Background: Patient recruitment for randomized clinical trials is often challenging, especially when the alternatives being studied may require significant changes or have large consequences for the patient. We describe our experience recruiting patients for a clinical trial comparing the Comprehensive Care Program (CCP), a care delivery model in which physicians focus their practice on caring [...]

Background:  Transitions of care, whether between or within institutions, are an important source of errors, inefficiency, and unnecessary costs.  Inter-hospital transfers are complicated by incongruent information systems, indirect and asynchronous communication, and geographical distance all in settings of high patient complexity and acuity.  We developed a large database of patients transferred between hospitals to identify [...]

Background: Little is known about the economic value of quality improvement (QI) interventions, including those related to central-line-associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI). Methods: We searched MEDLINE, Econlit, the Centre for Reviews & Dissemination Economic Evaluations, Greylit, and Worldcat from January 1, 2004 to May 15, 2015; examined lists of references; [...]