Development and Validation of the COVID-19 Hospitalized Patient Deterioration Index
The authors developed and validated an accurate, well-calibrated, easy-to-implement COVID-19 hospitalized patient deterioration index to identify patients at high or low risk of clinical deterioration.
Contemporary Care Patterns in the Management of Small Renal Masses
An investigation of management patterns after initial radiographic diagnosis of small renal masses showed that early urologist referral was associated with guideline-concordant care.
Satisfaction With Care After Reducing Opioids for Chronic Pain
There is no significant association between unfavorable patient satisfaction and opioid reductions for chronic pain, but encounters with unestablished providers may slightly impair satisfaction when reducing opioids.
Improving Antibiotic Stewardship: A Stepped-Wedge Cluster Randomized Trial
The authors assessed the effect of provider education and clinical decision support (CDS) on antibiotic prescribing for acute sinusitis. Education and CDS improved antibiotic stewardship and changed diagnosis patterns.
Low-Value Antibiotic Prescribing and Clinical Factors Influencing Patient Satisfaction
Antibiotics are not required to achieve high patient satisfaction. Patient age, chronic conditions, and an established patient–provider relationship influence satisfaction with acute care.
Low-Value Care for Acute Sinusitis Encounters: Who's Choosing Wisely?
Acute sinusitis is a common acute illness and offers an opportunity to eliminate low-value care. The authors describe current practices, comparing primary care, urgent care, and the emergency department.