Imperium Health’s Post

“Key Points: Question Among patients with sepsis, is admission to a safety-net hospital associated with increased 30-day mortality and differences in discharge practices? Findings: In this cohort study of more than 2 million patients with sepsis, admission to safety-net hospitals was associated with higher in-hospital mortality, but not 30-day mortality. Admission to safety-net hospitals was associated with decreased discharge to hospice. Meaning: These findings suggest in-hospital mortality rates are associated with differences in discharge practices (eg, by shifting attribution of death from the index hospitalization to hospice), raising concern that current sepsis quality measures using in-hospital mortality could unfairly penalize safety-net hospitals." JAMA May 31, 2024

Patients with #heart failure who experienced diabetic emergencies had lower rates of #mortality and #cardiovascular events compared to patients who did not, according to #data presented at the Heart Failure Society of America 2024 Annual Meeting. The researchers believe the diabetic emergency group may have benefited from more frequent #hospital visits and monitoring of #comorbidities. https://lnkd.in/eRCYQqNY

Some good news in #valuebasedcare! Fierce Healthcare share's Humana's findings that value-based care results in better outcomes for kidney disease patients. Humana also stresses the importance on focusing on prevention. We couldn't agree more. That's why our solutions focus on predicting and addressing the most preventable conditions and exacerbations 6-18 months in advance. https://hubs.li/Q02BxcHZ0

Blood clots, particularly deep vein thrombosis and pulmonary embolism, together venous thromboembolism, pose a significant health threat to patients. These potentially life-threatening conditions can manifest silently and without warning, making vigilance and knowledge crucial. To mark World Thrombosis Day, we have pulled together resources, blogs and reports from the hub for patients and healthcare professionals, which focus on how to recognise venous thromboembolism and how to improve patient safety. This article includes resources and information Thrombosis UK, Jo Jerrome, Health Services Safety Investigations Body (HSSIB), NHS Resolution and Professors Beverley Hunt OBE. Link: https://lnkd.in/eCGnW3yu #WorldThrombosisDay #WTDay24 #pslhub #patientsafety #thrombosis #venousthromboembolism #deepveinthrombosis #pulmonaryembolism #avoidableharm #diagnosticsafety

An excellent collection of information & resources to support blood clot prevention, detection and understanding. Well done Patient Safety Learning

This weekend was very special for Chronic UTI Australia and our Australian patient community. On Saturday, The Weekend Australian published a feature spotlighting Chronic UTI and told some of the stories of those who have been failed by the system. As we all know, chronic UTI infection rates are growing due to outdated testing methods, fear of antimicrobial resistance and ignorance from many health professionals. It is high time that chronic UTI is formally recognised in Australia and that patients receive considered care, accurate and timely diagnosis and appropriate treatment. We hope that this article will be shared far and wide, educating, informing and most importantly, aiding our advocacy efforts. You can read the full article here (the article has been split into two parts) > https://lnkd.in/gQAt9-yh https://lnkd.in/gPg73Wff #chronicuti #uti #urinarytractinfection #chronicutiaustralia #liveutifree #globalutiproject #womanshealth #interstitialcystitis #bladderpainsyndrome #medicalresearch #utitreatment #utitesting #theaustralian

There are no systematic measures of central line-associated bloodstream infections (CLABSIs) in patients maintaining central venous catheters (CVCs) outside acute care hospitals. NEW in CID, researchers aim to understand the burden of CLABSIs outside acute care hospitals by characterizing patients with CLABSI present on hospital admission. https://lnkd.in/eU8CVHh3 

WOW this is a big publication🔥 CLABSI dings for ACHs are huge, so catching them present on admission and distinguishing this categorization clearly (similar to if c diff is community acquired vs nosocomial) can have a huge impact on hospital infection control policies for HAIs. Curious to see the downstream impact of highlighting the importance of POA-CLABSI distinction and how public health can continue to support and expand IP&C programs in high risk outpatient settings (such as hem/onc clinics). Academic centers with associated heme/onc clinics, HD clinics, home infusion centers, etc would be a great way to continue to study this important prevention HAI work. If C-Suite needs more reason than already stated (avoid a potential massive CMS ding with this work) - Point out the 11% mortality in this patient population (onc patients; primarily enterobacterales bacteremias). Any other thoughts? 👇🏼last few times I posted there was some roasting (fair, I see the prospective) in the comments, so please keep it kind and productive!

Meta-analysis: Sepsis alert systems in EDs were associated with better patient outcomes – including reduced mortality – along with better adherence to sepsis management protocols. https://ja.ma/4d90UmQ

NV-HAP significantly contributes to increased sepsis, mortality, and length of stay, negatively affecting hospital metrics, finances, and patient outcomes, underscoring the importance of targeted #prevention strategies. https://lnkd.in/ehmA9ymx #pneumonia