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Quality and Safety in the Literature: November 2022
  1. Mohammed Uzair Admani1,
  2. Ashwin Gupta2,3,
  3. Nathan Houchens4
  1. 1 Division of Hospital Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA
  2. 2 Internal Medicine, VA Ann Arbor Healthcare System, Ann Arbor, Michigan, USA
  3. 3 Internal Medicine, University of Michigan Hospital, Ann Arbor, Michigan, USA
  4. 4 Medicine Service, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan, USA
  1. Correspondence to Dr Mohammed Uzair Admani, University of Michigan Medical School, Ann Arbor, MI 48109, USA; admani{at}

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Healthcare quality and safety span multiple topics across the spectrum of academic and clinical disciplines. Keeping abreast of the rapidly growing body of work can be challenging. In this series, we provide succinct summaries of selected relevant studies published in the last several months. Some articles will focus on a particular theme, whereas others will highlight unique publications from high-impact medical journals.

Key points

  • Addressing fundamental principles of age-friendly care through an ‘Eat Walk Engage’ programme, with a goal of decreasing hospital-associated complications in older people, reduced the incidence of hospital-associated delirium by nearly half but did not change length of stay, admissions within 6 months or all-cause mortality. JAMA Internal Medicine, 10 January 2022.

  • A standardised, three-step support strategy for relatives of patients in the intensive care unit when treatment withholding and/or withdrawal was involved resulted in significant reductions in the incidence of anxiety, depression and post-traumatic stress disorder following a patient’s death. Lancet, 19 January 2022.

  • A user-initiated clinical decision support tool for the initiation of buprenorphine for eligible patients with opioid use disorder in the emergency department resulted in increased medication initiation when used but no effect on total overall rates of buprenorphine initiation. BMJ, 27 June 2022.

Effect of a Ward-Based Program on Hospital-Associated Complications and Length of Stay for Older Inpatients

JAMA Internal Medicine, 10 January 2022

There are more than 703 million adults aged 65 years or older in the world, a number expected to double by 2050.1 In the USA alone, they make up an estimated 16% of the population,2 but account for more than 30% of healthcare visits and 17% of hospitalisation.3 When hospitalised, they are more likely to suffer complications including delirium, incontinence, falls and pressure injuries.4 5 Delirium alone affects up to 30% of older adults admitted to the hospital6 and is associated with increased length of stay (LOS), likelihood of discharge …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests NH and AG are employed by the US Department of Veterans Affairs.

  • Provenance and peer review Not commissioned; internally peer reviewed.