Patient Safety & Quality
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 #Code Zwart (@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
Sir Liam Donaldson, pioneer of patient safety, & colleagues have published "Textbook of Patient Safety & Clinical Risk Management" (2021). It's open access & free. The content is outstanding, written by leading thinkers & practitioners globally: https://t.co/piHNwYNKOn TY @PIPSQC pic.twitter.com/vNvtttg8c1
— Helen Bevan ? (@helenbevan) December 27, 2020
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 ??? (@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
Randomized trial: In surgical patients at moderate or high risk of venous thromboembolism, pharmaco-thromboprophylaxis alone is as good as the combination of pharmaco-thromboprophylaxis and graduated compression stockings
16 Dec, 2020 | 10:00h | UTC
Study: Filtration efficiency of face masks used by the public during the COVID-19 pandemic are, in many cases, nearly equivalent to or better than their non-N95 respirator medical mask counterparts
17 Dec, 2020 | 08:43h | UTCEditorial: Filtration Efficiency of Face Masks Used by the Public During the COVID-19 Pandemic
Commentary on Twitter
Marked reassurance on the value of cloth masks.
A new @JAMAInternalMed assessment today https://t.co/bTrurKeG71 Attention to fit is key, such as aluminum nose bridge, ties, no beard, etc ?? @Phillip_Clapp @UNC_SOM pic.twitter.com/ZCMTT2OWXc— Eric Topol (@EricTopol) December 11, 2020
Healthcare workers 7 times as likely to have severe COVID-19 as other workers
11 Dec, 2020 | 09:29h | UTCCommentary: Healthcare workers 7 times as likely to have severe COVID-19 as other workers – BMJ
Commentary on Twitter
Of essential workers, who has the highest risk of severe #COVID19?
Healthcare workforce >7X.
Non-white >8X.https://t.co/ZBUJYccXlT (compared with non-essential workers)
A @uk_biobank study from >120,000 participants
[NB: current issue with link] pic.twitter.com/UZmIO69G4O— Eric Topol (@EricTopol) December 9, 2020
CDC releases new ventilation guidelines for indoor environments to reduce Covid-19 risk
9 Dec, 2020 | 08:23h | UTCCDC Releases New Ventilation Guidelines For Indoor Environments To Reduce Covid-19 Risk – Forbes
CDC Guideline: Ventilation
Related podcast: Air Handling Standards for Increasing the Safety of Indoor Spaces During the COVID-19 Pandemic – JAMA
FDA Safety Communication: Wear face masks with no metal during MRI exams
9 Dec, 2020 | 08:21h | UTCCommentary: Any mask containing metal could cause burns during an MRI, FDA warns – MedicalXpress
New CDC Guidance with 10 public health strategies to address high levels of community transmission of SARS-Cov-2, including universal use of face masks
7 Dec, 2020 | 01:10h | UTCCommentaries: Masks are critical to stopping coronavirus spread, even at home, CDC says – CNN AND CDC recommends ‘universal’ use of face masks to prevent COVID-19 spread – UPI
Commentary on Twitter
In most of the US, Covid transmission is at dangerously high levels. CDC released a new package of 10 key strategies needed to curb the spread, including universal masking and postponing travel. https://t.co/b0utHmygSI pic.twitter.com/HXjlo89WrR
— Dr. Tom Frieden (@DrTomFrieden) December 5, 2020
Study in Germany comparing regions with vs. without mask mandates concluded that 20 d after becoming mandatory, face masks reduced new Covid-19 infections by around 45%
7 Dec, 2020 | 00:46h | UTC
New WHO Guidance on masks for the public and health workers in the context of COVID-19
4 Dec, 2020 | 08:24h | UTCMask use in the context of COVID-19 – World Health Organization
Commentaries: WHO fine-tunes advice on COVID masks for public, health workers – Reuters AND WHO updates mask advice, recommending they be worn in indoor, poorly ventilated areas – CBC
Commentary on Twitter
.@WHO has tightened its guidance on face masks, recommending that where COVID-19 is spreading, masks be worn by everyone in healthcare settings, indoor low ventilated areas & outdoors when a distance of 3 ft from others cannot be maintained. #MaskUpAmerica https://t.co/dJUJ2syDMN
— IDSA (@IDSAInfo) December 3, 2020
Why the CDC changed its Covid-19 quarantine guidelines
4 Dec, 2020 | 08:18h | UTCWhy the CDC changed its Covid-19 quarantine guidelines – Vox
CDC Guideline: Duration of Isolation and Precautions for Adults with COVID-19 – Centers for Disease Control and Prevention
CDC to shorten COVID-19 quarantine to 10 days, 7 with test
3 Dec, 2020 | 08:40h | UTCCDC to shorten COVID-19 quarantine to 10 days, 7 with test – Associated Press
Commentary: CDC Shortens Its COVID-19 Quarantine Recommendations – NPR