Background: Delirium is a common clinical syndrome, particularly among elderly patients in the inpatient hospital setting, and carries considerable associated morbidity. These patients can display symptoms of inattention, agitation, and restlessness, often necessitating the use of chemical or physical restraints to ensure the safety of the patient and staff. Unfortunately, these interventions are not without [...]

Background: Continuous multiparameter, physiologic monitoring may improve patient outcomes in the medical-surgical wards by identifying patients who need clinical evaluation and or intervention. Alarms may be actionable or non-actionable dependent on whether the alarm is technical in nature or represents a substantive change in patient condition. Alarms will enhance patient care when followed by provider [...]

Background: Methicillin-resistant Staphylococcus aureus (MRSA) colonization of hospitalized patients is associated with higher readmission rates and increased morbidity. Depending on the mechanisms of transmission, numerous potential control interventions exist to reduce the burden of disease. These interventions include decolonization, improving hand-washing adherence, and enhanced environment cleaning. To evaluate the impact of various types of control, [...]

Background: Several case reports and case series have found that transcatheter mitral valve procedures (TMVP) improve hemodynamics and reduce symptoms in patients with mitral valve disease and concomitant hypertrophic obstructive cardiomyopathy (HOCM).(1-6) There is a lack of evidence regarding the outcomes of patients that undergo TMVP with HOCM, however several studies have evaluated the outcomes [...]

Background: The use of physical restraints (PR) in the hospitals among patients is associated with increased delirium, pressure ulcers, prolonged ventilator use, post traumatic stress disorder and disruption of therapeutic relationship with the healthcare team. The current scientific research suggests their ineffectiveness for patient safety like preventing falls or dislodging medical devices. There has been [...]

Background: Health-related social needs (HRSN) are social and economic conditions that adversely affect health. Housing instability, food insecurity, and unreliable transportation may influence decisions during hospitalization, including care transitions. Numerous screening tools have been implemented in ambulatory and emergency care settings to capture HRSN and guide coordination of care. However, disability, which has profound implications [...]

Background: We conducted a pilot study in an acute care hospital and developed the Saga Fall Risk Model 2 (SFRM2), a fall prediction model comprising eight items: Bedriddenness rank, age, sex, emergency admission, admission to the neurosurgery department, history of falls, independence of eating, and use of hypnotics. Bedriddenness rank is an official scale of [...]

Background: Delirium is a neuropsychiatric syndrome that can occur in hospitalized patients. The negative impact that delirium has on the patient and the health system are well described and include increased mortality, risk of falls, length of stay and overall healthcare utilization. Delirium can have a heterogenous presentation including hyperactivity with agitation, restlessness and psychosis [...]

Background: Outpatient parenteral antimicrobial therapy (OPAT) is common among patients requiring intravenous antibiotics beyond hospitalization. However, OPAT is associated with catheter-related adverse events (AEs), which occur more frequently than drug-related AEs and may lead to care interruptions or harm. We compared AEs related to the most common venous catheters used for OPAT: midline catheters (midlines) [...]

Background: Patient satisfaction surveys have taken increased importance over the last years, and data is increasingly used to rate and compare hospitals. Studies that analyzed the association between patient satisfaction and reviews with quality outcomes and hospital ratings have yielded conflicting results. We sought to analyze how HCAPS ratings and internet reviews correlated with hospital [...]