Patient Safety & Quality
Population-based Cohort Study: Exposure to Diagnostic Low-Dose Ionizing Radiation Associated with Increased Risk for Many Types of Cancers
5 Sep, 2019 | 08:27h | UTC
Randomized Trial: Common Surgical Masks as Effective as More Expensive Tighter-fitting N95 Masks for Preventing Influenza Among Health Care Personnel
5 Sep, 2019 | 08:26h | UTCN95 Respirators vs Medical Masks for Preventing Influenza Among Health Care Personnel: A Randomized Clinical Trial – JAMA (free for a limited period)
Editorial: Respiratory Protection of Health Care Personnel to Prevent Respiratory Viral Transmission (free for a limited period)
Commentaries: Outpatient study finds masks, respirators equally protective – CIDRAP (free) AND Surgical masks as good as respirators for flu and respiratory virus protection – UT Southwestern Medical Center (free)
FDA Recommends Transition to Duodenoscopes with Disposable Components to Reduce Risk of Patient Infection
30 Aug, 2019 | 08:50h | UTCNews Release: FDA recommends health care facilities and manufacturers begin transitioning to duodenoscopes with disposable components to reduce risk of patient infection – U.S. Food & Drug Administration (free)
Commentaries: FDA: Hospitals Should Start Switching to Duodenoscopes with Disposable Endcaps – NEJM Journal Watch (free) AND Hospitals Should Replace Infection-Prone Scopes With Safer Models, F.D.A. Says – The New York Times (10 articles per month are free) AND FDA Urges Transition to Disposable Duodenoscopes – Medscape (free registration required)
Related: Duodenoscopes: These Medical Devices Are Inserted Into 500,000 Patients Each Year — but Are Tough to Sterilize (free commentary, reviews and guidelines)
How to Start an Antimicrobial Stewardship Program in a Hospital
28 Aug, 2019 | 02:29h | UTC
Related Commentary on Twitter
New on CMI>
Step by step guidance on how to start an antimicrobial stewardship programme in hospital.
Based on feedback from our readers, this article is now fully open-access.#IDTwitter
Link to the full paper:https://t.co/RJ7cwz65B0 pic.twitter.com/Kpng2tqBoW
— Clinical Microbiology and Infection (@CMIJournal) August 27, 2019
A Review on Strategies to Manage Physician Burnout
25 Aug, 2019 | 13:39h | UTCA Review on Strategies to Manage Physician Burnout – Cureus (free)
Related: Physician Burnout: A Global Crisis (several resources on the subject)
Source: Hospital Medicine Virtual Journal Club
Perspective: Early Discharge Hospital at Home
20 Aug, 2019 | 08:14h | UTCEarly discharge hospital at home – NEJM Catalyst (free)
Related: Interventions to Promote Early Discharge and Avoid Inappropriate Hospital (Re)Admission: A Systematic Review – International Journal of Environmental Research and Public Health (free) AND Early discharge hospital at home – Cochrane Library (free) AND Early discharge ‘hospital-at-home’ gives similar outcomes to in-patient care – NIHR Signal (free)
Study: Sick Hospital Workers Often Expose Patients to Contagious Illness
18 Aug, 2019 | 22:02h | UTCSick hospital workers often expose patients to contagious illness – Reuters (free)
Original Study: Which healthcare workers work with acute respiratory illness? Evidence from Canadian acute-care hospitals during 4 influenza seasons: 2010–2011 to 2013–2014 – Infection Control & Hospital Epidemiology (free)
Related: Working While Sick: A Systematic Review of Infectious Illness Presenteeism (free)
Report: How Doctors in Senior Leadership Roles Establish and Maintain a Positive Patient-centered Culture
16 Aug, 2019 | 08:10h | UTCSummary: How doctors in senior leadership roles establish and maintain a positive patient-centred culture (free)
Commentary: Do You Work in a ‘Diva Subculture’? – Medscape (free registration required)
Related: Healing the Professional Culture of Medicine – Mayo Clinic Proceedings (free) AND Understanding organisational culture for healthcare quality improvement – The BMJ (free)
Communication Strategies for Sharing Prognostic Information with Patients: Beyond Survival Statistics
