Agarwal A, et al. - Researchers investigated the direction, magnitude of effect, and quality of evidence for hospital-based heart failure (HF) quality-improvement interventions on process of care measures and clinical outcomes among patients with acute HF. To that end, they analyzed relevant randomized trials evaluating the effect of in-hospital quality-improvement interventions for patients hospitalized with HF through February 2017. They identified no consistent effect on most process of care measures and clinical outcomes in randomized trials of hospital-based HF quality-improvement interventions. Very low-to-moderate overall quality of evidence for the prespecified outcomes suggested that future research may influence these estimates.