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Patient Safety & Quality

Comparison of strategies to conserve iodinated intravascular contrast media for computed tomography during a shortage.

10 Jun, 2022 | 11:21h | UTC

Comparison of Strategies to Conserve Iodinated Intravascular Contrast Media for Computed Tomography During a Shortage – JAMA (free for a limited period)

News Release: Amid Global Shortage, Study Shows How to Cut Contrast Dye Use 83% – University of California, San Francisco (UCSF)

 

Commentary on Twitter

 


Position statement on criminalization of medical error and call for action to prevent patient harm from error.

7 Jun, 2022 | 11:48h | UTC

Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error – Anesthesia Patient Safety Foundation

Commentary: Anesthesiologist Group Says Hospitals Can Prevent Fatal Errors Like Vanderbilt’s — Feds said Vaught wasn’t the only one who erred; hospital had four “immediate jeopardy” flaws – MedPage Today (free registration required)

Related:

ECRI and ISMP PUBLIC STATEMENT | Medication Errors are Complex; Criminal Charges Will Not Improve Care – Institute for Safe Medication Practices

ISMP Speaks Out Against Criminalization of Medication Errors – Institute for Safe Medication Practices

The simple thing hospitals can do to prevent dangerous drug mistakes – CNN

 


Why we prescribe antibiotics for too long in the hospital setting: a systematic scoping review.

27 May, 2022 | 11:53h | UTC

Why we prescribe antibiotics for too long in the hospital setting: a systematic scoping review – Journal of Antimicrobial Chemotherapy

 


Characterizing and quantifying low-value diagnostic imaging internationally: a scoping review.

26 May, 2022 | 10:48h | UTC

Characterizing and quantifying low-value diagnostic imaging internationally: a scoping review – BMC Medical Imaging

 


Cross-sectional study: assessment of perioperative outcomes among surgeons who operated the night before.

24 May, 2022 | 08:17h | UTC

Assessment of Perioperative Outcomes Among Surgeons Who Operated the Night Before – JAMA Internal Medicine (free for a limited period)

Invited Commentary: Are Surgeons Really More Resilient Than Athletes? The Trade-off Between Surgeon Outcomes and Surgeon Well-being – JAMA Internal Medicine (free for a limited period)

Author Interview: Assessment of Perioperative Outcomes Among Surgeons Who Operated the Night Before

 

Commentary on Twitter

 


12 plagues of AI in healthcare: a practical guide to current issues with using machine learning in a medical context.

23 May, 2022 | 01:21h | UTC

12 Plagues of AI in Healthcare: A Practical Guide to Current Issues With Using Machine Learning in a Medical Context – Frontiers in Digital Health

 


Non-pharmacological interventions for minimizing physical restraints use in intensive care units: an umbrella review.

18 May, 2022 | 10:55h | UTC

Non-Pharmacological Interventions for Minimizing Physical Restraints Use in Intensive Care Units: An Umbrella Review – Frontiers in Medicine

 

Commentary on Twitter

 


M-A: Prevalence of burnout among GPs.

13 May, 2022 | 11:01h | UTC

Prevalence of burnout among GPs: a systematic review and meta-analysis – British Journal of General Practice

Related:

Viewpoint | How to Measure Progress in Addressing Physician Well-being: Beyond Burnout.

Physician Well-being 2.0: Where Are We and Where Are We Going?

Consensus Study – Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being – National Academies of Medicine

[Abstract Only] Assessment of Risk Factors for Suicide Among US Health Care Professionals

Beyond Burnout: Docs Decry ‘Moral Injury’ From Financial Pressures of Health Care

Perspective: Hospital Administration Response to Physician Stress and Burnout

Opinion: It’s Time to Talk About Physician Burnout and Moral Injury

Systematic Review: Effect of Organization-Directed Workplace Interventions on Physician Burnout

Perspective: The 3 Causes Of Physician Burnout (And Why There’s No Simple Solution)

Physician Burnout: A Global Crisis (several resources on the subject)

 


Pharmacist-led review tied to better antimicrobial prescribing at discharge.

13 May, 2022 | 10:59h | UTC

Commentary: Pharmacist-led review tied to better antimicrobial prescribing at discharge – CIDRAP

Original Study: Pharmacist-Driven Transitions of Care Practice Model for Prescribing Oral Antimicrobials at Hospital Discharge – JAMA Network Open

 


M-A: Impact of the WHO Surgical Safety Checklist relative to its design and intended use.

13 May, 2022 | 10:49h | UTC

Impact of the WHO Surgical Safety Checklist Relative to Its Design and Intended Use: A Systematic Review and Meta-Meta-Analysis – Journal of the American College of Surgeons

Related: WHO Guidance and resources on safe surgery

 


Limiting resident-physician work hours may improve patient safety outcomes.

12 May, 2022 | 10:30h | UTC

News Release: Limiting resident-physician work hours improved patient safety outcome – Brigham and Women’s Hospital

Original Study: National improvements in resident physician-reported patient safety after limiting first-year resident physicians’ extended duration work shifts: a pooled analysis of prospective cohort studies – BMJ Quality & Safety

 


M-A: Interventions to reduce falls in hospitals.

11 May, 2022 | 11:12h | UTC

Interventions to reduce falls in hospitals: a systematic review and meta-analysis – Age and Ageing

Related: Fall prevention in hospitals and nursing homes: Clinical practice guideline – Worldviews on Evidence-Based Nursing

 


ECRI and ISMP Public Statement | Medication errors are complex; criminal charges will not improve care.

