Patient Safety & Quality
Viewpoint | A national goal to advance health equity through value-based payment.
6 Jun, 2021 | 23:39h | UTCA National Goal to Advance Health Equity Through Value-Based Payment – JAMA
Doctors tell how to make the most of your telehealth visits.
3 Jun, 2021 | 10:39h | UTCDoctors Tell How to Make the Most of Your Telehealth Visits – Kaiser Health News
ACP offers guidance on physician suicide prevention and the role of a healing community from an ethics perspective.
3 Jun, 2021 | 10:45h | UTC
No COVID-19 cases found after a well-controlled indoor concert.
31 May, 2021 | 08:24h | UTCNo COVID-19 cases found after well-controlled indoor concert – CIDRAP
Invited Commentary: Innovations in COVID-19 testing: the road from pandemic response to control – The Lancet Infectious Diseases
Commentary on Twitter (thread – click for more)
Report of the Barcelona music event out here. These are difficult studies to do – and you need to carefully review them.
Same-day SARS-CoV-2 antigen test screening in an indoor mass-gathering live music event: a randomised controlled trial https://t.co/KDMtsGD23v
— Jon Deeks FMedSci (@deeksj) May 28, 2021
Providing more low-value care does not lead to higher patient experience ratings – “New study challenges the assumption that offering patients more tests and procedures will lead to higher patient experience ratings”.
31 May, 2021 | 08:11h | UTCOriginal Study: Association of Low-Value Care Exposure With Health Care Experience Ratings Among Patient Panels – JAMA Internal Medicine
Commentary on Twitter
New work led by @sanghavi_prachi w/ @A_Schwa & Alan Zaslavsky
We asked do PCPs w/ more wasteful practice patterns get better patient ratings?
Answer is no. No they don't
This should allay overblown concerns about pt experience measures leading us to satisfy patients to death https://t.co/cosXvLA6Ql
— Michael McWilliams (@JMichaelMcW) May 28, 2021
Using resources wisely in the COVID-19 pandemic: an international list of Choosing Wisely recommendations.
24 May, 2021 | 08:36h | UTC
Global survey finds 44% of cardiologists report a hostile work environment. Higher rates were found among women (68%) vs. men (37%).
20 May, 2021 | 08:35h | UTCGlobal Prevalence and Impact of Hostility, Discrimination, and Harassment in the Cardiology Workplace – Journal of the American College of Cardiology (link to abstract – $ for full-text)
Editorial: Hostile Work Environment: A Case of the Emperor’s New Clothes
Commentary: Hostility Is Common in Cardiology: Can a New ACC/AHA Statement Help? – TCTMD
Commentary on Twitter
Global Prevalence and Impact of Hostility, Discrimination, and Harassment in the Cardiology Workplace – PubMed. A global problem for cardiology….What would you do… if it was career damaging to say nothing…and career damaging to speak up? https://t.co/uutfsMXOsx
— A/Prof Sonya Burgess (@drsonyaburgess) May 15, 2021
M-A: Screening test (Hospital Anxiety and Depression Scale – HADS-D) can identify hospitalized patients with depression.
18 May, 2021 | 07:23h | UTCKnowledge translation tool: Using the HADS-D to Screen for Depression
Commentary on Twitter (thread – click for more)
Our @DepressdP IPDMA on HADS-D accuracy, led by Dr. Yin Wu, was published today in @bmj_latest! We pooled data from 101 studies and found that a cutoff of >=7 maximized combined sensitivity and specificity. Read more here: https://t.co/iMmsjoeW7f
— Brooke Levis (@blevis_epi) May 10, 2021
Report: Implementing high-quality primary care – “pay for primary care teams to care for people, not physicians to deliver services”.
17 May, 2021 | 08:11h | UTCOriginal report: Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care – National Academies of Sciences, Engineering, and Medicine
Polypharmacy, inappropriate prescribing, and deprescribing in older people: through a sex and gender lens.
