Patient Safety & Quality
[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 (@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)
[Abstract Only] Randomized Trial: Effect of Collaborative Dementia Care via Telephone and Internet on Quality of Life, Caregiver Well-being, and Health Care Use
16 Oct, 2019 | 10:22h | UTCEffect of Collaborative Dementia Care via Telephone and Internet on Quality of Life, Caregiver Well-being, and Health Care UseThe Care Ecosystem Randomized Clinical Trial – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentaries: Monthly phone check-in may mean less depression for families of patients with dementia – University of California – San Francisco (free) AND Phone support tied to better outcomes for dementia patients, caregivers – Reuters (free) AND Dementia Outcomes Improved With Supportive Care – MedPage Today (free registration required)
Audio Interview: Effect of Collaborative Dementia Care on Quality of Life, Caregiver Well-being, and Health Care Use (free)
Treating Chronic Disease Proactively with Telehealth/Remote Monitoring
16 Oct, 2019 | 08:39h | UTCSurvey Snapshot: Treating Chronic Disease Proactively – NEJM Catalyst (free)
Related: Proactively Catching the Declining Patient – NEJM Catalyst (free)
Perspective – Offline: Touch—The First Language
14 Oct, 2019 | 08:39h | UTCOffline: Touch—the first language – The Lancet (free)
Related: Of Slide Rules and Stethoscopes: AI and the Future of Doctoring – The Hastings Center Report (free)
Related Commentary on Twitter
"The physical examination seems to have become an anachronism, a vestigial remnant, of clinical care."
"The avoidance of touch is bad medicine." https://t.co/Zdq63syG0e by @richardhorton1 @TheLancet
like the plea for this in #DeepMedicine to make #healthcare more human again pic.twitter.com/0bb9arjWdu— Eric Topol (@EricTopol) October 11, 2019
Video: Are Zombie Doctors Taking Over America?
14 Oct, 2019 | 08:02h | UTCAre zombie doctors taking over America? – TEDMED (free)
Source: MedPage Today
“Physician Zubin Damania, Director of Healthcare Development for Downtown Project Las Vegas, has a plan to fight back against a system that can dehumanize doctors and patients alike.”
Perspective: Proactively Catching the Declining Patient
11 Oct, 2019 | 09:34h | UTCProactively Catching the Declining Patient – NEJM Catalyst (free)
WHO Study: More Than One-third of Women Experience Mistreatment During Childbirth in Lower-income Countries
10 Oct, 2019 | 09:36h | UTCNews Release: New evidence shows significant mistreatment of women during childbirth – World Health Organization (free)
Commentaries: Accountability for respectful maternity care – The Lancet (free) AND WHO: Third of women mistreated during childbirth in lower-income countries – UPI (free) AND New evidence on the mistreatment of women during childbirth – University of Melbourne (free)
Related: WHO recommendations: intrapartum care for a positive childbirth experience (free guideline and commentaries) AND The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review – PLOS Medicine (free)
Related Commentary on Twitter
A new WHO study shows alarming rates of mistreatment during childbirth.
Across 4 countries, 4 in 10 women experienced physical or verbal abuse, stigma, or discrimination https://t.co/7GJFiDfJw9 pic.twitter.com/334p28QzdE— World Health Organization (WHO) (@WHO) October 9, 2019
Perspective: Focusing Health Care Quality Efforts on High-Need, High-Cost Patients
10 Oct, 2019 | 09:29h | UTCDisappointment in the Value-Based Era: Time for a Fresh Approach? – JAMA (free for a limited period)
Related: Designing a High-Performing Health Care System for Patients with Complex Needs: Ten Recommendations for Policymakers – The Commonwealth fund (free) AND Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health – National Academy of Medicine (free PDF) AND Focusing on High-Cost Patients — The Key to Addressing High Costs? – NEJM Catalyst (free) AND Systematic review of high-cost patients’ characteristics and healthcare utilization – BMJ Open (free) AND Effectiveness of interventions for managing multiple high-burden chronic diseases in older adults: a systematic review and meta-analysis – Canadian Medical Association Journal (free) AND Multimorbidity: a priority for global health research – The Academy of Medical Sciences (free) AND The global burden of multiple chronic conditions: A narrative review – Preventive Medicine Reports (free) AND Redesigning Care for High-Cost, High-Risk Patients – Harvard Business Review (a few articles per month are free) AND Multimorbidity: clinical assessment and management – NICE Guideline (free) AND Multimorbidity in Older Adults with Cardiovascular Disease – American College of Cardiology, Latest in Cardiology (free) AND Richard Smith: The challenge of high need, high cost patients – The BMJ Blogs (free) AND Playbook: Better Care for People with Complex Needs – Institute for Healthcare Improvement (free)
Helping Clinicians and Patients Navigate Electronic Patient Portals: Ethical and Legal Principles
10 Oct, 2019 | 09:12h | UTC
NCCN Guideline: Distress Management
10 Oct, 2019 | 09:06h | UTC
Missed Appointments, Missed Opportunities: Tackling The Patient No-Show Problem
8 Oct, 2019 | 10:07h | UTCMissed Appointments, Missed Opportunities: Tackling The Patient No-Show Problem – Forbes (free)
Related: Appointment reminder systems are effective but not optimal: results of a systematic review and evidence synthesis employing realist principles – Patient Preference and Adherence (free) AND Mobile phone messaging reminders for attendance at healthcare appointments – Cochrane Library (free)
Perspective: The Future of Electronic Health Records
4 Oct, 2019 | 07:14h | UTCThe future of electronic health records – Nature (free)