Patient Safety & Quality | Page 2 of 52 | Links Medicus Content Curation & Alerts in Medicine

1/ @yourICM's highlights:

🔹OPEN ACCESS~ Health systems approach to #CriticalCare delivery in low-resource settings👉 https://t.co/W7d3q7UP1D
🔹OPEN ACCESS~ #ICU #Sepsis-associated #AKI👉 https://t.co/gLCXjcH2ah
🔹Myocarditis: a primer for intensivists👉 https://t.co/UUga5lYX0q pic.twitter.com/tB8am5zEny

— ESICM (@ESICM) July 14, 2023

Consensus Paper | Implementing strategies to prevent infections in acute-care settings

14 Jul, 2023 | 13:03h | UTC

Implementing strategies to prevent infections in acute-care settings – Infection Control & Hospital Epidemiology

News Release: New guidance for infection prevention in acute care settings – Society for Healthcare Epidemiology of America

Consensus Paper | Strategies to prevent surgical site infections in acute-care hospitals

Consensus Paper | Strategies to prevent Clostridioides difficile infections in acute-care hospitals

SHEA/IDSA/APIC Practice Recommendation: Strategies to prevent healthcare-associated infections through hand hygiene: 2022 Update – Infection Control & Hospital Epidemiology

SHEA statement on antibiotic stewardship in hospitals during public health emergencies – Infection Control & Hospital Epidemiology

Strategies to prevent ventilator-associated pneumonia, ventilator-associated events, and nonventilator hospital-acquired pneumonia in acute-care hospitals: 2022 Update – Infection Control & Hospital Epidemiology

Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update – Infection Control & Hospital Epidemiology

Quality Improvement Study | Improved asymptomatic bacteriuria management by reduction of unnecessary urine culture requests

14 Jul, 2023 | 12:54h | UTC

A Statewide Quality Initiative to Reduce Unnecessary Antibiotic Treatment of Asymptomatic Bacteriuria – JAMA Internal Medicine

Study: Hospital Intervention Resulted in a 45% Reduction in the Urine Cultures Ordered

Optimal Urine Culture Diagnostic Stewardship Practice—Results from an Expert Modified-Delphi Procedure – Clinical Infectious Diseases

USPSTF Recommendation Statement: Screening for Asymptomatic Bacteriuria in Adults

Cohort Study: Antibiotic Treatment of Asymptomatic Bacteriuria in Hospitalized Patients is Common, and May be Associated with Longer Duration of Hospitalization

Inappropriate Management of Asymptomatic Patients With Positive Urine Cultures: A Systematic Review and Meta-analysis – Open Forum Infectious Diseases

IDSA Guideline for the Management of Asymptomatic Bacteriuria

Commentary on Twitter

🔥🔥🔥Powerful message from our new study in @JAMAInternalMed: diagnostic stewardship (better use of diagnostic tests) was responsible for ALL the⬇️in unnecessary antibiotic use for ASB. ➕results🟰💪nudge to action. Time to👀👀upstream to improve care! https://t.co/yO4UpA6ZKK pic.twitter.com/hXZGvNmVJP

— Valerie Vaughn (@ValerieVaughnMD) July 11, 2023

AHA Policy Statement | Value-based payment for clinicians treating cardiovascular disease

13 Jul, 2023 | 13:13h | UTC

Value-Based Payment for Clinicians Treating Cardiovascular Disease: A Policy Statement From the American Heart Association – Circulation

News Release: Policy guidance offers strategies to shift to value-based health care and payment – American Heart Association

Commentary: AHA Reviews Value-Based Payment Systems and Proposes Next Steps – TCTMD

RCT| Exercise during hemodialysis improves physical function in chronic kidney failure patients

13 Jul, 2023 | 13:01h | UTC

Exercise during Hemodialysis in Patients with Chronic Kidney Failure – NEJM Evidence

Practice Guidance | Six steps to better care for older people in acute hospitals

12 Jul, 2023 | 14:00h | UTC

Six steps to better care for older people in acute hospitals – British Geriatrics Society

News Release: New guidance outlines ‘Six steps to better care for older people in hospital’ – British Geriatrics Society

Intervention Study | Pharmacist review may reduce antibiotic overuse at discharge

12 Jul, 2023 | 13:37h | UTC

Improving antibiotic utilization through an outpatient stewardship initiative – Antimicrobial Stewardship & Healthcare Epidemiology

Commentary: Pharmacist review identifies improper antibiotic prescriptions – CIDRAP

Recommendations on the structure, personal, and organization of intensive care units

11 Jul, 2023 | 13:56h | UTC

Recommendations on the structure, personal, and organization of intensive care units – Frontiers in Medicine

News Release: German recommendations on the structure of intensive care units published internationally – Deutsche Interdisziplinäre Vereinigung für Intensiv

Review | Human-centered visualization technologies for patient monitoring are the future

11 Jul, 2023 | 13:34h | UTC

Human-centered visualization technologies for patient monitoring are the future: a narrative review – Critical Care

Practice Recommendation | Strategies to prevent MRSA transmission and infection in hospitals

