Patient Safety & Quality
Review: Nosocomial infection in the ICU setting
9 Feb, 2021 | 01:05h | UTCNosocomial Infection – Critical Care Medicine
Mitigating inequities and saving lives with ICU triage during the COVID-19 pandemic
9 Feb, 2021 | 01:29h | UTC
Telehealth’s critics have it right: The industry must evolve
9 Feb, 2021 | 00:46h | UTCTelehealth’s critics have it right: The industry must evolve – STAT
RCT: Day-of-surgery video calls and phone calls increase patient satisfaction with outpatient surgery experience
9 Feb, 2021 | 00:44h | UTCCommentary: Day-of-Surgery Post-op Talks with Patients Worth the Effort – OrthoBuzz
Survey: Prevalence of and factors associated with nurse burnout in the US
7 Feb, 2021 | 20:51h | UTCPrevalence of and Factors Associated With Nurse Burnout in the US – JAMA Network Open
Commentary: Nurse Burnout Remains an Issue in the United States – HealthDay
Commentary on Twitter
Survey finds over 30% of nurses who left their jobs in 2017 reported burnout; working in the hospital and over 40 hours per week increased the odds of leaving due to burnout. @mkali80 @emoryhealthcare https://t.co/R6TYPtANeZ
— JAMA Network Open (@JAMANetworkOpen) February 4, 2021
Telemedicine and team-based care: The perils and the promise
5 Feb, 2021 | 01:23h | UTCTelemedicine and Team-Based Care – Mayo Clinic Proceedings
Randomized trial: Chlorhexidine + alcohol better at prevention of short-term peripheral venous catheter infection compared to iodine + alcohol. Innovative devices were associated with less catheter failure
3 Feb, 2021 | 01:26h | UTC
Global variation in postoperative mortality and complications after cancer surgery: a multicenter, prospective cohort study in 82 countries
25 Jan, 2021 | 01:21h | UTCCommentary: Better post-surgical care would boost cancer survival chances – University of Birmingham
Commentary on Twitter (thread – Click for more)
https://twitter.com/ewenharrison/status/1352401851711418372
Cohort study: Tomographic radiation in patients who underwent appendectomy linked to increased risk of hematologic malignant neoplasms
22 Jan, 2021 | 08:25h | UTCRisk of Hematologic Malignant Neoplasms From Abdominopelvic Computed Tomographic Radiation in Patients Who Underwent Appendectomy – JAMA Surgery (free for a limited period)
Commentary: Optimizing the Gold Standard—Low-Dose Computed Tomography Modalities as a Part of Clinical Practice in Acute Appendicitis Imaging – JAMA Surgery (free for a limited period)
Author Interview: Risk of Hematologic Malignant Neoplasms From Abdominopelvic CT Radiation
Allocating scarce intensive care resources during the COVID-19 pandemic: practical challenges to theoretical frameworks
21 Jan, 2021 | 01:22h | UTC
Study: Crowded ICUs linked to increased mortality from COVID-19
20 Jan, 2021 | 01:53h | UTCCommentaries: Intensive Care Unit Strain and Mortality Risk Among Critically Ill Patients With COVID-19—There Is No “Me” in COVID – JAMA Network Open AND Crowded ICUs tied to higher risk of COVID-19 death – CIDRAP
Review: Polypharmacy management in older patients
19 Jan, 2021 | 01:26h | UTCPolypharmacy Management in Older Patients – Mayo Clinic Proceedings
Masks and face coverings for the lay public: A narrative update
13 Jan, 2021 | 02:23h | UTCMasks and Face Coverings for the Lay Public: A Narrative Update – Annals of Internal Medicine
Commentary on Twitter (thread – click for more)
Masks work.
