Patient Safety & Quality
[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
Meta-Analysis: Physician Depression Associated with Medical Errors
28 Nov, 2019 | 10:35h | UTCCommentary: Depression in Docs Leads to Medical Errors and Vice Versa – Medscape (free registration required)
Study: Association of the Work Schedules of Hospitalists with Patient Outcomes of Hospitalization
26 Nov, 2019 | 08:18h | UTCAssociation of the Work Schedules of Hospitalists with Patient Outcomes of Hospitalization – JAMA Internal Medicine (free for a limited period)
Author Interview: Association of the Work Schedules of Hospitalists With Patient Outcomes of Hospitalization (free audio)
Commentary: Hospitalist Schedules Allowing More Continuity of Care Linked to Better Patient Outcomes – NEJM Journal Watch (free)
Related Study: Inpatient Physician Continuity Associated with Speedier Patient Discharge (free study and commentary)
Related Commentary on Twitter
Do #hospitalist schedules matter?
This @JAMAInternalMed study suggests more continuous schedules in 7-day blocks is associated with better patient outcomeshttps://t.co/M27lvxlJEF
cc @PSanyalDey @sumantranji pic.twitter.com/1WDfzz2aLI
— Anil Makam (@AnilMakam) November 26, 2019
Perspective: A Cancer Care Approach Tailored to The Elderly May Have Better Results
26 Nov, 2019 | 08:09h | UTCA Cancer Care Approach Tailored to The Elderly May Have Better Results – NPR (free)
Related: Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Chemotherapy: ASCO Guideline for Geriatric Oncology – Journal of Clinical Oncology (free) AND International Society of Geriatric Oncology Consensus on Geriatric Assessment in Older Patients With Cancer – Journal of Clinical Oncology (free PDF) AND What Every Oncologist Should Know About Geriatric Assessment for Older Patients With Cancer: Young International Society of Geriatric Oncology Position Paper – Journal of Clinical Oncology (free) AND Geriatric Assessment-Guided Care Processes for Older Adults: A Delphi Consensus of Geriatric Oncology Experts – Journal of the National Comprehensive Cancer Network (free)
Study: A Digital Sepsis Alert is Associated with Improved Outcomes, Including Timely Antibiotics
22 Nov, 2019 | 08:33h | UTCCommentary: Digital monitoring system helps improve hospital care of sepsis patients – OnMedica (free) AND Sepsis digital alert ‘led to faster treatment with antibiotics’ – BBC (free)
Related Commentary on Twitter
Such a simple intervention! A digital #sepsis alert system implemented across 3 london hospitals was associated with a 24% lower odds of death, shorter hospital stay & more timely #antibiotic administration. https://t.co/tvgR2cdZ7x
— Shamez Ladhani (@ShamezLadhani) November 21, 2019
Study: Exposure to Tomographic Scans and Cancer Risks
22 Nov, 2019 | 08:30h | UTCExposure to Tomographic Scans and Cancer Risks – JNCI Cancer Spectrum (free)
Commentary: Radiation from CT scans associated with increased risk for cancer – Oxford University Press (free)
Related: Association of Exposure to Diagnostic Low-Dose Ionizing Radiation With Risk of Cancer Among Youths in South Korea – JAMA Network Open (free) AND Retrospective Cohort: Radiation Exposure From Pediatric CT Scans and Subsequent Cancer Risk (link to abstract and commentary)
CDC 2019 Core Elements of Hospital Antibiotic Stewardship
21 Nov, 2019 | 10:34h | UTCCDC Page: Core Elements of Hospital Antibiotic Stewardship Programs (free resources)
Commentary: CDC updates ‘core’ antibiotic stewardship elements for hospitals – CIDRAP (free)
This Week is World Antibiotic Awareness Week! – See Practical Resources
19 Nov, 2019 | 09:55h | UTC– Using Antibiotics Wisely in Primary Care – Choosing Wisely Canada (free)
– Using Antibiotics Wisely in Long-Term Care – Choosing Wisely Canada (free)
– Using Antibiotics Wisely in Hospitals – Choosing Wisely Canada (free)
– NICE Antimicrobial prescribing guidelines (resource covering many common conditions)
– NICE Summary of antimicrobial prescribing guidance – managing common infections (free PDF)
[Abstract Only] Study: Association Between Perceived Electronic Health Record Usability and Professional Burnout
18 Nov, 2019 | 00:31h | UTCThe Association Between Perceived Electronic Health Record Usability and Professional Burnout Among US Physicians – Mayo Clinic Proceedings (link to abstract – $ for full-text)
Commentaries: Physicians Give Their Electronic Medical Records Systems An “F” For Usability – MedicalResearch.com (free) AND Hard-to-Use EHRs Tied to Physician Burnout – NEJM Journal Watch (free)
Related: Opinion – “The EMR has changed the doctor-patient duet into a ménage-à-trois” (free resources on the subject)
Intensivist Burnout: Running on Empty?
18 Nov, 2019 | 00:26h | UTCIntensivist Burnout: Running on Empty? – CHEST (free)
Perspective: Hospital Administration Response to Physician Stress and Burnout
12 Nov, 2019 | 10:52h | UTCHospital administration response to physician stress and burnout – Journal of Hospital Practice (free)
Source: Hospital Medicine Virtual Journal Club