10 May, 2022 | 11:29h | UTC

ECRI and ISMP PUBLIC STATEMENT | Medication Errors are Complex; Criminal Charges Will Not Improve Care – Institute for Safe Medication Practices

See also:

ISMP Speaks Out Against Criminalization of Medication Errors – Institute for Safe Medication Practices

The simple thing hospitals can do to prevent dangerous drug mistakes – CNN

 


Recommendations for change in infection prevention programs and practice.

10 May, 2022 | 10:56h | UTC

Recommendations for Change in Infection Prevention Programs and Practice – American Journal of Infection Control

 


Medication errors, critical incidents, adverse drug events, and more: a review examining patient safety-related terminology in anesthesia.

5 May, 2022 | 09:51h | UTC

Medication errors, critical incidents, adverse drug events, and more: a review examining patient safety-related terminology in anaesthesia – British Journal of Anaesthesia

 


RCT: Digital remote monitoring plus usual care vs. usual care in patients treated with oral anticancer agents.

2 May, 2022 | 00:37h | UTC

Digital remote monitoring plus usual care versus usual care in patients treated with oral anticancer agents: the randomized phase 3 CAPRI trial – Nature Medicine (if the link is paywalled, try this one)

 

Commentary on Twitter

 


RCT: Efficiency of electronic health record assessment of patient-reported outcomes after cancer immunotherapy.

2 May, 2022 | 00:36h | UTC

Efficiency of Electronic Health Record Assessment of Patient-Reported Outcomes After Cancer Immunotherapy: A Randomized Clinical Trial – JAMA Network Open

Invited Commentary: An Assistive Electronic Patient-Reported Outcome Monitoring Intervention for Management of Immune-Related Toxic Effects—Moving Toward Efficiency and Scale – JAMA Network Open

 

Commentary on Twitter

 


Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework.

1 May, 2022 | 23:02h | UTC

Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework – BMJ Open

 


Perspective: The resilient intensive care unit.

27 Apr, 2022 | 07:57h | UTC

The resilient intensive care unit – Annals of Intensive Care

 

Commentary from the author on Twitter

 


Opinion | Aligning incentives for improving diagnostic excellence.

12 Apr, 2022 | 09:54h | UTC

Aligning Incentives for Improving Diagnostic Excellence – JAMA (free for a limited period)

 


M-A: The clinical effect and safety of new preoperative fasting time guidelines for elective surgery.

12 Apr, 2022 | 09:51h | UTC

The clinical effect and safety of new preoperative fasting time guidelines for elective surgery: a systematic review and meta-analysis – Gland Surgery

Related:

An international multidisciplinary consensus statement on fasting before procedural sedation in adults and children – Anaesthesia

Does my hospitalized patient need an NPO-after-midnight order preoperatively?

ESPEN practical guideline: Clinical nutrition in surgery – “Preoperative fasting from midnight is unnecessary in most patients. Patients undergoing surgery, who are considered to have no specific risk of aspiration, shall drink clear fluids until 2 h before anesthesia. Solids shall be allowed until 6 h before anesthesia.”

Pro-Con Debate: 1- vs 2-Hour Fast for Clear Liquids Before Anesthesia in Children.

Editorial: The rationale for the recommendations of the European Pediatric Fasting Guideline – “the authors of the 2021 ESAIC pediatric guideline have found reasons to recommend reductions to the minimum fasting times for infant formula to 4 h, for breast milk to 3 h and for clear fluids to 1 h”.

Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration

Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology

Clear fluids fasting for elective paediatric anaesthesia: The European Society of Anaesthesiology consensus statement – European Journal of Anaesthesiology

Canadian Pediatric Anesthesia Society statement on clear fluid fasting for elective pediatric anesthesia – Canadian Journal of Anesthesia (free)

 


Choosing Wisely in clinical practice: Embracing critical thinking, striving for safer care.

23 Mar, 2022 | 10:24h | UTC

Choosing Wisely in clinical practice: Embracing critical thinking, striving for safer care – Journal of Internal Medicine

See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada

 


Review: When to operate after SARS-CoV-2 infection?

22 Mar, 2022 | 09:44h | UTC

When to operate after SARS-CoV-2 infection? A review on the recent consensus recommendation of the DGC/BDC and the DGAI/BDA – Langenbeck’s Archives of Surgery

Related:

Guideline Update: Timing of elective surgery and risk assessment after SARS-CoV-2 infection – “The guidance remains that patients should avoid elective surgery within 7 weeks of infection, unless the benefits of doing so exceed the risk of waiting”.

Perioperative cardiovascular considerations prior to elective noncardiac surgery in patients with a history of Covid-19.

Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery

Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk

BJS commission on surgery and perioperative care post-COVID-19.

The risk of postoperative complications following major elective surgery in active or resolved COVID-19 in the United States – Major, elective surgery 0–4 weeks after Covid-19 is associated with greatly increased risk of postoperative complications; surgery performed 4–8 weeks after infection is still associated with an increased risk of pneumonia.

ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.

Position statement: Perioperative management of post-COVID-19 surgical patients.

Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19

 


Optimizing hospital electronic prescribing systems: a systematic scoping review.

11 Mar, 2022 | 10:02h | UTC

Optimizing Hospital Electronic Prescribing Systems: A Systematic Scoping Review – Journal of Patient Safety

 


New WHO/ILO guide urges greater safeguards to protect health workers.

10 Mar, 2022 | 10:42h | UTC

New WHO/ILO guide urges greater safeguards to protect health workers – World Health Organization

WHO Guide: Caring for those who care: Guide for the development and implementation of occupational health and safety programmes for health workers – World Health Organization

Executive Summary: Caring for those who care: Guide for the development and implementation of occupational health and safety programmes for health workers – World Health Organization

 


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