Patient Safety & Quality
Survey finds misperceptions associated with palliative care are widespread – stigma may be perpetuated by those who falsely believe they understand its meaning.
11 Oct, 2021 | 23:54h | UTCPublic knowledge and attitudes concerning palliative care – BMJ Supportive & Palliative Care
Commentary on Twitter
Public misperceptions & stigma around palliative care are significant issues even for very well developed health systems. 29% of Canadian sample believed pall care meant doctors were 'giving up'. https://t.co/gpCFwFrk8z pic.twitter.com/TZsqwdbQnt
— Richard Sullivan (@SullivanProf) October 10, 2021
Opinion | Covid-19 keeps delivering lessons about health care worker burnout. Will we learn them?
8 Oct, 2021 | 10:18h | UTCCovid-19 keeps delivering lessons about health care worker burnout. Will we learn them? – STAT
Commentary on Twitter
Opinion: Delaying the important work of addressing burnout under the guise of "let's just get through this first" does a disservice to health care workers who need support and relief now. https://t.co/21s5NRvhdk
— STAT (@statnews) October 7, 2021
Choosing Wisely: Seven things physicians and residents/patients should question in long term care.
7 Oct, 2021 | 10:31h | UTCSee complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Addressing Biased Patient Behavior: A Teachable Moment.
5 Oct, 2021 | 08:54h | UTCAddressing Biased Patient Behavior: A Teachable Moment – JAMA Internal Medicine
WHO prioritizes access to diabetes and cancer treatments in new Essential Medicines Lists.
3 Oct, 2021 | 22:46h | UTCNews Release: WHO prioritizes access to diabetes and cancer treatments in new Essential Medicines Lists – World Health Organization
Report: WHO model list of essential medicines – 22nd list, 2021 – World Health Organization
Commentary: For the first time, WHO committee recommends action on high-priced essential medicines – STAT
Commentary on Twitter (thread – click for more)
? WHO 2021 Essential Medicines Lists have 20 new medicines for adults & 17 for children, incl. insulin analogues, new oral medicines for diabetes & medicines for cancer treatment https://t.co/LfWwHEZtuM pic.twitter.com/HMFOP8ioBf
— World Health Organization (WHO) (@WHO) October 1, 2021
Intensive care triage under exceptional resource scarcity.
3 Oct, 2021 | 22:48h | UTCIntensive care triage under exceptional resource scarcity – Swiss Medical Weekly
Physician Well-being 2.0: Where Are We and Where Are We Going?
3 Oct, 2021 | 22:36h | UTCPhysician Well-being 2.0: Where Are We and Where Are We Going? – Mayo Clinic Proceedings
Related:
[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)
Fire safety and emergency evacuation guidelines for intensive care units and operating theatres: for use in the event of fire, flood, power cut, oxygen supply failure, noxious gas, structural collapse or other critical incidents.
1 Oct, 2021 | 10:15h | UTC
Saying ‘person with schizophrenia,’ not ‘schizophrenic,’ can affect clinician beliefs, study finds.
1 Oct, 2021 | 10:05h | UTCOriginal article: It’s Time for Counselors to Modify Our Language: It Matters When We Call Our Clients Schizophrenics Versus People With Schizophrenia – Journal of Counseling & Development ($)
A pandemic recap: lessons we have learned.
30 Sep, 2021 | 10:29h | UTCA pandemic recap: lessons we have learned – World Journal of Emergency Surgery
Never Waste a Pandemic: Strategies to Increase Advance Care Planning Now.
29 Sep, 2021 | 10:22h | UTCNever Waste a Pandemic: Strategies to Increase Advance Care Planning Now – Mayo Clinic Proceedings
New analysis shows use and predictors of low-value care in health systems – “Patients at health systems with smaller shares of primary care physicians and without teaching hospitals were more likely to receive low-value services”.
28 Sep, 2021 | 09:08h | UTCNews release: New analysis shows use and predictors of low-value care in health systems nationwide – Brigham and Women’s Hospital
Original study: Low-Value Care at the Actionable Level of Individual Health Systems – JAMA Internal Medicine
Author interview: Low-Value Care at the Actionable Level of Individual Health Systems
Commentary on Twitter
New study measures and reports use of 41 low-value care services + composite measure for 556 health systems across US. More low-value care in systems w ↓ PCPs, w/o major teaching hospital, HQ'ed in South+West, in areas w ↑ healthcare spending https://t.co/0qdkflxwWF
— JAMA Internal Medicine (@JAMAInternalMed) September 27, 2021
Environmental and Occupational Considerations of Anesthesia: A Narrative Review and Update.
26 Sep, 2021 | 21:37h | UTCRelated:
Working toward the triple bottom line in surgery to limit the impact of surgery on the environment
Effects Of Surgery On A Warming Planet: Can Anesthesia Go Green? – NPR
Anaesthetic gases, climate change, and sustainable practice – The Lancet Planetary Health
Greenhouse gases: the choice of volatile anesthetic does matter – Canadian Journal of Anesthesiology
Cochrane Special Collection | De-implementation of low-value health care: resource prioritization in the COVID-19 pandemic era.
