Patient Safety & Quality
Comparison of strategies to conserve iodinated intravascular contrast media for computed tomography during a shortage.
10 Jun, 2022 | 11:21h | UTCComparison 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
This modeling study estimated that intravenous contrast use for CT scans could be reduced by approximately 80% by using a combination of dose-reduction strategies. https://t.co/hlnvkdEECS
— JAMA (@JAMA_current) June 9, 2022
Position statement on criminalization of medical error and call for action to prevent patient harm from error.
7 Jun, 2022 | 11:48h | UTCCommentary: 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:
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
Characterizing and quantifying low-value diagnostic imaging internationally: a scoping review.
26 May, 2022 | 10:48h | UTC
Cross-sectional study: assessment of perioperative outcomes among surgeons who operated the night before.
24 May, 2022 | 08:17h | UTCAssessment 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
This cross-sectional study found that operating overnight does not appear to be associated with worse outcomes when the attending surgeon continues to operate the next day. https://t.co/ahLoKav6HT
— JAMA Internal Medicine (@JAMAInternalMed) May 23, 2022
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
Non-pharmacological interventions for minimizing physical restraints use in intensive care units: an umbrella review.
18 May, 2022 | 10:55h | UTC
Commentary on Twitter
Minimizing restraints in ICU: umbrella review incl 47 systematic reviews identified non-pharmacological interventions (education, mobilization), reducing duration of MV, and pain management as effective, but evidence is limited https://t.co/6rAu3jH5B4
— Peter Nydahl (@NydahlPeter) May 17, 2022
M-A: Prevalence of burnout among GPs.
13 May, 2022 | 11:01h | UTCRelated:
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?
[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 | UTCCommentary: 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 | UTCRelated: WHO Guidance and resources on safe surgery
Limiting resident-physician work hours may improve patient safety outcomes.
12 May, 2022 | 10:30h | UTCNews Release: Limiting resident-physician work hours improved patient safety outcome – Brigham and Women’s Hospital
M-A: Interventions to reduce falls in hospitals.
11 May, 2022 | 11:12h | UTCInterventions to reduce falls in hospitals: a systematic review and meta-analysis – Age and Ageing
ECRI and ISMP Public Statement | Medication errors are complex; criminal charges will not improve care.
10 May, 2022 | 11:29h | UTCSee also:
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
Medication errors, critical incidents, adverse drug events, and more: a review examining patient safety-related terminology in anesthesia.
5 May, 2022 | 09:51h | UTC
RCT: Digital remote monitoring plus usual care vs. usual care in patients treated with oral anticancer agents.
2 May, 2022 | 00:37h | UTCDigital 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
A phase 3 clinical trial evaluating the impact of a digital nurse navigator-led system in patients receiving oral #cancer treatment shows that remote monitoring with a smartphone results in improved patient experience & optimizes resources @GustaveRoussy https://t.co/N8fEXb00r7
— Nature Medicine (@NatureMedicine) April 26, 2022
RCT: Efficiency of electronic health record assessment of patient-reported outcomes after cancer immunotherapy.
2 May, 2022 | 00:36h | UTCInvited 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
This RCT aimed to compare the efficiency between ePRO and traditional follow up models in cancer immunotherapy among 278 patients from 28 hospitals, finding that an ePRO model can improve safety & QOL, and is less time consuming. https://t.co/KtpcNz0keb pic.twitter.com/EsmNyTkdfB
— JAMA Network Open (@JAMANetworkOpen) March 31, 2022
Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework.
1 May, 2022 | 23:02h | UTC
Perspective: The resilient intensive care unit.
27 Apr, 2022 | 07:57h | UTCThe resilient intensive care unit – Annals of Intensive Care
Commentary from the author on Twitter
#Resilience is an important characteristic for healthcare professionals . What about systems resilience?
The #covid-19 pandemic has shown us that our #ICUs need to be more resilient. #ICUResilience is also a path to preparedness and to improve outcomes.https://t.co/1mQv19zDSN pic.twitter.com/6nbDJgc4YJ— Jorge Salluh (@JSalluh) April 26, 2022
Opinion | Aligning incentives for improving diagnostic excellence.
12 Apr, 2022 | 09:54h | UTCAligning 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 | UTCRelated:
Does my hospitalized patient need an NPO-after-midnight order preoperatively?
Pro-Con Debate: 1- vs 2-Hour Fast for Clear Liquids Before Anesthesia in Children.
Choosing Wisely in clinical practice: Embracing critical thinking, striving for safer care.
23 Mar, 2022 | 10:24h | UTCSee 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 | UTCRelated:
Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery
BJS commission on surgery and perioperative care post-COVID-19.
ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.
Position statement: Perioperative management of post-COVID-19 surgical patients.
Optimizing hospital electronic prescribing systems: a systematic scoping review.
11 Mar, 2022 | 10:02h | UTC
New WHO/ILO guide urges greater safeguards to protect health workers.
10 Mar, 2022 | 10:42h | UTCNew WHO/ILO guide urges greater safeguards to protect 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