Patient Safety & Quality
[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
Adapting Lean Methods to Facilitate Stakeholder Engagement and Co-design in Healthcare
29 Jan, 2020 | 08:06h | UTCAdapting Lean methods to facilitate stakeholder engagement and co-design in healthcare – The BMJ (free)
See also: Full BMJ Collection on Quality Improvement (free articles)
Related Commentary on Twitter
What is #Lean?@DrIainMSmith and colleagues argue that this #QualityImprovement approach drawn from industry can go beyond traditional concepts of value and deliver improvements in health care services.
Read our new #QI series article in @bmj_latest: https://t.co/xsKBHTUksP pic.twitter.com/MvOEXQp304
— Health Foundation (@HealthFdn) January 28, 2020
Systematic Review: Telehealth Interventions to Improve Obstetric and Gynecologic Health Outcomes
26 Jan, 2020 | 22:40h | UTC
Effects of Lean Healthcare on Patient Flow: A Systematic Review
24 Jan, 2020 | 08:04h | UTCEffects of Lean Healthcare on Patient Flow: A Systematic Review – Value in Health (free)
Related: ‘Lean’ Adoption at Public Hospitals has Improved Finances and Efficiency, Reports Survey (link to abstract and commentary)
WHO Recommendations: Non-clinical Interventions to Reduce Unnecessary Cesarean Sections
23 Jan, 2020 | 09:51h | UTC
Managing Clinical Uncertainty: A Teachable Moment
22 Jan, 2020 | 09:33h | UTCManaging Clinical Uncertainty: A Teachable Moment – JAMA Internal Medicine (free for a limited period)
Review: Enhancing Recovery in Pediatric Major Abdominal Surgery
22 Jan, 2020 | 09:26h | UTCRelated Reviews: Review of the enhanced recovery pathway for children: perioperative anesthetic considerations – Canadian Journal of Anesthesia (free) AND Embracing change: the era for pediatric ERAS is here – Pediatric Surgery International (free) AND Preparing Enhanced Recovery After Surgery for implementation in pediatric populations – Journal of Pediatric Surgery (free)
Perspective: Telemedicine, eConsults, and Other Remote ID Clinical Services Make So Much Sense — Why Isn’t Everyone Doing it?
22 Jan, 2020 | 09:12h | UTC
Document to Defeat Malpractice Suits: 10 Tips for Hospitalists
21 Jan, 2020 | 03:08h | UTC
American College of Radiology Releases New and Updated ACR Appropriateness Criteria
15 Jan, 2020 | 08:12h | UTCNews Release: American College of Radiology Releases New and Updated ACR Appropriateness Criteria (free)
See the complete list of ACR Appropriateness Criteria topics and ratings tables (free)
[Abstract Only] Study: Physician Time Spent Using the Electronic Health Record During Outpatient Encounters
15 Jan, 2020 | 08:05h | UTCPhysician Time Spent Using the Electronic Health Record During Outpatient Encounters: A Descriptive Study – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Doctors average 16 minutes on the computer for every patient – Reuters (free) AND How Doctors May Be Spending More Time With Electronic Health Records Than Patients – Forbes (free)
Related: Opinion – “The EMR has changed the doctor-patient duet into a ménage-à-trois” (free resources on the subject)