23 Sep, 2021 | 10:13h | UTCEditorial: Making wise choices about low‐value health care in the COVID‐19 pandemic – Cochrane Library
Commentary: Choosing health care wisely when resources are scarce – Evidently Cochrane
Commentaries on Twitter
?Our new editorial @cochranecollab: Making wise choices about low‐value health care in the COVID‐19 pandemic?https://t.co/qABVg7emRi
Linked Special Collection on low-value care: https://t.co/fstV8P8OQS#FreeAccess pic.twitter.com/h9KZGUm2kp
— Juan Franco ?️? (@juan_francomd) September 22, 2021
Sadly, some medical interventions are in use despite evidence against them. With @Cochrane_SH, we have published a Special Collection of Cochrane reviews of Low Value Care interventions and described the issue in an Editorial. We cannot afford wasted HC. https://t.co/PXUhaMZud2
— Karsten Juhl Jørgensen (@KarstenJuhl) September 22, 2021
WHO releases new compendium of innovative health technologies for COVID-19 and other priority diseases.
23 Sep, 2021 | 10:03h | UTC
Essential Emergency and Critical Care: A consensus among global clinical experts.
22 Sep, 2021 | 10:07h | UTCEssential Emergency and Critical Care: a consensus among global clinical experts – BMJ Global Health
News releases:
40 steps to reduce deaths from critical illness – London School of Hygiene & Tropical Medicine
40 simple steps to reduce deaths from critical illness – Karolisnka Institutet
Commentary on Twitter
Blueprint for hospitals on how to reduce preventable deaths due to critical illness has been set out ?
New study in @GlobalHealthBMJ outlines 4⃣0⃣ steps to prioritise essential care & improve #pandemic preparedness.
? https://t.co/hpVMXUZ1vb #COVID19 #PublicHealth pic.twitter.com/5BBZDCVkFM
— London School of Hygiene & Tropical Medicine (@LSHTM) September 21, 2021
Systematic review: Interventions to Reduce Hospital Length of Stay in High-risk Populations.
21 Sep, 2021 | 08:58h | UTC
Podcast: Advance Your Care Planning.
21 Sep, 2021 | 08:51h | UTC#295 Advance Your Care Planning with Dr. Rebecca Sudore – The Curbsiders
Large cohort study suggests routine replacement (every 96 hours) of peripheral intravenous catheters may reduce the risk of bloodstream infections compared to clinically indicated replacement.
19 Sep, 2021 | 23:34h | UTCComparison of Routine Replacement With Clinically Indicated Replacement of Peripheral Intravenous Catheters – JAMA Internal Medicine (free for a limited period)
Related Cochrane Review with different findings: Systematic Review: Clinically‐indicated vs. Routine Replacement of Peripheral Venous Catheters
Commentary on Twitter
Phlebitis due to peripheral venous catheters is not a proxy for bloodstream infection. A large prospective study shows that clinically indicated replacement of peripheral venous catheters may put patients at risk of bloodstream infection https://t.co/SNo4SpfoKE
— JAMA Internal Medicine (@JAMAInternalMed) September 17, 2021
Choosing Wisely: Five things clinicians and patients should question in rural medicine.
19 Sep, 2021 | 23:26h | UTCChoosing Wisely Canada: Rural medicine list of recommendations – Canadian Journal of Rural Medicine
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
RCT: The addition of telemedicine to improve standard care for medically complex children was associated with improved clinical outcomes and reduced costs.
17 Sep, 2021 | 10:00h | UTCTelemedicine for Children With Medical Complexity: A Randomized Clinical Trial – Pediatrics
‘Do not resuscitate’ decision recorded for only 1 in 5 very sick hospitalized older patients, study finds
14 Sep, 2021 | 08:40h | UTCOriginal study: Do not attempt cardiopulmonary resuscitation (DNACPR) decisions for older medical inpatients: a cohort study – BMJ Supportive & Palliative Care
Perspective | The plan to stop every respiratory virus at once – “The benefits of ventilation reach far beyond the coronavirus. What if we stop taking colds and flus for granted, too?”
9 Sep, 2021 | 09:54h | UTCThe Plan to Stop Every Respiratory Virus at Once – The Atlantic
Related:
Recommendations for ventilation of indoor spaces to reduce COVID-19 transmission.
We studied how to reduce airborne COVID spread in hospitals. Here’s what we learnt.
WHO: Roadmap to improve and ensure good indoor ventilation in the context of COVID-19
CDC releases new ventilation guidelines for indoor environments to reduce Covid-19 risk
Recommendations for ventilation of indoor spaces to reduce COVID-19 transmission.
2 Sep, 2021 | 10:02h | UTCRelated:
We studied how to reduce airborne COVID spread in hospitals. Here’s what we learnt.
WHO: Roadmap to improve and ensure good indoor ventilation in the context of COVID-19
CDC releases new ventilation guidelines for indoor environments to reduce Covid-19 risk
Study: Patients, not staff, source of most hospital COVID spread.
1 Sep, 2021 | 09:52h | UTCStudy: Patients, not staff, source of most hospital COVID spread – CIDRAP
Original article: Superspreaders drive the largest outbreaks of hospital onset COVID-19 infections – eLife