Patient Safety & Quality
Study: Evaluation of a Common Prescribing Cascade of Calcium Channel Blockers and Diuretics in Older Adults with Hypertension
25 Feb, 2020 | 06:42h | UTCEvaluation of a Common Prescribing Cascade of Calcium Channel Blockers and Diuretics in Older Adults With Hypertension – JAMA Internal Medicine (free for a limited period)
Commentary: Antihypertensive Prescribing Cascades as High-Priority Targets for Deprescribing – JAMA Internal Medicine (free for a limited period)
Related Commentary on Twitter
Prescribing cascades occur when a second medicine is prescribed to counteract the effects of the first medicine. This @JAMAInternalMed article is the strongest empiric evidence I have seen that these cascades are very real #geriatrics https://t.co/KmJ2nhLlXM
— Ken Covinsky (@geri_doc) February 24, 2020
Clinical Update – Preventing Surgical Site Infections: Looking Beyond the Current Guidelines
23 Feb, 2020 | 22:21h | UTCPreventing Surgical Site Infections: Looking Beyond the Current Guidelines – JAMA (free for a limited period)
Related Guidelines: Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017 – JAMA Surgery (free) AND Global guidelines on the prevention of surgical site infection – World Health Organization (free) AND Surgical site infections: prevention and treatment – National Institute for Health and Care Excellence (free) AND APSIC guidelines for the prevention of surgical site infections – Antimicrobial Resistance & Infection Control (free) AND Intraoperative surgical site infection control and prevention: a position paper and future addendum to WSES intra-abdominal infections guidelines – World Journal of Emergency Surgery (free)
[Abstract Only] Observational Study: Use of Enhanced Recovery After Surgery Protocols Linked to Reduced Postoperative Complications in Total Hip and Knee Arthroplasty
23 Feb, 2020 | 21:20h | UTCAssociation Between Use of Enhanced Recovery After Surgery Protocol and Postoperative Complications in Total Hip and Knee Arthroplasty in the Postoperative Outcomes Within Enhanced Recovery After Surgery Protocol in Elective Total Hip and Knee Arthroplasty Study (POWER2) – JAMA Surgery (link to abstract – $ for full-text)
Commentary: Following ERAS Protocol Associated With Better Outcomes After Hip, Knee Surgery – Reuters / Medscape (free registration required)
Related: Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations – Acta Orthopaedica (free) AND Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (free articles)
Related Commentary on Twitter
An increase in adherence to the ERAS program was associated with a decrease in postoperative complications, although only a few ERAS items were individually associated with improved outcomes https://t.co/aLq4QTnq0K
— JAMA Surgery (@JAMASurgery) February 12, 2020
Perspective: Should the First Rule of Medicine Be Not “Do No Harm” but Rather “Be Kind”?
21 Feb, 2020 | 08:36h | UTCShould the first rule of medicine be not “Do no harm” but rather “Be kind”? – The BMJ Opinion (free)
Related Commentary on Twitter
Should the first rule of medicine be not “Do no harm” but rather “Be kind”? @Richard56 contemplates the importance of kindness and compassion https://t.co/BlTz09CGgd
— The BMJ (@bmj_latest) February 19, 2020
Perspective: How Common Mental Shortcuts Can Cause Major Physician Errors
21 Feb, 2020 | 07:30h | UTCHow Common Mental Shortcuts Can Cause Major Physician Errors – The New York Times (10 articles per month are free)
Related Study: Behavioral Heuristics in Coronary-Artery Bypass Graft Surgery – New England Journal of Medicine ($)
[Abstract Only] Cluster-Randomized Trial: Contact Isolation vs. Standard Precautions to Decrease Acquisition of Extended-spectrum β-lactamase-producing Enterobacterales in Non-critical Care Wards
21 Feb, 2020 | 07:26h | UTCContact isolation versus standard precautions to decrease acquisition of extended-spectrum β-lactamase-producing Enterobacterales in non-critical care wards: a cluster-randomised crossover trial – The Lancet Infectious Diseases (link to abstract – $ for full-text)
Related Commentary on Twitter
Just published: Contact isolation versus standard precautions to decrease acquisition of extended-spectrum β-lactamase-producing Enterobacterales in non-critical care wards: a cluster-randomised crossover trial https://t.co/ybK5EGb4cw #ESBL
— The Lancet Infectious Diseases (@TheLancetInfDis) February 20, 2020
Editorial – Identifying Adverse Events: Reflections on an Imperfect Gold Standard After 20 Years of Patient Safety Research
20 Feb, 2020 | 08:12h | UTC
Related Commentary on Twitter
https://twitter.com/BenMazer/status/1230105728049930240
Opinion: “Without Oversight, Electronic Prescribing Can Harm Patients”
19 Feb, 2020 | 08:25h | UTCWithout oversight, electronic prescribing can harm patients – STAT (free)
Podcast – Things we Do for No Reason Episode 3: Potassium, Oxygen, and Antipsychotics
18 Feb, 2020 | 08:20h | UTC#195 TWDFNR 3: Potassium, Oxygen, and Antipsychotics – The Curbsiders Internal Medicine Podcast (free)
Related Podcasts: #109: Things We Do For No Reason: A High Value Episode (free) AND #165 Things We Do For No Reason™ Part 2 (free)
