Antibiotics prescribed at discharge accounted for 93.2% of excess days of therapy in the multihospital study, highlighting “an urgent and unmet need for discharge stewardship,” the authors wrote.
Patients who received brain imaging, carotid artery imaging, antihypertensive intensification, statins, antithrombotics, and anticoagulation for atrial fibrillation after transient ischemic attack (TIA) or nonsevere ischemic stroke had lower risk of mortality.
A study found that large, teaching, and safety-net hospitals were more likely to be penalized by Medicare for their rates of hospital-acquired conditions, suggesting that the penalty program could be decreasing equity without improving quality, according to the study authors.
An analysis of New York State's sepsis reporting initiative found overall improved rates of compliance with three-hour sepsis protocols, but significantly lower rates among hospitals that served more black patients.
This issue's main story looks at online ratings of physicians. A related Twitter chat will be held on Wed., July 31, at 4 p.m. ET.
To suggest a colleague to be profiled in our November issue, please fill out our form by July 31, 2019.
Clinician-educator Jeff Wiese, MD, MACP, addresses strategies to help new attending physicians assess, monitor, teach, and coach medical learners.