Medical care
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Multicenter Study
Individual Nurse Productivity in Preparing Patients for Discharge Is Associated With Patient Likelihood of 30-Day Return to Hospital.
Applied to value-based health care, the economic term "individual productivity" refers to the quality of an outcome attributable through a care process to an individual clinician. This study aimed to (1) estimate and describe the discharge preparation productivities of individual acute care nurses and (2) examine the association between the discharge preparation productivity of the discharging nurse and the patient's likelihood of a 30-day return to hospital [readmission and emergency department (ED) visits]. ⋯ Variability in individual clinician productivity can have implications for acute care quality patient outcomes.
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Observational Study
Trends in Regionalization of Care and Mortality For Patients Treated With Radical Cystectomy.
Regionalization to higher volume centers has been proposed as a mechanism to improve short-term outcomes following complex surgery. ⋯ Regionalization of RC to HVH was observed from 2004 to 2013. Treatment at LVH was associated with 66% and 33% relative increases in hazard of death at 30 and 90 days, respectively. These findings support the selective referral of complex cases to higher volume centers.