Highly ranked hospitals were more likely to follow protocols for the prevention of venous thromboembolism but also were more likely to have higher rates of blood clotting compared with hospitals that didn't perform as well in measures of care quality, according to a study in the Journal of the American Medical Association. Proposals to use postsurgical clotting rates as a quality measure could penalize hospitals that do a better job of identifying the complication, researchers indicated.

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