Patient Safety & Quality
Postoperative ulnar neuropathy: a systematic review of evidence with narrative synthesis
25 May, 2023 | 11:16h | UTC
M-A | Evaluation of the effectiveness of telehealth chronic disease management system
16 May, 2023 | 14:55h | UTC
Review | Radiation exposure in computed tomography
11 May, 2023 | 11:47h | UTCRadiation Exposure in Computed Tomography – Deutsches Ärzteblatt International
RCT | Morning discharge prioritization fails to shorten hospital stay or expedite orders
9 May, 2023 | 14:58h | UTCCommentary: “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 | UTCEssential Electronic Health Record Reforms for This Decade – JAMA
Commentary on Twitter
#Viewpoint: suggestions to reform electronic health records (EHRs), including use of unique personal safety identifiers, inclusion of patient-entered information into the EHR, and reinvention of the clinical note. https://t.co/6mMlC49pwm pic.twitter.com/rcucxX3xzz
— JAMA (@JAMA_current) May 4, 2023
Brief Review | More than patient benefit: taking a broader view of ICU admission decisions
8 May, 2023 | 13:07h | UTCMore 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 | UTCNews 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
Perspective | Create intensive care green teams, there is no time to waste
4 Apr, 2023 | 13:27h | UTCCreate intensive care green teams, there is no time to waste – Intensive Care Medicine
Commentary on Twitter
🌳 #ICU green teams: form or join now, no time to waste!!
🌿 how common are environmental sustainability teams?
🌱 how to create a successful green team
🌿 what could teams be doing?
🌱 evidence for effectiveness
Free to read #FOAMcc on @yourICM
🖇️ https://t.co/SPDVv3xSwd pic.twitter.com/xVD4I5pOoz— Intensive Care Medicine (@yourICM) April 3, 2023
Review | How to integrate shared decision-making into your practice
30 Mar, 2023 | 13:35h | UTCHow 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
Study reveals overuse of surveillance colonoscopy in older adults with limited life expectancy
23 Mar, 2023 | 13:11h | UTCSummary: 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
Findings suggest that recommending against future surveillance colonoscopy in older adults with low-risk colonoscopy findings and/or limited life expectancy should be considered more frequently than is currently practiced. https://t.co/7jKpYyuZON
— JAMA Internal Medicine (@JAMAInternalMed) March 13, 2023
Survey | Perspectives of patients about immediate access to test results through an online patient portal
23 Mar, 2023 | 13:02h | UTCSummary: 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.
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
Do patients prefer immediate access to test results, even when the news may not be good?
Multi-site survey of 8,139 patients says: YES ✅
Patients overwhelmingly supported receiving results immediately…But WHY does this matter?🧵 https://t.co/KSD5qOJKdd#hcldr #healthIT pic.twitter.com/vz8DYBlVu7
— Liz Salmi (@TheLizArmy) March 21, 2023
Regular measurement is essential but insufficient to improve quality of healthcare
23 Mar, 2023 | 12:33h | UTCRegular 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 | UTCService 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 | UTCNetworks 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
Critical care outreach teams: a service without walls
20 Mar, 2023 | 13:27h | UTCCritical care outreach teams: a service without walls – Intensive Care Medicine
Commentary on Twitter
Critical care outreach teams
🏥 unanswered questions
🏥 future directions
Early recognizing deterioration/implementing time-critical interventions save lives! CCOTs offer holistic, supportive approach pre/post #ICU, beyond clinical assessment.#FOAMcc
🖇️ https://t.co/s9F9v25cNO pic.twitter.com/5uwPvZ04Ye— Intensive Care Medicine (@yourICM) March 18, 2023
Review | Evidence-based informed consent form for total knee arthroplasty
17 Mar, 2023 | 12:58h | UTC
Advantages and challenges of using telehealth for home-based palliative care | Systematic mixed studies review
16 Mar, 2023 | 13:14h | UTC
M-A | Low-intensity follow-up after cancer surgery does not reduce patient satisfaction or well-being
16 Mar, 2023 | 13:10h | UTCOncological 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 | UTCSummary: 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 | UTCSummary: 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.
Summary: Reducing fall hazards within the environment – 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 | UTCOutcomes 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 | UTCDiagnostic Stewardship to Prevent Diagnostic Error – JAMA (free for a limited period)
Commentary on Twitter
This #Viewpoint discusses diagnostic stewardship and its uses and challenges in preventing diagnostic error. https://t.co/VtiqHsrlwU pic.twitter.com/Q0VVOPCrF2
— JAMA (@JAMA_current) March 2, 2023