Patient Safety & Quality
Ten scientific reasons in support of airborne transmission of SARS-CoV-2
18 Apr, 2021 | 21:51h | UTCTen scientific reasons in support of airborne transmission of SARS-CoV-2 – The Lancet
Animated Videos: Aerosols and making spaces safe – University of Oxford
Commentary on Twitter (thread – click for more)
Just out in @TheLancet what experts have said for a year
SARS-CoV2 spreads PRIMARILY via airborne route
Failure to act on this has hampered efforts to prevent spread of COVID
Thank you @trishgreenhalgh @linseymarr @kprather88 @j_g_allen, others who stuck to the evidence https://t.co/uuJcUIKWHE
— Ashish K. Jha, MD, MPH (@ashishkjha) April 16, 2021
Viewpoint | Implementing Measurement Science for Electronic Health Record Use – “Clinicians trained in patient care are locked into hours of screen time to complete mandatory clerical and documentation tasks, often unrelated to the quality of the care”
18 Apr, 2021 | 21:09h | UTCImplementing Measurement Science for Electronic Health Record Use – JAMA (free for a limited period)
Related: Opinion – “The EMR has changed the doctor-patient duet into a ménage-à-trois” (resources on the subject) AND Study: Association Between Perceived Electronic Health Record Usability and Professional Burnout (study and commentaries) AND The future of electronic health records – Nature
Commentaries on Twitter
To optimize #EHR design, implementation, and regulation, EHR use measures must be developed that are trustworthy, clinically important, scientifically sound, transparent, and feasible for implementation.
A recent paper by @JAMA_current @JAMANetwork https://t.co/IN3ZxcON9m pic.twitter.com/kOVQGI1OGl
— Eugenio Santoro (@eugeniosantoro) April 11, 2021
"Drawing attention to the EHR user experience with empirical measurements could add visibility and transparency to what is happening—the hours wasted and the risks incurred—that could stimulate usability improvements." https://t.co/WCzuo288Bp
— Janos Kalman (@kalman_jl) April 9, 2021
A guideline to limit indoor airborne transmission of COVID-19
18 Apr, 2021 | 21:47h | UTC
Indoor Air Changes and Potential Implications for SARS-CoV-2 Transmission
18 Apr, 2021 | 21:49h | UTCIndoor Air Changes and Potential Implications for SARS-CoV-2 Transmission – JAMA
Commentary on Twitter (thread – click for more)
In this new piece in @JAMA_current, I teamed up w/ colleague @AndrewMIbrahim to argue that
1) evidence for airborne spread is strong
2) enhanced ventilation/filtration is needed
3) 4-6 air changes per hour should be target for small volume spacesTHREADhttps://t.co/bvdZkyy03j
— Joseph Allen (@j_g_allen) April 16, 2021
Study: Double masking improves protection from Covid-19 mostly by eliminating any gaps or poor-fitting areas of a mask
18 Apr, 2021 | 21:37h | UTCFitted Filtration Efficiency of Double Masking During the COVID-19 Pandemic – JAMA Internal Medicine
Commentaries: Fit matters most when double masking to protect yourself from COVID-19 – University of North Carolina Health Care AND Check your fit on that double mask if you want it to work against Covid, study says – CNN
RCT: An Enhanced Recovery After Surgery (ERAS) program in laparoscopic distal gastrectomy provided a faster recovery, a shorter postoperative hospitalization length, and lower medical costs without increasing complication and readmission rates
16 Apr, 2021 | 06:16h | UTCRelated: Consensus guidelines for enhanced recovery after gastrectomy – British Journal of Surgery AND Current status of the “enhanced recovery after surgery” program in gastric cancer surgery – Annals of Gastroenterological Surgery
See also: Enhanced Recovery After Surgery (ERAS) Society Guidelines
Editorial: Covid-19 has redefined airborne transmission
16 Apr, 2021 | 06:26h | UTCCovid-19 has redefined airborne transmission – The BMJ
Commentaries: Future attempts to reduce Covid-19 spread should focus on tackling airborne transmission – News Medical AND Open the windows to curb COVID spread: experts – MedicalXpress
Related: CDC Updated Guidance: “It is possible for people to be infected through contact with contaminated surfaces or objects, but the risk is generally considered to be low” (CDC Guidance and more) AND Deep Cleaning Isn’t a Victimless Crime – The Atlantic
