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Patient Safety & Quality

Crossover RCT | Using one-size cuff results in major inaccuracy in BP readings across varying arm sizes

11 Aug, 2023 | 15:41h | UTC

Effects of Cuff Size on the Accuracy of Blood Pressure Readings: The Cuff(SZ) Randomized Crossover Trial – JAMA Internal Medicine (free for a limited period)

Commentaries:

When it comes to blood pressure cuffs, size matters – MedicalResearch.com

One-size-fits-all blood pressure cuffs ‘strikingly inaccurate,’ study says – CNN

Related:

Brief Review | Why is cuff size so important and other factors that affect accurate blood pressure measurement

[News release – not published yet] Study finds blood pressure cuff size matters, affects blood pressure readings

 

Commentary on Twitter

 


Study | The high financial and human cost of quality metric reporting in hospitals

11 Aug, 2023 | 15:36h | UTC

The Volume and Cost of Quality Metric Reporting – JAMA (link to abstract – $ for full-text)

Author Interview: The Costs of Quality Reporting – JAMA

Commentaries:

The Cost of “Quality” – Emergency Medicine Literature of Note

How John Hopkins spent $5m and 108,478 hours on quality reporting in one year – HealthLeaders

The cost of quality metric reporting – Becker’s Hospital Review

 


Study | Uncovering the potential overuse of laboratory tests by combining cost, abnormal result proportion, and physician variation

11 Aug, 2023 | 15:34h | UTC

Data-driven approach to identifying potential laboratory overuse in general internal medicine (GIM) inpatients – BMJ Open Quality

 


Perspective | An AI-enhanced electronic health record could boost primary care productivity

9 Aug, 2023 | 15:36h | UTC

An AI-Enhanced Electronic Health Record Could Boost Primary Care Productivity – JAMA (free for a limited period)

 


M-A | Nearly 37% of elderly outpatients are at risk due to potentially inappropriate medication use

8 Aug, 2023 | 13:37h | UTC

Prevalence of Use of Potentially Inappropriate Medications Among Older Adults Worldwide: A Systematic Review and Meta-Analysis – JAMA Network Open

 


M-A | Approximately 25 min/day of walking can boost function and cut adverse events in acutely hospitalized elders

8 Aug, 2023 | 13:35h | UTC

Optimal dose and type of physical activity to improve functional capacity and minimise adverse events in acutely hospitalised older adults: a systematic review with dose-response network meta-analysis of randomised controlled trials – British Journal of Sports Medicine (free for a limited period)

 


M-A | Significant QOL and mental health improvements in caregivers via targeted interventions

3 Aug, 2023 | 13:28h | UTC

Interventions to improve outcomes for caregivers of patients with advanced cancer: a meta-analysis – JNCI: Journal of the National Cancer Institute

 


Position Paper | Prioritizing deprescribing in fall prevention strategies

28 Jul, 2023 | 14:12h | UTC

European position paper on polypharmacy and fall-risk-increasing drugs recommendations in the World Guidelines for Falls Prevention and Management: implications and implementation – European Geriatric Medicine

Original Guideline: World guidelines for falls prevention and management for older adults: a global initiative – Age and Ageing

 


Giving a voice to patients at high risk of dying in the intensive care unit: a multiple source approach

26 Jul, 2023 | 13:20h | UTC

Giving a voice to patients at high risk of dying in the intensive care unit: a multiple source approach – Intensive Care Medicine (free for a limited period)

 

Commentary on Twitter

 


Research Findings | US annual serious harms from misdiagnosis estimated at 795K in recent study

25 Jul, 2023 | 13:57h | UTC

Burden of serious harms from diagnostic error in the USA – BMJ Quality & Safety (link to abstract – $ for full-text)

News Release: Report Highlights Public Health Impact of Serious Harms From Diagnostic Error in U.S. – Johns Hopkins Medicine

Commentaries:

Majority of medical misdiagnoses occur in patients with less obvious disease manifestations – MedicalResearch

Misdiagnoses cost the U.S. 800,000 deaths and serious disabilities every year, study finds – STAT

 


Review | Research on prescribing cascades

24 Jul, 2023 | 12:53h | UTC

Research on prescribing cascades: a scoping review – Frontiers in Pharmacology

 


Self-measured blood pressure telemonitoring programs: a pragmatic how-to guide

19 Jul, 2023 | 14:33h | UTC

Self-Measured Blood Pressure Telemonitoring Programs: A Pragmatic How-to Guide – American Journal of Hypertension

 


Survey Study | ChatGPT’s performance in simulated patient-provider interactions

19 Jul, 2023 | 14:28h | UTC

Putting ChatGPT’s Medical Advice to the (Turing) Test: Survey Study – JMIR Medical Education

News Release: ChatGPT’s responses to healthcare-related queries ‘nearly indistinguishable’ from those provided by humans – NYU Tandon School of Engineering

Related: ChatGPT’s responses to patient questions rated higher for quality and empathy than physicians

 


Systematic Review | An evidence-base for the implementation of hospital-based palliative care programs in routine cancer practice

19 Jul, 2023 | 14:23h | UTC

An evidence-base for the implementation of hospital-based palliative care programs in routine cancer practice: A systematic review – Palliative Medicine

 


