AbstractBackground. The relationship between preoperative intestinal microbiota composition and the development of surgical site infections (SSIs) followin

“We need to make technology work harder so that we can work smarter in health care.”

OverviewSection Chief of Infectious Diseases and International Health– Department of MedicineDartmouth-Hitchcock Medical CenterLebanon, NHDartmouth-Hitchcock Medical Center (DHMC), located in the Uppe...

When people around the world are asked to reflect on both inspiring leaders and infuriating leaders, they point to three factors that distinguish the former from the latter. Inspiring leaders are visi...

Estimated population seroprevalence for Jamestown Canyon virus infection is high in endemic areas. Interpreting diagnostic testing is challenging and requi

S. aureus NVE patients may have better outcomes (adverse events and drug-drug interactions, six-month infective endocarditis relapse and one-year mortality

A better understanding of population-level factors related to measles case fatality is needed to estimate measles mortality burden and impact of interventions such as vaccination. This study aimed to ...

Among infectious disease-related deaths, autopsies revealed a 22.4% diagnostic discrepancy rate. Pleuropulmonary infections were the leading cause of death

Programmes dedicated to driving improvement in healthcare quality have grown dramatically in the last two decades. Accreditation programmes along with performance measurement and reporting have been c...

While backlash to DEI has challenged how many companies and practitioners approach creating more equitable workplaces, fewer have considered whether DEI work itself has room to improve. A new framewor...

Empiric antibiotics are frequently unnecessarily broad-spectrum. This study compared clinical outcomes between matched patients who received early vs. dela

Abstract. Antibiotic prophylaxis for spontaneous bacterial peritonitis (SBPPr) in patients with cirrhosis has been considered standard of care since the 19

In their article in this issue of BMJ Quality and Safety , ‘ We listened and depended on and supported each other’ , Ginsburg et al examine how leaders shaped the site-level experience in a quality im...

Rituals — collective activities that team members regularly engage in and attribute meaning to — can make a big difference during times of change or transition. Research, which included a survey of 92...

The way we work has changed — and so has leadership. Leaders are under new pressures to perform at higher levels and adapt quickly to changing demands. In this article, the author shares advice from t...

This retrospective study assessed performance dynamics of urine screen methods to detect clinically significant bacteriuria in cancer patients. A dipstick

AbstractBackground. Establishing correlates of protection often requires large cohorts. A rapid and adaptable case-control study design can be used to iden

AbstractBackground. Blood culture contaminants can lead to inappropriate antibiotic use, prolonged length of stay, and additional hospital costs. Several d

Every presidential administration enters office facing threats to global health. But the incoming Trump administration enters office at a particularly dangerous moment. On their own, conflict, climat

Antibodies to respiratory syncytial virus and Group A Streptococcus waned significantly in a longitudinal cohort throughout the pandemic. This waning may h

This edition of BMJ Quality & Safety includes a systematic review on practices to reduce transmission of infections with resistant organisms led by the Agency for Healthcare Research and Quality (AHRQ...

The authors, a former CEO of Procter & Gamble and a former dean of the Rotman School, respectively, frequently find themselves sitting across the table from overwhelmed leaders. These executives are t...

ALT: a man in a knight 's armor stands in front of a fire with the words " you have " written below him

Across 236 US hospitals, de-escalation of anti-MRSA and anti-pseudomonal antibiotics in suspected sepsis was infrequent and variable across hospitals. De-e

Amongst 25,391 patients with suspected sepsis prescribed vancomycin and β-lactam therapy, administering β-lactams before vancomycin was associated with an

Abstract. Histoplasma capsulatum is a pathogenic dimorphic fungus with evolving epidemiology. Initially described as endemic to the Ohio and Mississippi ri

Negativity attracts attention and is often equated with intelligence, so it’s no surprise that leaders often feel they need to focus on what might go wrong. That kind of defensive posture can be helpf...

Identifying high and poorly performing organisations is common practice in healthcare. Often this is done within a frequentist inferential framework where statistical techniques are used that acknowle...

Background There is growing recognition in the literature of the ‘Herculean’ efforts required to bring about change in healthcare processes and systems. Leadership is recognised as a critical lever fo...

Given its collective wealth, technologic sophistication, and spending, the United States should lead, not lag, the world in its healthcare performance. But based on 70 performance measures across five...

Provider & nursing perspectives on the “panculture”: opportunities for innovative diagnostic stewardship interventions - Volume 4 Issue 1

Recognizing asymptomatic bacteriuria in the surveillance of catheter-associated urinary tract infections—beyond fever and positive urine culture - Volume 4 Issue 1

Which is the safer option for adult patients between peripherally inserted central catheters and midline catheters: a meta-analysis

Uncertain times abound, and as a result many of us are enduring a prolonged separation from our normal ways of being and doing. We are having liminal experiences, in other words — experiences that rep...

For the inaugural episode of our new series; Calderwood Considers! Host Jessica Swain, Director of Infection Prevention and Control for Dartmouth Health, talks to Dr. Michael Calderwood, Chief Quality...