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Nursing

Report: Implementing high-quality primary care – “pay for primary care teams to care for people, not physicians to deliver services”.

17 May, 2021 | 08:11h | UTC

Implementing High-Quality Primary Care: A Report From the National Academies of Sciences, Engineering, and Medicine – JAMA

Original report: Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care – National Academies of Sciences, Engineering, and Medicine

 

Study: More nurses lead to fewer patient deaths & readmissions, shorter hospital stays, and savings

13 May, 2021 | 05:55h | UTC

News release: More nurses lead to fewer patient deaths & readmissions, shorter hospital stays, and savings – The Lancet

Original study: Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: a prospective study in a panel of hospitals (free registration required)

 

Commentary on Twitter

 

Most COVID-19 patients receiving home-based hospital care did not require escalation to traditional hospital setting – Approximately 1 in 5 were admitted within 14 days. Higher oxygen saturation was associated with decreased odds of transfer, whereas higher comorbidity burden was associated with increased risk.

12 May, 2021 | 08:50h | UTC

Most COVID-19 patients receiving home-based hospital care did not require escalation to traditional hospital setting – American College of Physicians

Original study: Factors Associated With Risk for Care Escalation Among Patients With COVID-19 Receiving Home-Based Hospital Care – Annals of Internal Medicine

Related: Pandemic Boosts an Old Idea—Bringing Acute Care to the Patient

 

Analysis: Quality improvement at times of crisis.

12 May, 2021 | 08:48h | UTC

Quality improvement at times of crisis – The BMJ

Related: Report: The role of improvement during the response to COVID-19 – The Health Foundation

 

Commentary on Twitter (thread – click for more)

 

Population-based cohort study: Non-hospitalized COVID-19 patients have low-risk of serious long-term effects, but visits to general practitioners and outpatient hospital visits are increased.

12 May, 2021 | 08:47h | UTC

Post-acute effects of SARS-CoV-2 infection in individuals not requiring hospital admission: a Danish population-based cohort study – The Lancet Infectious Diseases

Commentaries: Non-hospitalized COVID-19 patients: Low-risk of serious long-term effects, but more visits to doctor – The Lancet AND Any COVID-19 Infection Raises Odds for Lingering Symptoms, Study Finds – HealthDay AND Those with mild COVID-19 seek more primary care than uninfected peers – CIDRAP

 

Perspective | 12 things to do to improve wellbeing in the ICU.

12 May, 2021 | 08:30h | UTC

12 Things to Do to Improve Wellbeing in the ICU – ICU Management & Practice

 

Perspective | The essentials for a humanized ICU.

12 May, 2021 | 08:28h | UTC

The Essentials for a Humanised Intensive Care Unit (H-ICU) – ICU Management & Practice

 

Ten simple steps to improve ventilation in healthcare facilities

11 May, 2021 | 09:27h | UTC

Ten simple steps to improve ventilation in healthcare facilities – Essential Critical Care

 

Commentary on Twitter

 

New WHO Online Course: Initial approach to the acutely ill patient with COVID-19.

10 May, 2021 | 01:21h | UTC

Clinical management of patients with COVID-19: Initial approach to the acutely ill patient – World Health Organization

 

WHO Infographic | How to care COVID-19 patients with mild symptoms at home: information for health care workers.

10 May, 2021 | 01:17h | UTC

COVID-19 home care bundle for health care workers – World Health Organization

 

Commentary on Twitter

 

CDC website now emphasizes coronavirus spreads in the air.

10 May, 2021 | 01:11h | UTC

CDC website now emphasizes coronavirus spreads in the air – CNN

 

Commentary on Twitter

 

RCT: Prophylactic closed incision negative pressure wound therapy reduces (difference close to statistical significance; P=0.06) the risk of surgical site infection in obese women undergoing cesarean section.

7 May, 2021 | 08:24h | UTC

Closed incision negative pressure wound therapy versus standard dressings in obese women undergoing caesarean section: multicentre parallel group randomised controlled trial – The BMJ

 

WHO: New report sounds the alarm on global shortage of 900 000 midwives.

6 May, 2021 | 08:45h | UTC

New report sounds the alarm on global shortage of 900 000 midwives – World Health Organization

Report: The State of the World’s Midwifery 2021 – UN sexual and reproductive health agency

 

Commentary on Twitter (thread – click for more)

 

COVID has pushed medical research into remote trials, benefiting patients and scientists

5 May, 2021 | 08:38h | UTC

COVID Has Pushed Medical Research into Remote Trials, Benefiting Patients and Scientists – Scientific American

 

RCT: Community-initiated kangaroo mother care reduced the risk of moderate-to-severe maternal postpartum depressive symptoms among mothers of low-birth-weight infants in low-income areas in India

5 May, 2021 | 08:21h | UTC

Effect of Community-Initiated Kangaroo Mother Care on Postpartum Depressive Symptoms and Stress Among Mothers of Low-Birth-Weight Infants: A Randomized Clinical Trial – JAMA Network Open

 

Commentary on Twitter

 

