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Patient Safety & Quality

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

Compression stockings in addition to low-molecular-weight heparin to prevent venous thromboembolism in surgical inpatients requiring pharmacoprophylaxis: the GAPS non-inferiority RC – Health Technology Assessment

 

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 | UTC

Evaluation of Cloth Masks and Modified Procedure Masks as Personal Protective Equipment for the Public During the COVID-19 Pandemic – JAMA Internal Medicine

Editorial: Filtration Efficiency of Face Masks Used by the Public During the COVID-19 Pandemic

Commentary: Researchers Rank Various Mask Protection, Modifications Against COVID-19 – University of North Carolina School of Medicine

 

Commentary on Twitter

 

Healthcare workers 7 times as likely to have severe COVID-19 as other workers

11 Dec, 2020 | 09:29h | UTC

Occupation and risk of severe COVID-19: prospective cohort study of 120 075 UK Biobank participants – Occupational & Environmental Medicine

Commentary: Healthcare workers 7 times as likely to have severe COVID-19 as other workers – BMJ

 

Commentary on Twitter

 

CDC releases new ventilation guidelines for indoor environments to reduce Covid-19 risk

9 Dec, 2020 | 08:23h | UTC

CDC 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 | UTC

Wear Face Masks with No Metal During MRI Exams: FDA Safety Communication – U.S. Food & Drug Administration

Commentary: 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 | UTC

Summary of Guidance for Public Health Strategies to Address High Levels of Community Transmission of SARS-CoV-2 and Related Deaths, December 2020 – CDC Morbidity and Mortality Weekly Report

Commentaries: 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

 

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

Face masks considerably reduce COVID-19 cases in Germany – Proceedings of the National Academy of Sciences

 

New WHO Guidance on masks for the public and health workers in the context of COVID-19

4 Dec, 2020 | 08:24h | UTC

Mask 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

 

Why the CDC changed its Covid-19 quarantine guidelines

4 Dec, 2020 | 08:18h | UTC

Why 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 | UTC

CDC to shorten COVID-19 quarantine to 10 days, 7 with test – Associated Press

Commentary: CDC Shortens Its COVID-19 Quarantine Recommendations – NPR

 

Hospital-acquired SARS-CoV-2 infection: Lessons for public health

19 Nov, 2020 | 09:27h | UTC

Hospital-Acquired SARS-CoV-2 Infection: Lessons for Public Health – JAMA

 

Perspective: More people can access surgery. That’s great for them, awful for the planet

19 Nov, 2020 | 09:18h | UTC

More People Can Access Surgery. That’s Great For Them, Awful For The Planet – NPR

Original article: Climate change: challenges and opportunities to scale up surgical, obstetric, and anaesthesia care globally – The Lancet Planetary Health

Related: Effects of Surgery on A Warming Planet: Can Anesthesia Go Green? (commentaries and articles on the subject)

 

Perspective: The third surge is breaking health-care workers

16 Nov, 2020 | 01:46h | UTC

‘No One Is Listening to Us’. More people than ever are hospitalized with COVID-19. Health-care workers can’t go on like this. – The Atlantic

 

Commentary from the author (thread – click for more)

 

[Abstract Only] Study: An automated predictive model can identify hospitalized adults outside the ICU at risk for clinical deterioration for whom interventions by rapid-response teams could be implemented

13 Nov, 2020 | 09:16h | UTC

Automated Identification of Adults at Risk for In-Hospital Clinical Deterioration – New England Journal of Medicine (link to abstract – $ for full-text)

 

Covid-19: Reopening places such as restaurants, gyms, hotels, cafes, and religious organizations are predicted to cause the largest increase in infections

11 Nov, 2020 | 09:26h | UTC

Mobility network models of COVID-19 explain inequities and inform reopening – Nature

Commentaries: Restaurants and gyms were spring ‘superspreader’ sites. Occupancy limits could control Covid, new study predicts  – STAT AND How to stop restaurants from driving COVID infections – Nature AND Covid Superspreader Risk Is Linked to Restaurants, Gyms, Hotels – Bloomberg AND Covid-19 modeling study suggests which places may have highest risk of spread — but occupancy limits can help – CNN