16 Aug, 2019 | 08:05h | UTCCommunication Strategies for Sharing Prognostic Information With Patients: Beyond Survival Statistics – JAMA (free for a limited period)
See also: Author Interview (free audio)
Consensus Statement for Enhanced Recovery: Perioperative Opioid Minimization in Opioid-Naïve Patients
15 Aug, 2019 | 08:37h | UTCRelated Position Statements on Perioperative Opioid Therapy: American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Management of Patients on Preoperative Opioid Therapy (free) AND American Society for Enhanced Recovery and Perioperative Quality Initiative-4 Joint Consensus Statement on Persistent Postoperative Opioid Use: Definition, Incidence, Risk Factors, and Health Care System Initiatives (free)
See also: American Society of Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statements (free) AND Enhanced Recovery After Surgery (ERAS) Society Guidelines (free articles)
Key Concepts for Making Informed Choices
15 Aug, 2019 | 07:47h | UTCKey concepts for making informed choices – Nature (free)
‘War on Cancer’ Metaphors May do Harm, Research Shows
13 Aug, 2019 | 05:28h | UTC‘War on cancer’ metaphors may do harm, research shows – The Guardian (free)
Related: Why cancer is not a war, fight, or battle – CNN (free) AND He’s a Fighter – The Atlantic (free) AND Cancer cliches to avoid: I’m not ‘brave’ – BBC (free)
[Abstract Only] Randomized Trial: After Liver Transplantation, a Telemedicine Home Monitoring Program Reduced the Risk of Hospital Readmission
13 Aug, 2019 | 01:24h | UTCTelemedicine Based Remote Home Monitoring After Liver Transplantation: Results of a Randomized Prospective Trial. – Annals of Surgery (link to abstract – $ for full-text)
Related: The role of telemedicine in postoperative care – mHealth (free) AND Current Use of Telemedicine for Post-Discharge Surgical Care: A Systematic Review – Journal of the American College of Surgeons (free) AND The Use of Telemedicine in Surgical Care: a Systematic Review – Acta Informatica Medica (free)
Source: EvidenceAlerts
Systematic Review: Emergency Department Interventions for Older Adults
13 Aug, 2019 | 01:01h | UTC
Too Much Medicine: Not Enough trust?
11 Aug, 2019 | 22:18h | UTCToo Much Medicine: Not Enough trust? – Journal of Medical Ethics (free)
Related Commentary on Twitter
A really thoughtful + interesting piece by @DrZoeFritz and #RichardHolton
Are doctors ordering unnecessary tests + over-prescribing because they want patients to trust them?
What are better more ethical ways to gain patient trust? (open access) https://t.co/KPJqC8tTIz— Celia Kitzinger (@KitzingerCelia) August 9, 2019
Perspective: White Coats Should no Longer be Worn by Physicians
8 Aug, 2019 | 08:25h | UTCWhite coats should no longer be worn by physicians – KevinMD (free)
Related guideline: Healthcare Personnel Attire in Non-Operating-Room Settings – Infection Control and Hospital Epidemiology (free) AND Commentaries: Goodbye to the Doctor’s White Coat? – The New York Times (10 articles per month are free) AND New infection control recommendations could make white coats obsolete – ScienceDaily (free) AND Should Doctors Still Be Allowed to Wear White Coats? You Decide – HIV and ID Observations (free)
See also: Long Sleeves on Doctors’ White Coats May Spread Germs – Scientific American (free) AND Why Your Doctor’s White Coat Can Be a Threat to Your Health – The New York Times (10 articles per month are free)
Duodenoscopes: These Medical Devices Are Inserted Into 500,000 Patients Each Year — but Are Tough to Sterilize
7 Aug, 2019 | 07:44h | UTCThese Medical Devices Are Inserted Into 500,000 Patients Each Year — but Are Tough to Sterilize – The New York Times (10 articles per month are free)
