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Distributed Kill Chains: Drawing Insights for Mosaic Warfare from the Immune System and from the Navy

In Mosaic warfare, individual warfighting platforms are assembled like ceramic tiles to make a larger "mosaic," or force package. The authors apply lessons from the human immune system and a U.S. Navy project to mosaic warfare.

Jan 5, 2021

Nicholas A. O'Donoughue, Samantha McBirney, Brian Persons
Report

Modeling Rapidly Composable, Heterogeneous, and Fractionated Forces: Findings on Mosaic Warfare from an Agent-Based Model

Mosaic warfare is named for the idea of creating a complex image from small pieces. This report studies Mosaic warfare and explores complexity of platforms, complexity of targets, and relative density of platforms and targets.

Jan 5, 2021

Timothy R. Gulden, Jonathan Lamb, Jeff Hagen, Nicholas A. O'Donoughue
Journal Article

Measuring Public Preferences Between Health and Social Care Funding Options

Additional funding will be needed to meet the growing demand for health and social care in the UK. What is the most acceptable way to raise it? Options range from taxation to mandatory insurance, voluntary insurance and user charges. We sought to analyse the preferences of the UK general public.

Dec 31, 2020

Hui Lu, Peter Burge, Jon Sussex
Journal Article

Outcomes Are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays

The aim of this study was to determine whether patients undergoing surgery on weekends are more likely to die or experience a major complication compared with patients undergoing surgery on a weekday.

Dec 31, 2020

Laurent G. Glance, Turner M. Osler, Yue Li, Stewart J. Lustik, Michael P. Eaton, Richard P. Dutton, Andrew W. Dick
Journal Article

The Differential Mortality of Glasgow Coma Score in Patients with and Without Head Injury

This article determines if the association of Glasgow Coma Score with mortality is influenced by the presence of traumatic brain injury.

Dec 31, 2020

Turner M. Osler, Alan Cook, Laurent G. Glance, Fiona Lecky, Omar Bouamra, Mark Garrett, Jeffery S. Buzas, David W. Hosmer
Journal Article

Quality of Quality Measurement: Impact of Risk Adjustment, Hospital Volume, and Hospital Performance

Monte Carlo simulation was used to examine the accuracy of performance profiling as a function of statistical methodology, case volume, and the extent to which hospital or physician performance deviates from the average.

Dec 31, 2020

Laurent G. Glance, Yue Li, Andrew W. Dick
Journal Article

Impact of Medicare's Nonpayment Program on Hospital-acquired Conditions

This article determines whether Medicare's Nonpayment Program was associated with changes in incidence of hospital-acquired conditions, and whether this association varies across hospitals with differential Medicare patient load.

Dec 31, 2020

Caroline P. Thirukumaran, Laurent G. Glance, Helena Temkin-Greener, Meredith B. Rosenthal, Yue Li
Journal Article

Feasibility of Report Cards for Measuring Anesthesiologist Quality for Cardiac Surgery

We conducted a study of 55,436 patients undergoing cardiac surgery between 2009 and 2012. Hierarchical logistic regression modeling was used to examine the variation in in-hospital mortality or major complications.

Dec 30, 2020

Laurent G. Glance, Edward L. Hannan, Lee A. Fleisher, Michael P. Eaton, Richard P. Dutton, Stewart J. Lustik, Yue Li, Andrew W. Dick
Report

Clinical Interventions for Adults with Comorbid Alcohol Use and Depressive Disorders: A Systematic Review and Network Meta-Analysis

The authors synthesize evidence on the effects and compare the effectiveness of clinical interventions for improving symptoms of adults with co-occurring alcohol use and depressive disorders.

Dec 30, 2020

Sean Grant, Gulrez Shah Azhar, Eugeniu Han, Marika Booth, Aneesa Motala, Jody Larkin, Susanne Hempel
Journal Article

Racial Disparities in the Use of Blood Transfusion in Major Surgery

We detected racial disparities in the use of blood transfusion for patients undergoing major surgery.