Review | Infection prevention and control in the medical imaging environment

18 Jul, 2023 | 13:31h | UTC

Infection prevention and control in the medical imaging environment: a scoping review – Insights into Imaging

 


What are effective strategies to reduce low-value care? An analysis of 121 randomized deimplementation studies

17 Jul, 2023 | 13:55h | UTC

What are Effective Strategies to Reduce Low-Value Care? An Analysis of 121 Randomized Deimplementation Studies – Journal of Healthcare Quality

 


Retrospective Analysis | Inconsistencies in pediatric drug dosing found in over half of prehospital emergency drug administrations

17 Jul, 2023 | 13:50h | UTC

Deviation From National Dosing Recommendations for Children Having Out-of-hospital Emergencies – Pediatrics

Commentaries:

Children and Drug Dosing Variations When in Transit to the Hospital – AAP Journals Blog

Variation Seen in Dosing of Meds at Prehospital Pediatric Encounters – HealthDay

 


Review | A health systems approach to critical care delivery in low-resource settings

17 Jul, 2023 | 13:29h | UTC

A health systems approach to critical care delivery in low-resource settings: a narrative review – Intensive Care Medicine

 

Commentary on Twitter (thread – click for more)

 


Consensus Paper | Implementing strategies to prevent infections in acute-care settings

14 Jul, 2023 | 13:03h | UTC

Implementing strategies to prevent infections in acute-care settings – Infection Control & Hospital Epidemiology

News Release: New guidance for infection prevention in acute care settings – Society for Healthcare Epidemiology of America

Related:

Practice Recommendation | Strategies to prevent MRSA transmission and infection in hospitals

Consensus Paper | Strategies to prevent surgical site infections in acute-care hospitals

Consensus Paper | Strategies to prevent Clostridioides difficile infections in acute-care hospitals

SHEA/IDSA/APIC Practice Recommendation: Strategies to prevent healthcare-associated infections through hand hygiene: 2022 Update – Infection Control & Hospital Epidemiology

SHEA statement on antibiotic stewardship in hospitals during public health emergencies – Infection Control & Hospital Epidemiology

Strategies to prevent ventilator-associated pneumonia, ventilator-associated events, and nonventilator hospital-acquired pneumonia in acute-care hospitals: 2022 Update – Infection Control & Hospital Epidemiology

Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update – Infection Control & Hospital Epidemiology

 


Quality Improvement Study | Improved asymptomatic bacteriuria management by reduction of unnecessary urine culture requests

14 Jul, 2023 | 12:54h | UTC

A Statewide Quality Initiative to Reduce Unnecessary Antibiotic Treatment of Asymptomatic Bacteriuria – JAMA Internal Medicine

Related:

Diagnostic stewardship for urinary tract infection: A snapshot of the expert guidance – Cleveland Clinic Journal of Medicine

Study: Hospital Intervention Resulted in a 45% Reduction in the Urine Cultures Ordered

Optimal Urine Culture Diagnostic Stewardship Practice—Results from an Expert Modified-Delphi Procedure – Clinical Infectious Diseases

USPSTF Recommendation Statement: Screening for Asymptomatic Bacteriuria in Adults

Cohort Study: Antibiotic Treatment of Asymptomatic Bacteriuria in Hospitalized Patients is Common, and May be Associated with Longer Duration of Hospitalization

Inappropriate Management of Asymptomatic Patients With Positive Urine Cultures: A Systematic Review and Meta-analysis – Open Forum Infectious Diseases

IDSA Guideline for the Management of Asymptomatic Bacteriuria

 

Commentary on Twitter

 


AHA Policy Statement | Value-based payment for clinicians treating cardiovascular disease

13 Jul, 2023 | 13:13h | UTC

Value-Based Payment for Clinicians Treating Cardiovascular Disease: A Policy Statement From the American Heart Association – Circulation

News Release: Policy guidance offers strategies to shift to value-based health care and payment – American Heart Association

Commentary: AHA Reviews Value-Based Payment Systems and Proposes Next Steps – TCTMD

 


RCT| Exercise during hemodialysis improves physical function in chronic kidney failure patients

13 Jul, 2023 | 13:01h | UTC

Exercise during Hemodialysis in Patients with Chronic Kidney Failure – NEJM Evidence

 


Practice Guidance | Six steps to better care for older people in acute hospitals

12 Jul, 2023 | 14:00h | UTC

Six steps to better care for older people in acute hospitals – British Geriatrics Society

News Release: New guidance outlines ‘Six steps to better care for older people in hospital’ – British Geriatrics Society

 


Intervention Study | Pharmacist review may reduce antibiotic overuse at discharge

12 Jul, 2023 | 13:37h | UTC

Improving antibiotic utilization through an outpatient stewardship initiative – Antimicrobial Stewardship & Healthcare Epidemiology

Commentary: Pharmacist review identifies improper antibiotic prescriptions – CIDRAP

 


Recommendations on the structure, personal, and organization of intensive care units

11 Jul, 2023 | 13:56h | UTC

Recommendations on the structure, personal, and organization of intensive care units – Frontiers in Medicine

News Release: German recommendations on the structure of intensive care units published internationally – Deutsche Interdisziplinäre Vereinigung für Intensiv

 


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