8 Tips to Improve Radiologist Communication
16 Apr, 2021 | 06:09h | UTC8 Tips to Improve Radiologist Communication – Diagnostic Imaging
Original study: Talking Points: Enhancing Communication Between Radiologists and Patients – Academic Radiology ($)
Systematic review: Excessive nurse work hours is associated with increased adverse patient outcomes
15 Apr, 2021 | 06:19h | UTCRelationships between comprehensive characteristics of nurse work schedules and adverse patient outcomes: A systematic literature review – Journal of Clinical Nursing (link to abstract – $ for full-text)
Study shows U.S. women nurses are at increased risk of death by suicide compared to physicians and the general population
15 Apr, 2021 | 06:23h | UTCAssociation of US Nurse and Physician Occupation With Risk of Suicide – JAMA Psychiatry (free for a limited period)
Author Interview: Suicide Risk Among US Nurses and Physicians
Commentary: Suicide among female nurses is double that of the general female population – University of Michigan
Commentary on Twitter (thread – click for more)
1/11 We have a critically important but very unsettling new paper to share: US nurses are in *serious* trouble and they were in grave danger far before the pandemic began
Tw triggerword : suicide self harm— Dr. Chris Friese, RN (@ChrisFriese_RN) April 14, 2021
Pandemic Boosts an Old Idea—Bringing Acute Care to the Patient
15 Apr, 2021 | 06:51h | UTCPandemic Boosts an Old Idea—Bringing Acute Care to the Patient – JAMA
Related studies: Cohort Study: Selected patients with Covid-19 can be safely discharged on home oxygen, with low mortality and readmission rates AND Association of a Bundled Hospital-at-Home and 30-Day Postacute Transitional Care Program With Clinical Outcomes and Patient Experiences – JAMA Internal Medicine
Guidance: Using Ventilation and filtration to reduce aerosol transmission of COVID-19 in long-term care homes
15 Apr, 2021 | 06:54h | UTC
Commentary on Twitter
PHAC guidance updated yesterday emphasizes aerosol transmission (including fecal aerosol via toilet traps) and need for adequate ventilation and/or air cleaners (HEPA). We are getting there.@jljcolorado @linseymarr @kprather88 https://t.co/8hi77846cY
— David Fisman (@DFisman) April 14, 2021
Study: Protocoled time-limited trials among critically ill patients with advanced medical illnesses were associated with reduction of nonbeneficial ICU treatments
13 Apr, 2021 | 05:16h | UTCEvaluation of Time-Limited Trials Among Critically Ill Patients With Advanced Medical Illnesses and Reduction of Nonbeneficial ICU Treatments – JAMA Internal Medicine (free for a limited period)
Commentary: Time-Limited Trials and Potentially Nonbeneficial Treatment in the ICU—Willing to Wait for It – JAMA Internal Medicine AND Time-limited trials may decrease the length of stay of critically ill patients in the intensive care unit – 2 Minute Medicine
Author interview: Time-Limited Trials Among Patients With Advanced Illness to Reduce Nonbeneficial ICU Treatments
Related review: Time-limited trial of intensive care treatment: an overview of current literature – Intensive Care Medicine
Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19
13 Apr, 2021 | 05:21h | UTCRelated: Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery AND Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk
Viewpoint | Reducing Low-Value Care and Improving Health Care Value
9 Apr, 2021 | 03:23h | UTCReducing Low-Value Care and Improving Health Care Value – JAMA (free for a limited period)
CDC Updated Guidance: “It is possible for people to be infected through contact with contaminated surfaces or objects, but the risk is generally considered to be low”
7 Apr, 2021 | 02:00h | UTCRelated: Catching COVID from surfaces is very unlikely. So perhaps we can ease up on the disinfecting – The Conversation AND Coronavirus is in the air — there’s too much focus on surfaces – Nature AND COVID-19 rarely spreads through surfaces. So why are we still deep cleaning? – Nature
Leadership Essentials for CHEST Medicine Professionals: Models, Attributes, and Styles