 

Commentary on Twitter

 

Study: N95 masks with exhalation valves do not work

11 Nov, 2020 | 09:20h | UTC

Flow visualization of an N95 respirator with and without an exhalation valve using schlieren imaging and light scattering – Physics of Fluids

Commentary: N95 Masks With Exhalation Valves Don’t Slow The Spread Of Covid-19 – Forbes

 

Commentary on Twitter

 

Safe surgery: A cluster randomized trial showed that the implementation of control charts with feedback on indicators to surgical teams was associated with concomitant reductions in major adverse events in patients

9 Nov, 2020 | 01:23h | UTC

Effect of monitoring surgical outcomes using control charts to reduce major adverse events in patients: cluster randomised trial – The BMJ

 

[Abstract Only] Large randomized trial fails to show benefit from a multifactorial prevention strategy to prevent falls and fractures in older people

6 Nov, 2020 | 09:48h | UTC

Screening and Intervention to Prevent Falls and Fractures in Older People – New England Journal of Medicine (link to abstract – $ for full-text)

Commentary: No reduction in fractures seen in falls prevention programmes prescribed to older people – University of Warwick

Related study: A Randomized Trial of a Multifactorial Strategy to Prevent Serious Fall Injuries – New England Journal of Medicine

 

[Abstract Only] More than a third of older adults are prescribed potentially inappropriate drugs, study finds

6 Nov, 2020 | 09:42h | UTC

More than a third of older adults are prescribed potentially inappropriate drugs, study finds – Lown Institute

Original study: Potentially Inappropriate Medications Are Associated with Increased Healthcare Utilization and Costs – Journal of the American Geriatrics Society (link to abstract – $ for full-text)

 

Cohort study: Risk of hospital admission with Covid-19 in healthcare workers and their households

2 Nov, 2020 | 02:35h | UTC

Risk of hospital admission with coronavirus disease 2019 in healthcare workers and their households: nationwide linkage cohort study – The BMJ

Commentaries: High-risk COVID contact puts health workers, patients, families at risk – CIDRAP AND Health workers and their families account for 1 in 6 hospital COVID-19 cases – BMJ

 

Commentary on Twitter

 

Can covid-19 help us deal with the pandemic of defensive medicine?

2 Nov, 2020 | 02:28h | UTC

Can covid-19 help us deal with the pandemic of defensive medicine? – The BMJ Opinion

 

Clinical Decisions: Elective surgery during the Covid-19 pandemic

29 Oct, 2020 | 09:14h | UTC

Elective Surgery during the Covid-19 Pandemic – New England Journal of Medicine

 

Randomized trial: Validation of an enhanced recovery after surgery protocol in gynecologic surgery

29 Oct, 2020 | 09:07h | UTC

Validation of an enhanced recovery after surgery protocol in gynecologic surgery: an Italian randomized study – American Journal of Obstetrics & Gynecology

Related Systematic Review: Multicomponent hospital-led interventions to reduce hospital stay for older adults following elective surgery: a systematic review – Health Services and Delivery Research AND Summary: People leave hospital after surgery sooner if hospitals follow ‘enhanced recovery protocols’ – NIHR

See also: Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (free articles)

 

Commentary on Twitter

 

CDC Report on health care personnel hospitalized with COVID-19

28 Oct, 2020 | 09:17h | UTC

COVID-19–Associated Hospitalizations Among Health Care Personnel — COVID-NET, 13 States, March 1–May 31, 2020 – Centers for Disease Control and Prevention

Commentary: Nurses Make Up Most Hospitalized Coronavirus Health Care Workers, CDC Finds – U.S. News

 

Commentary on Twitter (thread – click for more)

 

Preventing the spread of SARS-CoV-2 with masks and other “low-tech” interventions

27 Oct, 2020 | 09:51h | UTC

Preventing the Spread of SARS-CoV-2 With Masks and Other “Low-tech” Interventions – JAMA

 

Commentary on Twitter

 

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