Dec 30, 2020

Feng Qian, Michael P. Eaton, Stewart J. Lustik, Samuel F. Hohmann, Carol B. Diachun, Robert Pasternak, Richard Wissler, Laurent G. Glance
Journal Article

Assessment of Filled Buprenorphine Prescriptions for Opioid Use Disorder During the Coronavirus Disease 2019 Pandemic

Retail buprenorphine sales for opioid addiction plateau during COVID-19 pandemic amidst sharp declines in total prescription sales.

Dec 30, 2020

Thuy D. Nguyen, Sumedha Gupta, Engy Ziedan, Kosali Ilayperuma Simon, G. Caleb Alexander, Brendan Saloner, Bradley D. Stein
Journal Article

Redesigning Surgical Decision Making for High-Risk Patients

This article discusses how patients should be counseled about the risks of complications and functional impairment after major surgery.

Dec 30, 2020

Laurent G. Glance, Turner M. Osler, Mark D. Neuman
Journal Article

What Can the National Quality Forum Tell Us About Performance Measurement in Anesthesiology?

In this article, we describe the current state of performance measurement in anesthesia care at the national level and highlight gaps and opportunities in performance measurement for anesthesiologists.

Dec 30, 2020

Joseph A. Hyder, Jonathan Niconchuk, Laurent G. Glance, Mark D. Neuman, Robert R. Cima, Richard P. Dutton, Louis L. Nguyen, Lee A. Fleisher, Angela M. Bader
Journal Article

Does Mandating Nursing Home Participation in Quality Reporting Make a Difference? Evidence From Massachusetts

In this study, we investigate one of the mechanisms that may detract from the effectiveness of health care quality report cards: voluntary versus mandatory participation of nursing homes in public quality reporting.

Dec 30, 2020

Dana B. Mukamel, Zhiqiu Ye, Laurent G. Glance, Yue Li
Journal Article

Disparities in 30-Day Rehospitalization Rates Among Medicare Skilled Nursing Facility Residents by Race and Site of Care

This article examines racial and site-of-care disparities in all-cause and potentially avoidable 30-day rehospitalization rates among a national cohort of Medicare skilled nursing facility residents.

Dec 30, 2020

Yue Li, Xueya Cai, Laurent G. Glance
Journal Article

Reflections on the 7th International Jerusalem Conference on Health Policy in the Wake of the Covid-19 Outbreak

In 2019, a conference in Israel showcased new frontiers in technology in healthcare, highlighting research conducted in Israel as well as across the globe.

Dec 30, 2020

Shira H. Fischer
Journal Article

End-of-Life Cost Trajectories in Cancer Patients Treated by Medicare Versus the Veterans Health Administration

To evaluate differences in end-of-life cost trajectories for cancer patients treated through Medicare versus by the Veterans Health Administration (VA).

Dec 30, 2020

Risha Gidwani, Steven M. Asch, Jack Needleman, Katherine Faricy-Anderson, Derek B. Boothroyd, Samantha Illarmo, Karl Lorenz, Manali L. Patel, Gary Hsin, Kavitha Ramchandran, Todd H. Wagner
Report

An Experiment in Tactical Wargaming with Platforms Enabled by Artificial Intelligence

RAND researchers explored the capabilities and limitations of future artificial intelligence and machine learning weapon systems in two wargame experiments that brought together operators and engineers.

Dec 29, 2020

Danielle C. Tarraf, J. Michael Gilmore, D. Sean Barnett, Scott Boston, David R. Frelinger, Daniel Gonzales, Alexander C. Hou, Peter Whitehead
Journal Article

Trends in Family Ratings of Experience With Care and Racial Disparities Among Maryland Nursing Homes

We analyzed trends of consumer ratings publicly reported for Maryland nursing homes during 2007-2010, and determined whether racial/ethnic disparities in experiences with care changed.

Dec 29, 2020

Yue Li, Zhiqiu Ye, Laurent G. Glance, Helena Temkin-Greener
Journal Article

Waste in the Medicare Program: A National Cross-Sectional Analysis of 2017 Low-Value Service Use and Spending

In this analysis, we provide updated national estimates of low-value service use and spending in Medicare in 2017.

Dec 29, 2020

Rachel O. Reid, John N. Mafi, Lesley Baseman, A. Mark Fendrick, Cheryl L. Damberg

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