
Use of pulmonary artery catheters provides no patient benefit and increases costs
Use of standardized feeding evaluation following surgery for congenital heart defect improves growth in affected newborns
Variations exist in cardiac arrest care provided by emergency medical personnel
Venous thromboembolism is rare in young trauma patients, but a better understanding of its risk factors is needed
Vulnerable populations with heart failure less likely to receive early physician followup after discharge
Ways to reduce contrast-induced acute kidney injury from imaging procedures in patients with cardiovascular disease
Why women are admitted to the hospital