This Viewpoint discusses how the Center for Medicare and Medicaid’s use of Patient Safety Indicator-90 in pay-for-performance programs falls short in its attempt to accurately and fairly measure patient harm.
This analysis of surgical readmissions data reports that readmissions were mostly associated with postdischarge complications related to the procedure, rather than exacerbation of prior index admission complications.
To determine whether antibiotic treatment before and after cholecystectomy, the FRENCH Study group randomized 414 patients between May 2010 and August 2013 with acute calculous cholecystitis to receive either no antibiotic treatment after surgery or amoxicillin plus clavulanic acid for 5 days after surgery. They found that number of infections did not differ between groups.
This study compares health care costs and outcomes for patients with joint replacement or sepsis before and after implementation of a value-drive outcomes program designed to give physicians information about clinical outcomes, costs, and variation.
This randomized clinical trial compares the effects of micafungin vs placebo on 28-day fungal infection–free survival among nonneutropenic critically ill patients with ICU-acquired sepsis, Candida species colonization at multiple sites, and multiple organ failure.