Patient Safety & Quality
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
M-A: The clinical efficacy and safety of enhanced recovery after surgery for cesarean section.
26 Aug, 2021 | 08:28h | UTCRelated:
Pre-post study: Improved outcomes with an enhanced recovery approach to cesarean delivery
Enhanced Recovery After Surgery (ERAS) Guidelines for Perioperative Care in Cesarean Delivery
Enhanced Recovery After Surgery (ERAS) Society Guidelines
Editorial | Enhanced recovery after surgery: The road to improve peri-operative care globally.
24 Aug, 2021 | 08:54h | UTCSee also: Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines
Why remote consultation with a doctor is difficult – and how it can be improved.
22 Aug, 2021 | 23:00h | UTCWhy remote consultation with a doctor is difficult – and how it can be improved – The Conversation
Original article: Planning and Evaluating Remote Consultation Services: A New Conceptual Framework Incorporating Complexity and Practical Ethics – Frontiers in Digital Health
Commentary on Twitter
https://twitter.com/trishgreenhalgh/status/1428664245357584390
Survey: Workplace mistreatment reported frequently by emergency medicine residents.
22 Aug, 2021 | 22:18h | UTCWorkplace Mistreatment Reported Frequently by Emergency Medicine Residents – HealthDay
Original study: Prevalence of Discrimination, Abuse, and Harassment in Emergency Medicine Residency Training in the US – JAMA Network Open
Commentary on Twitter
In this study, 45.1% of emergency medicine residents reported exposure to workplace mistreatment. Interventions should be developed to ensure resident wellness and career satisfaction. @ABEMCert @EmoryMedicine @NUFeinbergMed @Rutgers_NJMS @UWMedicine https://t.co/dTrUH14NxB
— JAMA Network Open (@JAMANetworkOpen) August 20, 2021
WHO Practical Guide: Antimicrobial stewardship interventions.
19 Aug, 2021 | 08:52h | UTCAntimicrobial stewardship interventions: a practical guide (2021) – World Health Organization
Effect of early palliative care on end-of-life health care costs: a population-based, propensity score–matched cohort study.
18 Aug, 2021 | 08:30h | UTC
Commentary on Twitter
⚕️@oncoalert:
Ultimately you refer to #palliativeCare because it's what's best for patients. For symptom control, decreased anxiety/depression, & for essential #goalsofcare conversations.The fact that early #pallonc care is cost-saving?
Even better. #hpmhttps://t.co/xVkD2FoP17 pic.twitter.com/drhPxHMCSO— Fumiko Ladd Chino, MD, FASCO (@fumikochino) August 17, 2021
Study provides suggestions for keeping classroom air fresh.
17 Aug, 2021 | 09:08h | UTCStudy provides suggestions for keeping classroom air fresh – MIT News
Original study: Patterns of SARS-CoV-2 aerosol spread in typical classrooms – Building and Environment
Related:
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
We studied how to reduce airborne COVID spread in hospitals. Here’s what we learnt.
17 Aug, 2021 | 09:09h | UTCRelated:
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
Perspective: The high stakes of outsourcing in health care.
17 Aug, 2021 | 08:38h | UTCThe High Stakes of Outsourcing in Health Care – Mayo Clinic Proceedings
Opinion | Doctors pledge to do no harm. The entire health care sector should do the same by battling climate change
13 Aug, 2021 | 08:47h | UTC
Artificial intelligence projects in healthcare: 10 practical tips for success in a clinical environment.
12 Aug, 2021 | 08:44h | UTC
Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries.
12 Aug, 2021 | 08:42h | UTCCommentary: Hospital overuse linked to thousands of adverse events each year – Lown Institute
Commentary on Twitter (thread – click for more)
Research by @kelsey_chalmers @AElshaug @DrVikasSaini @ShannonBrownlee shows that spinal fusion overuse is associated with >1000 more adverse events for Medicare beneficiaries each year.https://t.co/L83CDNqFiC
— Lown Institute (@lowninstitute) July 27, 2021
Viewpoint: Aligning payments, services, and quality in primary care.
6 Aug, 2021 | 09:08h | UTCAligning Payments, Services, and Quality in Primary Care – JAMA (free for a limited period)
M-A: Effects of early mobilization on the prognosis of critically ill patients.
6 Aug, 2021 | 08:57h | UTCEffects of early mobilization on the prognosis of critically ill patients: A systematic review and meta-analysis – International Journal of Nursing Studies (link to abstract – $ for full-text)
Commentary on Twitter
Effects of Early Mobilization on ICU patients: Meta-Analysis incl 39 studies (23 studies from China!) showed benefits for weaning, LOS, physical function and others, but not for mortality, delirium, handgrip strengthhttps://t.co/w8ZWNxyz8z pic.twitter.com/YA8cJDps9N
— Peter Nydahl (@NydahlPeter) July 29, 2021
WHO Global Patient Safety Action Plan 2021-2030.
5 Aug, 2021 | 08:51h | UTCGlobal Patient Safety Action Plan 2021-2030 – World Health Organization
Commentary on Twitter
Delighted to launch the @WHO Global #PatientSafety Action Plan 2021 – 2030, focusing on:
-understanding the extent of the problem
-closing policy gaps
-addressing inadequate application of safety science in policies
-putting policies into practicehttps://t.co/63Fj1xgVEX— Tedros Adhanom Ghebreyesus (@DrTedros) August 4, 2021