See also: Choosing Wisely: Things We Do For No Reason – Journal of Hospital Medicine (free articles)
Humanizing Intensive Care: Toward a Human-Centered Care ICU Model
18 Feb, 2020 | 08:09h | UTCHumanizing Intensive Care: Toward a Human-Centered Care ICU Model – Critical Care Medicine (free)
Source: Critical Care Reviews
[Abstract Only] Randomized Trial: Accelerated Surgery (median time = 6 hours) Does Not Improve Outcomes vs. Standard Care (median time = 24 hours) in Hip Fracture
14 Feb, 2020 | 02:10h | UTCAccelerated surgery versus standard care in hip fracture (HIP ATTACK): an international, randomised, controlled trial – The Lancet (link to abstract – $ for full-text)
Commentary: Hip fracture: accelerated surgery fails to cut mortality or major complications in HIP ATTACK trial – Univadis (free registration required)
Position Paper: Intraoperative Surgical Site Infection Control and Prevention
13 Feb, 2020 | 08:07h | UTCRelated: Guidelines for the Prevention of Surgical Site Infections (free guidelines on the subject)
Virtual Care: Recommendations for Scaling up Virtual Medical Services
12 Feb, 2020 | 07:32h | UTCVirtual care: Recommendations for Scaling up Virtual Medical Services – Canadian Medical Association (free PDF)
News Release: New report: a roadmap to improve virtual care in Canada – Canadian Medical Association (free)
Randomized Trial: Palliative Care Associated with Benefits Among Patients with Parkinson Disease
12 Feb, 2020 | 07:18h | UTCEditorial: Palliative Programs for Persons With Parkinsonism—The Next Frontier (free for a limited period)
Commentaries: Palliative Care Improves Quality of Life, Symptom Burden of Patients With Parkinson Disease – AJMC (free) AND Palliative care could benefit people with Parkinson’s – OnMedica (free)
A Successful but Underused Strategy for Reducing Low-Value Care: Stop Paying for It
11 Feb, 2020 | 02:20h | UTCEditor’s Note: A Successful but Underused Strategy for Reducing Low-Value Care: Stop Paying for It – JAMA Internal Medicine (free for a limited period)
Original Study: Comparison of Payment Changes and Choosing Wisely Recommendations for Use of Low-Value Laboratory Tests in the United States and Canada – JAMA Internal Medicine (free for a limited period)
Perspective: Working with Patients to Improve Care
11 Feb, 2020 | 01:56h | UTCWorking with patients to improve care – Canadian Medical Association Journal (free)
De-implementing Wisely: Developing the Evidence Base to Reduce Low-value Care
9 Feb, 2020 | 20:49h | UTCDe-implementing wisely: developing the evidence base to reduce low-value care – BMJ Quality & Safety (free) (via @brhospitalist)
Beyond Burnout: Docs Decry ‘Moral Injury’ From Financial Pressures of Health Care
6 Feb, 2020 | 02:04h | UTCRelated: Moral Injury and Burnout in Medicine: A Year of Lessons Learned (free Commentaries) AND It’s time to talk about physician burnout and moral injury – The Lancet Psychiatry (free)
Guideline: Enhanced Recovery After Lung Surgery
4 Feb, 2020 | 08:00h | UTCRelated: Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS®) Society and the European Society of Thoracic Surgeons (ESTS) – European Journal of Cardio-Thoracic Surgery (free) AND Enhanced recovery programs in lung cancer surgery: systematic review and meta-analysis of randomized controlled trials – Cancer Management and Research (free)
See also other Enhanced Recovery After Surgery (ERAS) Guidelines (free)
2019 Update on Pediatric Medical Overuse
4 Feb, 2020 | 07:53h | UTC2019 Update on Pediatric Medical Overuse: A Systematic Review – JAMA Pediatrics (free for a limited period)
Viewpoint: Clarifying the Language of Clinician Distress
2 Feb, 2020 | 20:03h | UTCClarifying the Language of Clinician Distress – JAMA (free for a limited period)
Perspective: CPR, by Default
2 Feb, 2020 | 19:45h | UTCCPR, by Default – The New York Times (10 articles per month are free)
Review: Malpractice Liability and Health Care Quality
30 Jan, 2020 | 07:28h | UTCMalpractice Liability and Health Care Quality: A Review – JAMA (free for a limited period)
Editorial: Malpractice Liability and Quality of Care: Clear Answer, Remaining Questions – JAMA (free for a limited period)
Commentary: Malpractice-Avoidance Strategies Apparently Aren’t Improving Care Quality – NEJM Journal Watch (free)
Perspective: How Hospitals Can Protect Themselves from Cyber Attack
30 Jan, 2020 | 07:23h | UTCHow hospitals can protect themselves from cyber attack – Canadian Medical Association Journal (free)
Eliminating Medication Overload: A National Action Plan
29 Jan, 2020 | 08:28h | UTCEliminating Medication Overload: A National Action Plan – Lown Institute (free PDF)
Press Release: Millions of Older Americans Harmed by Too Many Medications – Lown Institute (free)
Commentary: ‘Small’ tactics to counter Big Pharma’s influence on medication overload – STAT (free)
Related: Reducing Inappropriate Medication Use & Polypharmacy (several articles and commentaries on the subject)
Related Commentary on Twitter
After a year of collaboration and hard work, our comprehensive action plan to eliminate medication overload is published! Find out how you can help reduce harm from multiple #medication use here: https://t.co/pHjKbpVsIY
— Lown Institute (@lowninstitute) January 28, 2020