Related: Prevention of multidrug-resistant infections from contaminated duodenoscopes: Position Statement of the European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology Nurses and Associates (ESGENA) (free) AND An update on gastrointestinal endoscopy-associated infections and their contributing factors – Annals of Clinical Microbiology and Antimicrobials (free) AND Carbapenem Resistant Enterobacteriaceae and Endoscopy: An Evolving Threat – American Journal of Infection Control (free) AND Hygiene: The Looming Achilles Heel in Endoscopy – Visceral Medicine (free) AND Superbugs on Duodenoscopes: the Challenge of Cleaning and Disinfection of Reusable Devices – Journal of Clinical Microbiology (free) AND Duodenoscope-Associated Infections: Update on an Emerging Problem – Digestive Diseases and Sciences (free)
Viewpoint: Reducing Pollution From the Health Care Industry
5 Aug, 2019 | 01:57h | UTCReducing Pollution From the Health Care Industry – JAMA (free for a limited period)
Moral Injury and Burnout in Medicine: A Year of Lessons Learned
28 Jul, 2019 | 23:02h | UTCMoral injury and burnout in medicine: a year of lessons learned – STAT (free)
Original Perspective: Physicians aren’t ‘burning out.’ They’re suffering from moral injury – STAT (free)
Related: The Burnout Crisis in American Medicine (free commentaries on the subject)
Viewpoint: Realizing Shared Decision-making in Practice
26 Jul, 2019 | 01:01h | UTCRealizing Shared Decision-making in Practice – JAMA (free for a limited period)
Related Viewpoint: Shared Decision Making and the Importance of Time – JAMA (free)
[Abstract Only] Study: Crowding in the Emergency Department Linked to Increased Mortality in Discharged Patients
25 Jul, 2019 | 01:25h | UTCAssociations Between Crowding and Ten-Day Mortality Among Patients Allocated Lower Triage Acuity Levels Without Need of Acute Hospital Care on Departure From the Emergency Department – Annals of Emergency Medicine (link to abstract – $ for full-text)
Commentary: Does Crowding Increase Mortality In Low-Acuity Discharged Patients? – JournalFeed (free)
[Abstract Only] Randomized Trial: Music vs. Midazolam During Preoperative Nerve Block Placements
23 Jul, 2019 | 01:42h | UTCMusic versus midazolam during preoperative nerve block placements: a prospective randomized controlled study – Regional Anesthesia & Pain Medicine (link to abstract – $ for full-text)
Commentaries: Music may offer alternative to preoperative drug routinely used to calm nerves – BMJ (free) AND Music ‘calms nerves before surgery’ as well as sedative – BBC (free) AND Music could offer alternative to sedatives – OnMedica (free)
Meta-Analysis: Preventable Patient Harm Across Medical Care Settings
18 Jul, 2019 | 10:54h | UTCEditorial: Preventable harm: getting the measure right (free)
Commentaries: One in 20 patients exposed to preventable harm in medical care – OnMedica (free) AND Half of All Patient Harms ‘Preventable’ – Medscape (free registration required)
Related Commentary on Twitter
Around one in 20 patients are affected by preventable harm in medical care, of which around 12% causes permanent disability or death, finds a study published by @bmj_latest today – take a look at the research https://t.co/oHxTBlh4s1 and linked editorial https://t.co/MBW6moT3pE pic.twitter.com/gxoL4V435w
— BMJ Group (@bmj_company) July 18, 2019
Randomized Trial: Flexible Family Visitation Hours in The ICU Do Not Reduce the Incidence of Delirium Compared with Restricted Visitation
17 Jul, 2019 | 10:23h | UTCEffect of Flexible Family Visitation on Delirium Among Patients in the Intensive Care Unit: The ICU Visits Randomized Clinical Trial – JAMA (free for a limited period)
Editorial: Psychological Consequences of Admission to the ICU: Helping Patients and Families (free for a limited period)
Author Interview: Do Flexible Family Visitation Hours Reduce Delirium in ICU Patients? – MedicalResearch.com (free)
Related Commentary on Twitter
In this 1685-patient cluster-crossover RCT, flexible family visitation did not significantly reduce @ICU_delirium compared with restricted visitation. https://t.co/Wg2QoXvu0F pic.twitter.com/thFJ4WqsS1
— Delirium in the ICU (@ICU_delirium) July 16, 2019
Healing the Professional Culture of Medicine
16 Jul, 2019 | 09:51h | UTCHealing the Professional Culture of Medicine – Mayo Clinic Proceedings (free)
Related: Understanding organisational culture for healthcare quality improvement – The BMJ (free)