M-A: Prone positioning of nonintubated patients with Covid-19 improve oxygenation variables without any reported serious adverse events – randomized trials with patient-relevant outcomes such as the need for intubation or mortality rates are required

4 May, 2021 | 08:52h | UTC

Prone Positioning of Nonintubated Patients With Coronavirus Disease 2019—A Systematic Review and Meta-Analysis – Critical Care Medicine (link to abstract – $ for full-text)

 

[Preprint] Preventing disproportionate mortality in ICU overload situations: Empirical evidence from the first COVID-19 wave in Europe – “transferring patients proactively out of developing hotspots to less affected regions, well before high ICU workload situations emerge, will improve patient outcomes”

4 May, 2021 | 08:42h | UTC

Preventing disproportionate mortality in ICU overload situations: Empirical evidence from the first COVID-19 wave in Europe – medRxiv

 

Randomized trial: Admission Avoidance Hospital at Home + Geriatric Assessment led to similar outcomes compared to hospital admission for older persons

3 May, 2021 | 05:13h | UTC

Is Comprehensive Geriatric Assessment Admission Avoidance Hospital at Home an Alternative to Hospital Admission for Older Persons? A Randomized Trial – Annals of Internal Medicine (link to abstract – $ for full-text)

Related: Pandemic Boosts an Old Idea—Bringing Acute Care to the Patient

 

Ethics Commission Position Statement: Admission criteria and management of critical care patients in a pandemic context – “Age cannot be used as the sole criterion for admission nor denial of access to ICU settings”

29 Apr, 2021 | 08:36h | UTC

Admission criteria and management of critical care patients in a pandemic context: position of the Ethics Commission of the French Intensive Care Society, update of April 2021 – Annals of Intensive Care

 

Pre-post study: A hospital quality improvement intervention significantly reduced the rates of cesarean delivery for nulliparous, term, singleton, vertex births

29 Apr, 2021 | 08:21h | UTC

Hospital Quality Improvement Interventions, Statewide Policy Initiatives, and Rates of Cesarean Delivery for Nulliparous, Term, Singleton, Vertex Births in California – JAMA (free for a limited period)

Editorial: Initiatives to Reduce Cesarean Delivery Rates for Low-risk First Births – JAMA

 

Commentary on Twitter (thread – click for more)

 

CDC says fully vaccinated Americans can go outside without masks – but masks still needed in crowds

28 Apr, 2021 | 08:44h | UTC

CDC Guidance: Choosing Safer Activities – Centers for Disease Control and Prevention

Commentaries: CDC: If You’re Vaccinated, You Don’t Need To Mask Outdoors (Unless You’re In A Crowd) – NPR AND CDC: Fully vaccinated Americans can go maskless outdoors – CIDRAP

 

Commentary on Twitter (thread – click for more)

 

USPSTF Statement recommends screening for hypertension in adults 18 years or older with office blood pressure measurement – diagnostic confirmation with blood pressure measurements outside of the clinical setting is advised before starting treatment

28 Apr, 2021 | 08:16h | UTC

Evidence Report: Screening for Hypertension in Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force – JAMA

Author Interview: USPSTF Recommendation: Screening for Hypertension in Adults

Editorials: The USPSTF Recommendation on Blood Pressure Screening: Making 2021 the Transformative Year in Controlling Hypertension AND USPSTF Recommendation Statement on Hypertension Screening in Adults—Where Do We Go From Here? – JAMA Network Open AND Will the 2021 USPSTF Hypertension Screening Recommendation Decrease or Worsen Racial/Ethnic Disparities in Blood Pressure Control? – JAMA Network Open AND USPSTF Recommendations for Screening for Hypertension in Adults: It Is Time to Unmask Hypertensive Risk – JAMA Cardiology

JAMA Patient Page: Screening for Hypertension in Adults

 

M-A: Lidocaine lubricant jelly does not reduce pain perception during female urethral catheterization

27 Apr, 2021 | 09:11h | UTC

Lidocaine lubricant jelly does not reduce pain perception during female urethral catheterization: A systematic review with meta‐analysis and trial sequential analysis – The International Journal of Clinical Practice (link to abstract – $ for full-text)

 

Immunization services begin slow recovery from COVID-19 disruptions, though millions of children remain at risk from deadly diseases – WHO, UNICEF, Gavi

27 Apr, 2021 | 08:41h | UTC

Immunization services begin slow recovery from COVID-19 disruptions, though millions of children remain at risk from deadly diseases – WHO, UNICEF, Gavi – World Health Organization

Related report: Disability considerations for COVID-19 vaccination: WHO and UNICEF policy brief, 19 April 2021 – World Health Organization

 

Commentary on Twitter

 

Study in nursing homes shows rapid antigen testing could be a useful tool to identify contagious people at risk for transmitting SARS-CoV-2

27 Apr, 2021 | 08:35h | UTC

Performance Evaluation of Serial SARS-CoV-2 Rapid Antigen Testing During a Nursing Home Outbreak – Annals of Internal Medicine

Editorial: Utility of Rapid Antigen Tests in Nursing Homes

 

Commentary on Twitter

 

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