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30-Day Readmissions After an Acute Kidney Injury Hospitalization

The risk of hospital readmission in acute kidney injury survivors is not well understood. We estimated the proportion of acute kidney injury patients who were rehospitalized within 30 days and identified characteristics associated with hospital readmission. Methods We conducted a population-based study of patients who survived a hospitalization complicated by acute kidney injury from 2003-2013 […]

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Dr. Joseph S. Alpert

The Readmission Problem: A Modest Proposal Seeking a Solution

It is certainly no secret that patient readmissions shortly after discharge from the hospital create major healthcare and social problems today in the United States and throughout the world.1, 2, 3, 4, 5, 6, 7, 8, 9 Given our ever increasing number of elderly, frail patients in the United States, it is not surprising that many of these individuals are readmitted soon after discharge. […]

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male & female nurses stand with arms crossed

Hospital Readmissions Following Physician Call System Change (video)

Reorganizing Physician Teams in a Large Hospital Caused Readmissions to Increase Significantly, According to New Report in The American Journal of Medicine As hospitals try to maintain effective and efficient operations, physician call systems can be a critical element in maintaining quality medical care and financial stability. In a new report published in The American […]

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Hospital Computing and the Costs and Quality of Care: A National Study

Many believe that computerization will improve health care quality, reduce costs, and increase administrative efficiency. However, no previous studies have examined computerization’s cost and quality impacts at a diverse national sample of hospitals. Methods We linked data from an annual survey of computerization at approximately 4000 hospitals for the period from 2003 to 2007 with […]

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New Ventures for The American Journal of Medicine during 2008

Recently, I was evaluating a patient with my housestaff team. After I pointed out a physical finding that the residents had not noticed, it occurred to us that fewer imaging studies might have been ordered if that important physical finding had been noticed earlier. I informed my resident team that soon The American Journal of […]

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