Patient Safety & Quality
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
— The 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)
[Abstract Only] Study: Hospital Mergers and Acquisitions Not Associated with Improved Quality of Care
15 Jan, 2020 | 08:00h | UTCChanges in Quality of Care after Hospital Mergers and Acquisitions – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries: Hospital mergers don’t improve readmissions, mortality or experience, study – Modern Healthcare (free) AND Patient satisfaction may decline after hospital acquisition – Reuters (free)
Meta-Analysis: Enhanced Recovery After Surgery (ERAS) Reduces Hospital Costs and Improve Clinical Outcomes in Liver Surgery
15 Jan, 2020 | 07:57h | UTCRelated: Guidelines for Perioperative Care for Liver Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations – World Journal of Surgery (free)
Related: Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (free articles)
Meta-Analysis: The Application of Enhanced Recovery After Surgery for Upper Gastrointestinal Surgery
15 Jan, 2020 | 07:56h | UTCRelated: Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (free articles)
Systematic Review: Patient Safety in Inpatient Mental Health Settings
14 Jan, 2020 | 00:18h | UTCPatient safety in inpatient mental health settings: a systematic review – BMJ Open (free)
Study: Association of Registered Nurse and Nursing Support Staffing with Inpatient Hospital Mortality
12 Jan, 2020 | 21:05h | UTCAssociation of registered nurse and nursing support staffing with inpatient hospital mortality – BMJ Quality & Safety (free) (via @brhospitalist)
Editorial: Nurses matter: more evidence (free)
Observational Study: Implementation of a Hospital-Based Palliative Care Program Linked to Reduced Use of Intensive Care During Terminal Hospitalizations
12 Jan, 2020 | 20:55h | UTC
5 Practices to Foster Physician Presence and Connection with Patients in the Clinical Encounter
9 Jan, 2020 | 01:26h | UTCPractices to Foster Physician Presence and Connection With Patients in the Clinical Encounter – JAMA (free for a limited period)
Editorials: Can an Evidence-Based Approach Improve the Patient-Physician Relationship? (free for a limited period) AND Connecting With Patients—The Missing Links (free for a limited period)
Author Interview: Practices to Foster Physician Presence and Connection with Patients in the Clinical Encounter (free)
Video: Connecting With Patients in Medicine (free)
[Abstract Only] Health Care Hotspotting — A Randomized, Controlled Trial
9 Jan, 2020 | 01:24h | UTCHealth Care Hotspotting — A Randomized, Controlled Trial – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries: Reduce Health Costs By Nurturing The Sickest? A Much-Touted Idea Disappoints – Kaiser Health News (free) AND Did a high-profile program really slash hospital spending? Or was it a cautionary tale of ‘regression to the mean’? – STAT (free)
Randomized Trial: Effectiveness of Virtual vs In-Person Inhaler Education for Hospitalized Patients With Obstructive Lung Disease
9 Jan, 2020 | 01:22h | UTCCommentary: Virtual instruction for inhaler technique nearly as effective as in-person instruction, study finds – ACP Hospitalist (free)
Opinion: Doctors, Nurses and the Paperwork Crisis That Could Unite Them
8 Jan, 2020 | 22:21h | UTCDoctors, Nurses and the Paperwork Crisis That Could Unite Them – The New York Times (10 articles per month are free)
Related: Opinion – “The EMR has changed the doctor-patient duet into a ménage-à-trois” (free resources on the subject)
Editorial: The Harms of Promoting ‘Zero Harm’
8 Jan, 2020 | 01:07h | UTCThe harms of promoting ‘Zero Harm’ – BMJ Quality & Safety (free for a limited period) (via @brhospitalist)
Related Viewpoint: Managing risk in hazardous conditions: improvisation is not enough – BMJ Quality & Safety (free)
Perspective: Artificial Intelligence Is Rushing into Patient Care – And Could Raise Risks
7 Jan, 2020 | 01:44h | UTCArtificial Intelligence Is Rushing Into Patient Care – And Could Raise Risks – Scientific American (a few articles per month are free)
“AI systems are not as rigorously tested as other medical devices, and have already made serious mistakes.”
How One Medical Checkup Can Snowball Into a ‘Cascade’ of Tests, Causing More Harm than Good
6 Jan, 2020 | 23:26h | UTCRelated: Study: Cascades of Care After Incidental Findings (free study and commentaries) AND Umbrella Review: Prevalence and Outcomes of Incidental Imaging Findings (free study and commentary) AND Study: Prevalence and Cost of Care Cascades After Low-Value Preoperative Electrocardiogram for Cataract Surgery (link to abstract, commentary and other studies)
Treatment Decisions for a Future Self: Ethical Obligations to Guide Truly Informed Choices
6 Jan, 2020 | 23:14h | UTCTreatment Decisions for a Future Self: Ethical Obligations to Guide Truly Informed Choices – JAMA (free for a limited period)
Author Interview: Treatment Decisions for a Future Self (free audio)
Consensus Statement on Fasting Before Procedural Sedation in Adults and Children
5 Dec, 2019 | 11:31h | UTCSee also (preoperative fasting guidelines): Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration (free) AND Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology (free) AND Clear fluids fasting for elective paediatric anaesthesia: The European Society of Anaesthesiology consensus statement – European Journal of Anaesthesiology (free) AND Canadian Pediatric Anesthesia Society statement on clear fluid fasting for elective pediatric anesthesia – Canadian Journal of Anesthesia (free)
Related Commentary on Twitter
🔐We are delighted to publish the first fasting and aspiration prevention recommendations specific to procedural sedation!
Join us for tonight's TweetChat at 7pm GMT!@SteveGreenMD @mgirwin @gandolfattoNV @LucyOsoyoos @RobackMark @dougcarlson1
🔗https://t.co/dTBLoCMU0A pic.twitter.com/XTDN98Fy9g
— 𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 (@Anaes_Journal) December 3, 2019