6 Apr, 2021 | 01:10h | UTCLeadership Essentials for CHEST Medicine Professionals: Models, Attributes, and Styles – CHEST
Commentary and Summary: Leadership 101 – Commitments, Character, Competencies – Journal Feed
CDC Report: Community Transmission of SARS-CoV-2 Associated with a Local Bar Opening Event
6 Apr, 2021 | 01:29h | UTCCommentaries: Illinois bar opening event linked to 46 Covid-19 cases, a school closure and hospitalization, CDC report says – CNN AND Bar opening linked to 29 COVID-19 diagnoses among staff and patrons, 17 more across the community affecting school, nursing home – Science Speaks: Global ID News AND 46 COVID-19 cases linked to one indoor bar event in rural Illinois: CDC – The Hill
Related: Why indoor spaces are still prime COVID hotspots – Nature
How your doctor describes your medical condition can encourage you to say ‘yes’ to surgery when there are other options
6 Apr, 2021 | 00:56h | UTC
Commentary on Twitter
?Just out in @JOSPT
Labels for rotator cuff disease influence management preferences
People told they had a rotator cuff tear had higher perceived need for shoulder surgery than those told they have bursitis
Thread below ?@msk_health @MaryOKeeffe007https://t.co/sLkvYJ77at
— Joshua Zadro (@zadro_josh) April 1, 2021
Probable airborne transmission of SARS-CoV-2 in a poorly ventilated restaurant
6 Apr, 2021 | 01:27h | UTCRelated: Why indoor spaces are still prime COVID hotspots – Nature
Commentary on Twitter (thread – click for more)
?AIRBORNE RESTAURANT TRANSMISSION—3 families—“No close contact or fomite contact identified, aside from back-to-back sitting—Airflow dynamics indicates the infection distribution is consistent with a spread of **long-range transmission of exhaled virus-laden aerosols**”. ? pic.twitter.com/kapgqumWnV
— Eric Feigl-Ding (@DrEricDing) April 5, 2021
Epidemiologic Evidence for Airborne Transmission of SARS-CoV-2 during Church Singing
6 Apr, 2021 | 01:26h | UTCRelated: Why indoor spaces are still prime COVID hotspots – Nature
Commentary on Twitter
Pretty interesting report of #Covid19 transmission during church services in Australia. Infected choir member appears to have transmitted to up to 12 church goers, some seated more than 15 meters from the choir loft. No masks. Yes, likely airborne. https://t.co/w5CKMsaKp9 pic.twitter.com/Wmi6jxOPox
— Helen Branswell (@HelenBranswell) April 5, 2021
Cohort Study: Selected patients with Covid-19 can be safely discharged on home oxygen, with low mortality and readmission rates
5 Apr, 2021 | 01:52h | UTCVideo: Home Oxygen Instructions for Discharged Patients With COVID-19
Commentaries: Covid-19: Ambulatory Management with Home Oxygen Results in Low Mortality, Low Readmissions – Physician’s Weekly AND Mortality, readmission low with COVID-19 discharge on home oxygen – HealthDay
Commentaries on Twitter
Is “HOME O2” safe in #COVID19? @JAMANetworkOpen
N=621 #COVID Pts D/Ced on O2 instead of being kept in hosp. 20% BMI>30, 33% HTN/DM. Only 1.2% 30-d Mort rate & only 8.5% returned for hosp admission. Safe is done right!https://t.co/clZAzEqWwy#medtwitter #CriticalCare #Nurse pic.twitter.com/EInhCdcN6f— WesElyMD (@WesElyMD) April 3, 2021
Cohort study finds #COVID19 patients discharged with home oxygen from the LA safety net public hospital system using an innovative program had similar outcomes to patients not requiring home oxygen. @BradSpellberg @LACUSCMedCenter https://t.co/kZrxVKHB5F
— JAMA Network Open (@JAMANetworkOpen) April 1, 2021
Why indoor spaces are still prime COVID hotspots
31 Mar, 2021 | 03:35h | UTCWhy indoor spaces are still prime COVID hotspots – Nature
Point-Counterpoint | Should healthcare providers receive treatment priority during a pandemic?
30 Mar, 2021 | 03:23h | UTCIntroducing Point-Counterpoint Perspectives in the Journal of Hospital Medicine
Counterpoint: Prioritizing Healthcare Workers for Scarce Critical Care Resources Is Impractical and Unjust – Journal of Hospital Medicine
COVID-19, Personal Protective Equipment, and Human Performance
30 Mar, 2021 | 03:14h | UTCCOVID-19, Personal Protective Equipment, and Human Performance – Anesthesiology