14 May, 2021 | 08:30h | UTCPodcast with the author: Dr Paula Rochon talks with The Lancet Healthy Longevity about polypharmacy in older people through a sex and gender lens
Related: Reducing Inappropriate Medication Use & Polypharmacy (several articles and commentaries on the subject) AND Polypharmacy Management in Older Patients – Mayo Clinic Proceedings AND Psychopharmacological Treatment in Older People: Avoiding Drug Interactions and Polypharmacy – Deutsches Ärzteblatt internationa AND Eliminating Medication Overload: A National Action Plan AND Deprescribing in Older Adults With Cardiovascular Disease – Journal of the American College of Cardiology
Commentary on Twitter
NEW REVIEW: @RochonPaula and colleagues look at #polypharmacy & #deprescribing for #older people through a sex & gender lens
👀Read the #openaccess paper here: https://t.co/CpcJswOtt1
👂Listen to the new podcast with the authors here:https://t.co/EXg9wNlE9K pic.twitter.com/AZ4VkKt33p— The Lancet Healthy Longevity (@LancetLongevity) May 13, 2021
Opinion | Let’s banish the term ‘patient’ from the health care lexicon.
14 May, 2021 | 08:19h | UTCLet’s banish the term ‘patient’ from the health care lexicon – STAT
Study: More nurses lead to fewer patient deaths & readmissions, shorter hospital stays, and savings
13 May, 2021 | 05:55h | UTCNews release: More nurses lead to fewer patient deaths & readmissions, shorter hospital stays, and savings – The Lancet
Original study: Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: a prospective study in a panel of hospitals (free registration required)
Commentary on Twitter
NEW—More nurses lead to fewer patient deaths and readmissions, shorter hospital stays, and cost-savings for hospitals, suggests study of recent Australian state policy to introduce a minimum ratio of one nurse to four patients for day shifts. Read https://t.co/zTZNt8viPU. pic.twitter.com/B812I0P6N2
— The Lancet (@TheLancet) May 12, 2021
Most COVID-19 patients receiving home-based hospital care did not require escalation to traditional hospital setting – Approximately 1 in 5 were admitted within 14 days. Higher oxygen saturation was associated with decreased odds of transfer, whereas higher comorbidity burden was associated with increased risk.
12 May, 2021 | 08:50h | UTCOriginal study: Factors Associated With Risk for Care Escalation Among Patients With COVID-19 Receiving Home-Based Hospital Care – Annals of Internal Medicine
Related: Pandemic Boosts an Old Idea—Bringing Acute Care to the Patient
Analysis: Quality improvement at times of crisis.
12 May, 2021 | 08:48h | UTCQuality improvement at times of crisis – The BMJ
Related: Report: The role of improvement during the response to COVID-19 – The Health Foundation
Commentary on Twitter (thread – click for more)
Out today in @bmj_latest Quality improvement at times of crisis. Great to work on this with @DrAmarShah and @tuma_Paula: https://t.co/G4qe08o7Ri (1/4)
— Penny Pereira (@PennyPereira1) May 11, 2021
RCT: An internet-delivered cognitive behavioral therapy (CBT) program followed by in-person CBT if necessary is noninferior to in-person CBT for the treatment of obsessive-compulsive disorder symptoms in children and adolescents.
12 May, 2021 | 08:39h | UTCEffect of an Internet-Delivered Stepped-Care Program vs In-Person Cognitive Behavioral Therapy on Obsessive-Compulsive Disorder Symptoms in Children and Adolescents: A Randomized Clinical Trial – JAMA (free for a limited period)
News release: Online CBT effective against OCD symptoms in the young – Karolinska Institutet
Perspective | 12 things to do to improve wellbeing in the ICU.
12 May, 2021 | 08:30h | UTC12 Things to Do to Improve Wellbeing in the ICU – ICU Management & Practice
Perspective | Top five priorities for a new ICU director during the first year.
