Explore the latest in health care safety, including evaluations of safety measures, surgical and device safety, public reporting, and more.
This cohort study uses an instrumental variable method to assess heterogeneity and reports estimated person-centered treatment effects of intensive care unit (ICU) transfer with 28-day hospital mortality by age and illness severity among deteriorating ward patients.
This case series study assesses risk after the identification of an unexpected, severe, and lethal hospital-acquired infection caused by carbapenemase-producing Pseudomonas aeruginosa in a carbapenemase-low endemic setting in the Netherlands.
This before-after study examines the association between value-based incentive programs that link financial rewards and penalties to hospital performance on quality indicators and catheter-associated urinary tract infection outcomes in intensive care units (ICUs).
This JAMA Performance Improvement article uses the case of a patient with end-stage renal disease admitted for septic shock, peritonitis, and calciphylaxis who erroneously underwent tunneled central catheter placement after he elected to pursue only hospice care to discuss unintended errors introduced by computerized order entry and opportunities for health information technology system improvements.
This Viewpoint discusses the increasing proportion of US surgeons 55 years or older and surgical competence issues related to aging, highlights efforts to assess competence and balance patient safety with maintenance of an effective workforce, and maintains that assessment of surgical competence should be based on functional age and abilities rather than age.
This cluster randomized clinical trial investigates the effect of unit-based protocols for ensuring patient readiness for discharge on hospital readmission rates.
This cohort study examines the rates and costs associated with complications of invasive diagnostic procedures performed in patients undergoing screening for lung cancer.
A 63-year-old woman who had received a previous diagnosis of unilateral normal tension glaucoma attended for follow-up. Optical coherence tomography revealed a peripapillary schitic cavity communicating with the pit excavation
This cohort study examined the effects of the CMS’s Hospital Readmissions Reduction Program, which imposed financial penalties on hospitals with higher-than-expected readmission rates, on mortality among Medicare beneficiaries hospitalized with heart failure, acute myocardial infarction (AMI), or pneumonia.
This medical record review identifies factors and diagnostic errors that contribute to the initial misdiagnosis of optic nerve sheath meningiomas.
This cross-sectional study examines the characteristics of physicians excluded from participation in US Medicare and state public health insurance plans between 2007 and 2017 owing to fraud, health crimes, or unlawful prescribing of controlled substances.
This cross-sectional study analyzes length of stay, costs, readmission rates, and adverse events associated with care provided for US pediatric patients by hospitalists vs general pediatricians.
This surgical innovation article describes the use of simulation-based clinical rehearsals to help surgical teams carry out complex or high-risk surgical procedures with fewer complications.
This quality improvement study examines the rate of surgical adverse events in US Veterans Health Administration medical centers from 2010 to 2017 and compares it with rates from previous studies.
This prepost intervention study investigates the association of lowering the default number of pills when prescribing opioids in an electronic medical record (EMR) system with the amount of opioid prescribed after procedures among patients undergoing common outpatient procedures.
This survey study investigates education and reporting of diagnostic errors among resident and attending physicians in internal medicine training programs in Connecticut.
This randomized clinical trial evaluates the incidence of postoperative venous thromboembolism and use of venous thromboembolism prevention methods among Korean patients with gastric cancer.
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