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Patient Safety & Quality

Postoperative ulnar neuropathy: a systematic review of evidence with narrative synthesis

25 May, 2023 | 11:16h | UTC

Postoperative ulnar neuropathy: a systematic review of evidence with narrative synthesis – British Journal of Anaesthesia

 

M-A | Evaluation of the effectiveness of telehealth chronic disease management system

16 May, 2023 | 14:55h | UTC

Evaluation of the Effectiveness of Telehealth Chronic Disease Management System: Systematic Review and Meta-analysis – Journal of Medical Internet Research

 

Review | Radiation exposure in computed tomography

11 May, 2023 | 11:47h | UTC

Radiation Exposure in Computed Tomography – Deutsches Ärzteblatt International

 

RCT | Morning discharge prioritization fails to shorten hospital stay or expedite orders

9 May, 2023 | 14:58h | UTC

Discharge in the a.m.: A randomized controlled trial of physician rounding styles to improve hospital throughput and length of stay – Journal of Hospital Medicine

Commentary: “Discharge Before Noon”: Time to Jump Off the Bandwagon? – Physician’s First Watch

 

Viewpoint | Essential electronic health record reforms for this decade

8 May, 2023 | 13:18h | UTC

Essential Electronic Health Record Reforms for This Decade – JAMA

 

Commentary on Twitter

 

Brief Review | More than patient benefit: taking a broader view of ICU admission decisions

8 May, 2023 | 13:07h | UTC

More than patient benefit: taking a broader view of ICU admission decisions – Intensive Care Medicine (if the link is paywalled, try this one)

 

ACP Guidance | Beyond the Discharge: Principles of effective care transitions between settings

3 May, 2023 | 14:57h | UTC

ACP makes recommendations to improve transitions between health care settings – American College of Physicians

News Release: ACP Makes Recommendations to Improve Transitions Between Health Care Settings

 

SR | The effectiveness of the interventions to reduce sound levels in the ICU

5 Apr, 2023 | 13:19h | UTC

The Effectiveness of the Interventions to Reduce Sound Levels in the ICU: A Systematic Review – Critical Care Explorations

 

Perspective | Create intensive care green teams, there is no time to waste

4 Apr, 2023 | 13:27h | UTC

Create intensive care green teams, there is no time to waste – Intensive Care Medicine

 

Commentary on Twitter

 

Review | How to integrate shared decision-making into your practice

30 Mar, 2023 | 13:35h | UTC

How to integrate shared decision-making into your practice – Journal of Family Practice

 

SR | Interventions to reduce repetitive ordering of low-value inpatient laboratory tests

27 Mar, 2023 | 13:22h | UTC

Interventions to reduce repetitive ordering of low-value inpatient laboratory tests: a systematic review – BMJ Open Quality

 

Study reveals overuse of surveillance colonoscopy in older adults with limited life expectancy

23 Mar, 2023 | 13:11h | UTC

Summary: This study investigated the association between estimated life expectancy, surveillance colonoscopy findings, and follow-up recommendations among older adults. The study utilized data from the New Hampshire Colonoscopy Registry and included adults over 65 who underwent colonoscopy for surveillance after prior polyps.

Life expectancy was estimated using a validated prediction model and categorized into three groups: less than 5 years, 5 to less than 10 years, and 10 or more years.

Out of the 9,831 adults included in the study, 8% had advanced polyps or CRC. Among the 5,281 patients with available recommendations, 86.9% were advised to return for a future colonoscopy. Surprisingly, 58.1% of older adults with less than 5 years of life expectancy were also recommended to return for future surveillance colonoscopy.

The study concluded that many older adults with limited life expectancy are still recommended for future surveillance colonoscopy. This data could help refine decision-making about pursuing or stopping surveillance colonoscopy in older adults with a history of polyps.

Article: Association of Life Expectancy With Surveillance Colonoscopy Findings and Follow-up Recommendations in Older Adults – JAMA Internal Medicine (link to abstract – $ for full-text)

JAMA Patient Page: What Should I Know About Stopping Routine Cancer Screening?

 

Commentary on Twitter

 

Survey | Perspectives of patients about immediate access to test results through an online patient portal

23 Mar, 2023 | 13:02h | UTC

Summary: This study aimed to assess patient and caregiver attitudes and preferences related to receiving immediately released test results through an online patient portal.

In a survey of 8,139 respondents across 4 US academic medical centers, 95,7% of patients preferred to receive immediately released test results through an online patient portal, even if their healthcare practitioner had not yet reviewed the result. However, 7.5% of respondents reported that reviewing results before being contacted by a healthcare practitioner increased worry. This worry was more common among respondents who received abnormal results (16.5%) compared to those whose results were normal (5%).

The authors concluded that balancing patients’ expectations of immediate access to their information with the need to manage increased worry and healthcare practitioner burden is important as healthcare systems navigate this new era of health information transparency.