A new and comprehensive update from @trishgreenhalgh
et al."Evidence that the virus can be airborne (and therefore be inhaled) and that masking policies, when effectively delivered, save lives is now strong."https://t.co/Tl9VrmPNlW pic.twitter.com/zfuV774jyN
— Laura McCall #NoMassInfection (@equibotanica) December 29, 2020
An evidence review of face masks against COVID-19
13 Jan, 2021 | 02:26h | UTCAn evidence review of face masks against COVID-19 – Proceedings of the National Academy of Sciences
Commentary on Twitter
https://mobile.twitter.com/jeremyphoward/status/1348771993949151232
ACP Policy Paper: A comprehensive policy framework to understand and address disparities and discrimination in health and health care
13 Jan, 2021 | 02:07h | UTCCommentary: ACP releases policy to address disparities, discrimination in health care – ACP Internist
Opinion: Even during a pandemic, hospitals must make family visits and communication the standard of care
12 Jan, 2021 | 01:58h | UTC
Randomized trial: Effectiveness of a nurse-led multidisciplinary intervention vs. usual care on advance care planning for vulnerable older adults
12 Jan, 2021 | 01:45h | UTCEditorial: Advance Care Planning and the Cost of Pragmatism (free for a limited period)
Commentary: Nurse Navigation Increases Advance Care Planning – Oncology Nursing News
Commentary on Twitter
End-of-Life Planning: JAMA
RCT of N=759 pts avg 78 y/o. Usual Care vs. Nurse-led Advance Care Planning (ACP) ⬆️ ACP documentation from 4% to 43%. Wow. As @AngeloVolandes says, “Just HAVE the CONVERSATION!”https://t.co/ISeh7y8hXW#medtwitter #meded #pallipulm #geriatrics pic.twitter.com/4Ae2QlETOl— WesElyMD (@WesElyMD) January 11, 2021
Randomized trial: Early interdisciplinary supportive care in patients with previously untreated metastatic esophagogastric cancer
12 Jan, 2021 | 01:36h | UTC
Commentaries on Twitter
RCT of early interdisciplinary supportive care (ESC) in metastatic esophagogastric cancer
ESC by oncologists, dietitians & psychologists
⬆️ chemo cycles from 4 to 5
⬆️ OS HR=0.68
➡️ PFS
↗️ QoL
To be considered in radiochemotherapy #radonchttps://t.co/G6WQS8ULCb— Matthias Guckenberger (@Mat_Guc) January 10, 2021
Impressive survival benefit for early integrated multidisciplinary nutritional and psychological support vs. standard of care in Phase III trial for metastatic esophagogastric cancers in @ASCO_pubs. Intervention 14.8 mo vs. SOC 11.9 mo. https://t.co/FWE6xlPH8v
— Michael Shusterman, MD (@guildsman) January 9, 2021
Open Access: Textbook of Patient Safety and Clinical Risk Management
10 Jan, 2021 | 20:34h | UTCTextbook of Patient Safety and Clinical Risk Management – Springer
Commentary on Twitter
https://twitter.com/helenbevan/status/1343127378650935298
Editorial – Two decades since “To Err Is Human”: Progress, but still a “chasm”
10 Jan, 2021 | 20:33h | UTCTwo Decades Since “To Err Is Human”: Progress, but Still a “Chasm” – JAMA
Author interview: To Err Is Human: 20 Years of Health Care Quality
Toward a bias-free and inclusive medical curriculum: Development and implementation of student-initiated guidelines and monitoring mechanisms at one institution
10 Jan, 2021 | 20:28h | UTC
Commentary on Twitter
Authors present an approach and resources from which other institutions can learn, with the goal of reducing #ImplicitBias and improving inclusiveness throughout #MedEd: https://t.co/d3LdImmU86. #inclusion @ColumbiaPS
— Academic Medicine (@AcadMedJournal) October 8, 2020
Systematic review: Effectiveness of hospital clowns for symptom management in pediatrics
10 Jan, 2021 | 20:24h | UTCCommentaries: Clowns may help children cope with the pain and anxiety of hospital treatment – The BMJ AND Clowns Make Hospitals Less Scary For Young Patients – Forbes AND Laughter As Medicine: Clowns Help Hospitalized Kids Cope – U.S News
Commentary on Twitter
As a gift 🎁 to children everywhere, a @bmj_latest study shows that sending in the clowns – in pediatric hospital settings – may reduce children's stress, fatigue, #pain, and distress during a range of medical procedures"
By @lopesjr_phd, @Naramata4 et al#bioethics #ChronicPain pic.twitter.com/hmnXRv3J8Q— Sandra Woods, CIPP/C; she/her (@SandraWoodsMtl) December 25, 2020
Meta-analysis: Effectiveness of bundle interventions on ICU delirium
10 Jan, 2021 | 20:16h | UTCEffectiveness of Bundle Interventions on ICU Delirium: A Meta-Analysis – Critical Care Medicine
Commentary: ICU bundles do not appear to improve delirium but may help other outcomes – ACP Hospitalist
Commentary on Twitter
Meta-Analysis incl 11 studies and 26,384 patients for bundle-interventions of delirium treatment showed no effects on delirum duration ( –1.42 d; 95% CI –3.06 to 0.22) or prevalence (risk ratio = 0.92; 95% CI, 0.68–1.24)https://t.co/PzZBGttOL8
— Peter Nydahl (@NydahlPeter) December 18, 2020
“Racial Bias in Pulse Oximetry Measurement”. In two large cohorts, Black patients had nearly three times the frequency of occult hypoxemia that was not detected by pulse oximetry as White patients
18 Dec, 2020 | 10:01h | UTCRacial Bias in Pulse Oximetry Measurement – New England Journal of Medicine
Commentary: Devices Used In COVID-19 Treatment Can Give Errors For Patients With Dark Skin – NPR
Commentary on Twitter (thread – click for more)
1/ Our research letter on racial bias in pulse oximetry measurement, out today in NEJM https://t.co/6dLuNGosxp pic.twitter.com/XXsfWfc5dv
— Michael Sjoding (@msjoding) December 17, 2020
Survey study: Sleep-related impairment among doctors linked to increased clinically significant medical errors
17 Dec, 2020 | 08:53h | UTCCommentaries: Lack of sleep tied to physician burnout, medical errors – MedicalXpress AND Poor Physician Sleep Associated with More Medical Errors – NEJM Journal Watch
Commentary on Twitter
Survey study: sleep-related impairment associated with higher burnout & lower professional fulfillment, as well as independent dose-response association with self-reported physician medical errors. @StanfordMed https://t.co/FPk4tYnDT1
— JAMA Network Open (@JAMANetworkOpen) December 9, 2020