10 Jul, 2023 | 14:02h | UTC

SHEA/IDSA/APIC Practice Recommendation: Strategies to prevent methicillin-resistant Staphylococcus aureus transmission and infection in acute-care hospitals: 2022 Update – Infection Control & Hospital Epidemiology

News Release: Updated guidance shows how hospitals should protect patients from resistant infections – Society for Healthcare Epidemiology of America

Commentary: New guidelines recommend antibiotic stewardship for preventing MRSA – CIDRAP

RCT | Personalized eHealth program hastens return to normal activity post major abdominal surgery

7 Jul, 2023 | 16:20h | UTC

Personalised electronic health programme for recovery after major abdominal surgery: a multicentre, single-blind, randomised, placebo-controlled trial – The Lancet Digital Health

Invited Commentary: Individualising the recovery process through eHealth – The Lancet Digital Health

News Release: eHealth app helps patients recover from major abdominal operations 30% faster – Amsterdam University Medical Centers/News Medical

Cohort Study | Increased revision rates seen in shoulder replacement surgeries by surgeons with less than 10 procedures annually

27 Jun, 2023 | 13:48h | UTC

Summary: This prospective cohort study investigated the correlation between surgeon volume and patient outcomes after elective shoulder replacement surgeries. Utilizing data from 39,281 procedures performed by 638 surgeons in UK public and private hospitals between 2012-20, the study focuses on adults aged 18 years or older.

The results indicate a significant connection between a surgeon’s mean annual volume and risk of adverse patient outcomes. Surgeons performing fewer than 10.4 procedures per year demonstrated a significantly increased risk of revision surgery, with the hazard ratio being almost twice as high as that of the lowest risk surgeons. Higher mean annual surgical volume correlated with lower risks of reoperations, fewer serious adverse events, and shorter hospital stays.

These findings suggest the need for strategic resource planning in surgical services, with considerations given to surgeon’s annual procedure volume to improve patient outcomes after shoulder replacement surgery. It should be noted that the study was limited in scope to surgeries performed within the NHS and private hospitals in England. Furthermore, potential confounding factors like patients’ social circumstances, carer availability, or body mass index were not considered.

Article: Association between surgeon volume and patient outcomes after elective shoulder replacement surgery using data from the National Joint Registry and Hospital Episode Statistics for England: population based cohort study – The BMJ

Editorial: Surgeon volume and patient outcomes in shoulder replacement surgery – The BMJ

News Release: Patients do better when surgeon averages 10 + annual shoulder ops – BMJ Newsroom

WHO Report | Water, sanitation, hygiene, waste and electricity services in health care facilities

23 Jun, 2023 | 13:41h | UTC

Water, sanitation, hygiene, waste and electricity services in health care facilities: progress on the fundamentals – World Health Organization

News Release: Frontline health facilities faltering without water, sanitation, hygiene and electricity – WHO, UNICEF new report – World Health Organization

Commentary on Twitter (thread – click for more)

Better access to water, sanitation, hygiene & waste services in health facilities improve quality care and help prevent millions of deaths annually.

New WHO & @UNICEF Global Progress Report 2023 outlines how:
➡️ https://t.co/moyBs6yibC pic.twitter.com/Rv0P8DjzjA

— World Health Organization (WHO) (@WHO) June 13, 2023

Choosing Wisely | Recommendations for advance care planning

22 Jun, 2023 | 15:18h | UTC

Choosing Wisely: Canadian Neurological Society Recommendations for Advance Care Planning – Canadian Journal of Neurological Sciences

See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada

Qualitative Study | International perspectives on modifications to the surgical safety checklist

21 Jun, 2023 | 13:36h | UTC

International Perspectives on Modifications to the Surgical Safety Checklist – JAMA Network Open

Invited Commentary: Modifications of the World Health Organization’s Surgical Safety Checklist—Ways Forward to Ensure Sustainable Implementation – JAMA Network Open

Commentary on Twitter

Qualitative study: >10 years after the surgical safety checklist was developed, systems should consider checklist modification to improve safety, teamwork & buy-in. https://t.co/5xisRqzWkf @N8turl3y @MaryEBrindle @ucalgarymed @ariadnelabs

— JAMA Network Open (@JAMANetworkOpen) June 7, 2023

An integrative review on the acceptance of artificial intelligence among healthcare professionals in hospitals

16 Jun, 2023 | 13:46h | UTC

An integrative review on the acceptance of artificial intelligence among healthcare professionals in hospitals – npj Digital Medicine

AAP standards for levels of neonatal care: II, III, and IV

14 Jun, 2023 | 14:35h | UTC

Standards for Levels of Neonatal Care: II, III, and IV – Pediatrics

News Release: AAP sets national standards for levels of neonatal care – AAP News

Commentary: National Standards Developed for Neonatal Care – HealthDay

Review | Reducing the carbon footprint and resource use of critical care

7 Jun, 2023 | 14:07h | UTC

Towards net zero: critical care – The BMJ (free for a limited period)

Commentary on Twitter

ICUs are a considerable contributor to the carbon footprint of hospitals.

This article and #BMJInfographic present ways to reduce wastehttps://t.co/F2DPQcFnCy pic.twitter.com/bHwu9YZEgo

— The BMJ (@bmj_latest) June 3, 2023