Article: Perspectives of Patients About Immediate Access to Test Results Through an Online Patient Portal – JAMA Network Open

News Release: Patients prefer immediate access to medical test results online, even if it’s bad news – UT Southwestern Medical Center

 

Commentary from one of the authors on Twitter

 

Regular measurement is essential but insufficient to improve quality of healthcare

23 Mar, 2023 | 12:33h | UTC

Regular measurement is essential but insufficient to improve quality of healthcare – The BMJ

 

Service delivery redesign is a process, not a model of care

23 Mar, 2023 | 12:32h | UTC

Service delivery redesign is a process, not a model of care – The BMJ

 

Analysis | Networks of care to strengthen primary healthcare in resource constrained settings

21 Mar, 2023 | 13:08h | UTC

Networks of care to strengthen primary healthcare in resource constrained settings – The BMJ

 

White Paper | Best practices in the communication and management of actionable incidental findings in ED imaging

20 Mar, 2023 | 13:34h | UTC

White Paper: Best Practices in the Communication and Management of Actionable Incidental Findings in Emergency Department Imaging – Journal of the American College of Radiology

Commentary: Seven Takeaways from Best Practice Recommendations for Incidental Radiology Findings in the ER – Diagnostic Imaging

 

Critical care outreach teams: a service without walls

20 Mar, 2023 | 13:27h | UTC

Critical care outreach teams: a service without walls – Intensive Care Medicine

 

Commentary on Twitter

 

Review | Evidence-based informed consent form for total knee arthroplasty

17 Mar, 2023 | 12:58h | UTC

Evidence-based informed consent form for total knee arthroplasty – Journal of Orthopaedic Surgery and Research

 

Advantages and challenges of using telehealth for home-based palliative care | Systematic mixed studies review

16 Mar, 2023 | 13:14h | UTC

Advantages and Challenges of Using Telehealth for Home-Based Palliative Care: Systematic Mixed Studies Review – Journal of Medical Internet Research

 

M-A | Low-intensity follow-up after cancer surgery does not reduce patient satisfaction or well-being

16 Mar, 2023 | 13:10h | UTC

Oncological surgery follow-up and quality of life: meta-analysis – British Journal of Surgery

 

Scanxiety among adults with cancer: a scoping review to guide research and interventions

14 Mar, 2023 | 13:55h | UTC

Summary: The article presents a scoping review of existing literature on scanxiety, which refers to the anxiety and distress experienced by cancer patients before and after medical imaging scans. The authors identified and synthesized findings from 36 articles on scanxiety among adults diagnosed with current or prior cancer.

The authors observed that scanxiety is a prevalent issue throughout the cancer continuum and may be linked to various factors related to the procedure itself or the uncertainty surrounding the possible outcomes of the scans.

The waiting period between the scan procedure and receipt of the results was described as particularly stressful, with participants reporting feeling overwhelmed by negative thoughts and fears about the potential outcomes of the scan. Some participants even found it difficult to focus on daily activities or responsibilities during this time.

The authors suggest that implementing supportive measures during scan experiences, including examining the waiting period between scans and scan results, could enhance the well-being for individuals with cancer who are going through different stages of treatment.

Article: Scanxiety among Adults with Cancer: A Scoping Review to Guide Research and Interventions – Cancers

 

SR | Environmental interventions can reduce falls in high-risk older adults

14 Mar, 2023 | 13:58h | UTC

Summary: Falls and fall-related injuries are common among older adults and can have serious consequences, such as restricting activity or institutionalization. The Cochrane review aimed to assess the effects of environmental interventions, such as fall-hazard reduction, assistive technology, home modifications, and education, on preventing falls in older adults living in the community.

The review included 22 randomized controlled trials from 10 countries involving 8,463 community-residing older people. The study found that home fall-hazard interventions, which involve evaluating potential fall hazards and implementing safety adaptations or behavioral strategies, can reduce the rate of falls by 26% and the number of people who experience one or more falls by 11% in people at a higher risk of falling.

On the other hand, the study did not find any evidence of a decrease in the rate of falls when the interventions were not targeted toward individuals at higher risk. Additionally, the study suggests that these interventions are unlikely to have a significant impact on health-related quality of life, and there may be little or no difference in the risk of fall-related fractures, hospitalizations due to falls, or the rate of falls that require medical attention.

Article: Environmental interventions for preventing falls in older people living in the community – Cochrane Library

Summary: Reducing fall hazards within the environment – Cochrane Library

Editorial: Preventing falls in older people: the evidence for environmental interventions and why history matters – Cochrane Library

Commentary: Preventing falls in older people: new evidence on what helps – Evidently Cochrane

 

Hospitalist comanagement reduces patients’ length of stay and improves oncologist experience, preliminary evidence suggests

13 Mar, 2023 | 14:33h | UTC

Outcomes on an inpatient oncology service after the introduction of hospitalist comanagement – Journal of Hospital Medicine (link to abstract – $ for full-text)

News Release: Involving hospitalists in inpatient cancer care reduces patient stays, oncologist stress – Yale School of Medicine

 

Perspective | Diagnostic stewardship to prevent diagnostic error

6 Mar, 2023 | 14:18h | UTC

Diagnostic Stewardship to Prevent Diagnostic Error – JAMA (free for a limited period)

 

Commentary on Twitter

 

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