Patient Safety & Quality
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
FDA Safety Communication: Biotin Supplements May Result in Falsely Low Troponin Results
10 Nov, 2019 | 13:43h | UTCCommentary: FDA Updates Warning on Biotin Interfering with Lab Results – NEJM Journal Watch (free)
“…the FDA is particularly concerned about biotin interference causing a falsely low result for troponin, a clinically important biomarker to aid in the diagnosis of heart attacks, which may lead to a missed diagnosis and potentially serious clinical implications. The FDA continues to receive adverse events reports indicating biotin interference caused falsely low troponin results.”
[Abstract Only] Study: Early Palliative Care Consultation May Positively Impact the Care of High Risk, Critically Ill Patients
6 Nov, 2019 | 08:31h | UTCEarly Palliative Care Consultation in the Medical ICU: A Cluster Randomized Crossover Trial – Critical Care Medicine (link to abstract – $ for full-text)
Source: EvidenceAlerts
Related Commentary on Twitter
Breaking @CritCareMed: High-quality RCT in 2 MICUs. Early triggered palliative consult -> more DNRs, more hospice use, fewer MV days & lower ICU cost, all w/o compromising LOS/mortality. https://t.co/kQpTcEgwwM
— Jonathan Yeh MD (@JonathanYehMD) October 15, 2019
Meta-Analysis: Mind-Body Therapies for Opioid-Treated Pain
6 Nov, 2019 | 08:10h | UTCMind-Body Therapies for Opioid-Treated Pain: A Systematic Review and Meta-analysis – JAMA Internal Medicine (free for a limited period)
Commentaries: Study highlights role of mind-body therapies in addressing opioid-treated pain – News Medical (free) AND Meditation, Mindfulness Hold Promise for Pain Treatment, Curbing Opioid Use – U.S. News (free)
Opinion – “The EMR has changed the doctor-patient duet into a ménage-à-trois”
4 Nov, 2019 | 01:08h | UTCThe EMR has changed the doctor-patient duet into a ménage-à-trois – STAT (free)
Related: How Tech Can Turn Doctors Into Clerical Workers – The New York Times Magazine (10 articles per month are free) AND Date Night with the EHR – NEJM Catalyst (free) AND Putting Patients First by Reducing Administrative Tasks in Health Care: A Position Paper of the American College of Physicians (free) AND Care-Centered Clinical Documentation in the Digital Environment: Solutions to Alleviate Burnout – National Academy of Medicine (free) AND To Combat Physician Burnout and Improve Care, Fix the Electronic Health Record – Harvard Business Review (a few articles per month are free)
Observational Study: Perioperative Disposable Jackets Not Associated with Reductions in Surgical Site Infections
3 Nov, 2019 | 20:03h | UTCAssociation of Disposable Perioperative Jackets With Surgical Site Infections in a Large Multicenter Health Care Organization – JAMA Surgery (free for a limited period)
Related Commentary on Twitter
Disposable perioperative jackets do not decrease the incidence of SSIs https://t.co/aLTeOT3CWL #NorthwellHealth #PlainviewOrthopaedics #NorthwellOrthopaedicInstitute pic.twitter.com/S58u9TYs1G
— JAMA Surgery (@JAMASurgery) October 23, 2019
New Enhanced Recovery After Surgery (ERAS) Guideline: Perioperative Care in Total Hip Replacement and Total Knee Replacement Surgery
1 Nov, 2019 | 10:43h | UTCRelated: Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (free articles)
Opinion: It’s Time to Talk About Physician Burnout and Moral Injury
30 Oct, 2019 | 08:12h | UTCIt’s time to talk about physician burnout and moral injury – The Lancet Psychiatry (free)
Related: Moral Injury and Burnout in Medicine: A Year of Lessons Learned (free Commentaries) AND Consensus Study – Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being (free)
[Abstract Only] Study: Discrimination, Abuse, Harassment, and Burnout in Surgical Residency Training
29 Oct, 2019 | 10:40h | UTCDiscrimination, Abuse, Harassment, and Burnout in Surgical Residency Training – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries: Women surgical residents suffer more mistreatment leading to burnout and suicidal thoughts – University of Northwestern (free) AND Harassment and Discrimination Are Leading to Burnout Among Female Doctors, Study Says – TIME (free)
Study Commentary: Better Strategies are Needed to Reduce Preventable Patient Harm in Healthcare
29 Oct, 2019 | 02:34h | UTCBetter strategies are needed to reduce preventable patient harm in healthcare – NIHR Signals (free)
Original Study: Meta-Analysis: Preventable Patient Harm Across Medical Care Settings (free)
Report: Safe Ambulatory Care, Strategies for Patient Safety and Risk Reduction
27 Oct, 2019 | 23:33h | UTCNews Release: ECRI Institute: Diagnostic Tests, Medication Pose Biggest Risks to Patients in Ambulatory Care (free)
Commentaries: ECRI Institute: Top 4 Biggest Risks in Ambulatory Care to Watch – HIT Consultant Media (free) AND Top 5 Patient Safety Risks in Ambulatory Care – Medscape (free registration required)
Perspective: What Causes us to Burnout at Work?
25 Oct, 2019 | 08:28h | UTCWhat causes us to burnout at work? – World Economic Forum (free)
Related: WHO Redefines Burnout As A ‘Syndrome’ Linked To Chronic Stress At Work (free)
Consensus Study – Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being
24 Oct, 2019 | 08:48h | UTCHomepage: Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being – National Academies of Medicine (free resources)
Full Report: Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being (free PDF – registration required)
Commentary: Improving the System to Support Clinician Well-being and Provide Better Patient Care – JAMA (free for a limited period)
Author Interview: Improving the System to Support Clinician Well-being and Provide Better Patient Care (free audio)
See also: Report Highlights | Key Messages | Report Recommendations | Press Release | Report Release Slides | Social Media Toolkit
Randomized Trial: Including the Family in Perioperative Care of Older Adults Can Reduce Postoperative Delirium
22 Oct, 2019 | 07:59h | UTCEffect of the Tailored, Family-Involved Hospital Elder Life Program on Postoperative Delirium and – Function in Older Adults: A Randomized Clinical Trial – JAMA Internal Medicine (free for a limited period)
Commentaries: Including the Family in Perioperative Care of Older Adults—A Call for HELP – JAMA Internal Medicine (free for a limited period) AND Family members can help reduce the incidence of post-operative delirium by up to 16.8% – News Medical (free)
Information Asymmetry: The Untapped Value of the Patient
18 Oct, 2019 | 08:13h | UTCInformation Asymmetry: The Untapped Value of the Patient – NEJM Catalyst (free)
Opinion – ‘Fear Of Falling’: How Hospitals Do Even More Harm By Keeping Patients In Bed
18 Oct, 2019 | 08:17h | UTC‘Fear Of Falling’: How Hospitals Do Even More Harm By Keeping Patients In Bed – Kaiser Health News (free)
Related: Mobility Programs for the Hospitalized Older Adult: A Scoping Review – Gerontology and Geriatric Medicine (free)