12 May, 2021 | 08:33h | UTCTop Five Priorities for a New ICU Director During the First Year – ICU Management & Practice
Perspective | The essentials for a humanized ICU.
12 May, 2021 | 08:28h | UTCThe Essentials for a Humanised Intensive Care Unit (H-ICU) – ICU Management & Practice
Ten simple steps to improve ventilation in healthcare facilities
11 May, 2021 | 09:27h | UTCTen simple steps to improve ventilation in healthcare facilities – Essential Critical Care
Commentary on Twitter
I've written ten simple steps to improve ventilation in healthcare facilities… with no jargon and loads of photos.
With expert input from @akm5376 @vfmcneill & @kartc from @IndiaCOVIDSOS.
Download here: https://t.co/OzsDXfPavm#COVIDisAirborne pic.twitter.com/UtsRO0IgWr
— Bex Sierra (@Global_ICU) May 5, 2021
RCT: A web-based educational intervention can reduce the need for upper endoscopy (39% intervention vs. 82% control group) in patients with uninvestigated dyspepsia
11 May, 2021 | 09:02h | UTCWeb-Based Educational Intervention for Patients With Uninvestigated Dyspepsia Referred for Upper Gastrointestinal Tract Endoscopy: A Randomized Clinical Trial – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentary on Twitter
A randomized clinical trial found that web-based education on the merits of endoscopy in uninvestigated dyspepsia avoids upper gastrointestinal endoscopies in patients with dyspepsia https://t.co/7PyWNwz2Pj
— JAMA Internal Medicine (@JAMAInternalMed) April 26, 2021
COVID has pushed medical research into remote trials, benefiting patients and scientists
5 May, 2021 | 08:38h | UTC
Pathway for enhanced recovery after spinal surgery – a systematic review of evidence for use of individual components
5 May, 2021 | 08:26h | UTCSee also: Enhanced recovery after surgery (ERAS) and its applicability for major spine surgery – Best Practice & Research Clinical Anaesthesiology AND Consensus statement for perioperative care in lumbar spinal fusion: Enhanced Recovery After Surgery (ERAS®) Society recommendations – The Spine Journal AND Enhanced Recovery After Surgery (ERAS) Society Guidelines
Commentary on Twitter (thread – click for more)
Enhanced recovery after spine surgery (ERSS) is a multi-modal and trans-disciplinary approach to achieving the best outcomes in our patients. Key components supported by data (1/2) ⬇️ #orthotwitter #neurosurgery #surgery #outcomeshttps://t.co/t4VanByVyA
— Ruwan Ratnayake MD (@ratnayakemd) April 1, 2021
RCT: Community-initiated kangaroo mother care reduced the risk of moderate-to-severe maternal postpartum depressive symptoms among mothers of low-birth-weight infants in low-income areas in India
5 May, 2021 | 08:21h | UTC
Commentary on Twitter
Skin to Skin care doesn’t only help babies; it also helps mothers!
Randomized trial of ~2k mothers from India found kangaroo care reduces postpartum depression #neoEBM #mentalhealth @JAMANetworkOpen https://t.co/6YqPQChKLe pic.twitter.com/DYAbU3Tsxu
— Abdul Razak (@DrAbdulRazak_MD) April 23, 2021
[Preprint] Preventing disproportionate mortality in ICU overload situations: Empirical evidence from the first COVID-19 wave in Europe – “transferring patients proactively out of developing hotspots to less affected regions, well before high ICU workload situations emerge, will improve patient outcomes”
4 May, 2021 | 08:42h | UTC
Highly Recommended (video): The Culture Of Medicine Kills Doctors And Patients (w/Dr. Robert Pearl)
3 May, 2021 | 05:32h | UTCThe Culture Of Medicine Kills Doctors And Patients (w/Dr. Robert Pearl) – ZDoggMD