This randomized clinical trial at 12 community-based nursing homes finds that a multimodal targeted infection program intervention reduced the rates of multidrug-resistant organisms and device-related infections in high-risk nursing home residents with indwelling devices. See the Invited Commentary by Stone.
Aldridge et al examined the association between hospice ownership and (1) the provision of community benefits, (2) the setting and timing of the hospice population served, and (3) community outreach, using data from the National Hospice Survey, which is a survey of a random sample of hospices across the country.
Wernli et al describe patterns of breast magnetic resonance imaging use in US community practice during the period 2005 through 2009.
Joynt et al examine CEO compensation at private nonprofit hospitals and examine its relationship with quality metrics. Invited commentary provided by Browner.
Casey and colleagues assess the association between individual exposure to swine and dairy/veal industrial agriculture and risk of methicillin-resistant Staphylococcus aureus infection. Lowy expands on the topic in his Invited Commentary.
Dantes et al describe updated national estimates and characteristics of health care– and community-associated invasive methicillin-resistant Staphylococcus aureus (MRSA) infections in 2011. Lowy provides an Invited Commentary.
To determine epidemiological and clinical characteristics of community-associated Clostridium difficile infection (CDI) and to explore potential sources of C difficile acquisition in the community, Chitnis et al performed an active population-based and laboratory-based CDI surveillance in 8 US states. See the Invited Commentary by Sepkowitz.
This survey study describes academic internal medicine physicians' understanding of benefits and harms of common medical interventions, their use of statistical terms in patient communication, and their awareness of high-value health care campaigns.