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Patient Safety & Quality

Observational Study: Reductions in Residency Work Hours Not Associated with Worse Outcomes for Patients or Declines in the Quality of Physician Training

16 Jul, 2019 | 09:48h | UTC

Association of residency work hour reform with long term quality and costs of care of US physicians: observational study – The BMJ (free)

Commentaries: Reduced work hours for trainee doctors not seen to compromise care – Reuters (free) AND Capping medical residency hours does not hamper new doctors’ quality of training – Harvard Medical School (free) AND Is an 80-Hour Workweek Enough to Train a Doctor? – Harvard Business Review (free)

 

For the Sake of Doctors and Patients, We Must Fix Hospital Culture

14 Jul, 2019 | 19:56h | UTC

For the sake of doctors and patients, we must fix hospital culture – The BMJ Opinion (free)

Related: Speaking up to prevent harm: A systematic review of the safety voice literature – Safety Science (free)

“When hospitals fail to create a culture where doctors and nurses can speak up patients pay the price.”

 

Study: Diagnosis Errors Account for One-third of Severe Harm Malpractice Claims

12 Jul, 2019 | 08:05h | UTC

Serious misdiagnosis-related harms in malpractice claims: The “Big Three” – vascular events, infections, and cancers – Diagnosis (free)

Commentary: Diagnosis errors account for one-third of severe harm malpractice claims – Modern Healthcare (free) AND Study: 100k patients injured, die each year after misdiagnosis – UPI (free)

Related Report: Improving Diagnosis in Health Care – The National Academies of Sciences Engineering and Medicine (free)

 

Working While Sick: A Systematic Review of Infectious Illness Presenteeism

25 Jun, 2019 | 06:25h | UTC

A systematic review of infectious illness Presenteeism: prevalence, reasons and risk factors – BMC Public Health (free)

Related Study: Working with influenza-like illness: Presenteeism among US health care personnel during the 2014-2015 influenza season – American Journal of Infection Control (link to abstract – $ for full-text) AND Commentaries: This flu season, physicians need to scrap the ‘martyr culture’ of working while sick – STAT (free) AND Healthcare Providers Shouldn’t Come to Work While Sick, but They Do — Here’s Why – HIV and ID Observations, Journal Watch Blog (free)

Infectious illness presenteeism (working while sick) prevalence ranged from 35 to 97%.

 

Study: Association of Coworker Reports About Unprofessional Behavior by Surgeons With Surgical Complications in Their Patients

21 Jun, 2019 | 08:50h | UTC

Association of Coworker Reports About Unprofessional Behavior by Surgeons With Surgical Complications in Their Patients – JAMA Surgery (free for a limited period)

Commentaries: When Surgeons Are Abrasive To Co-Workers, Patients’ Health May Suffer – NPR (free) AND Unprofessional Behavior by Surgeons Linked to Surgical Complications in Their Patients – MedicalResearch.com (free) AND After surgery, how patients fare may depend on how their doctor behaves, study says – CNN (free)

 

FDA Safety Alert: Fecal Transplant May Have Caused a Patient’s Death Due to Transmission of a Multi-Drug Resistant Organism

17 Jun, 2019 | 01:48h | UTC

Important Safety Alert Regarding Use of Fecal Microbiota for Transplantation and Risk of Serious Adverse Reactions Due to Transmission of Multi-Drug Resistant Organisms – U.S. Food & Drug Administration (free)

Commentaries: Fecal Transplant Is Linked to a Patient’s Death, the F.D.A. Warns – The New York Times (10 articles per month are free) AND This Poop Transplant Resulted In A Death, FDA Warning – Forbes (free) AND Be Careful Of Fecal Transplants, Warns FDA, After Patient Death – NPR (free) AND FDA issues alert after fecal microbiota transplant death – CIDRAP (free)

 

[Abstract Only] Randomized Trial: Individualized Nutritional Support in Medical Inpatients at Nutritional Risk

9 Jun, 2019 | 21:47h | UTC

Individualised nutritional support in medical inpatients at nutritional risk: a randomised clinical trial – The Lancet (link to abstract – $ for full-text)

Commentaries: Quick Take: Individualised nutritional support in medical inpatients at nutritional risk – 2 Minute Medicine (free) AND Individual nutrition shows benefits in hospital patients – University of Basel (free)

 

[Abstract Only] Despite Guidelines, Placement of PICCs Common in Patients with Advanced Chronic Kidney Disease

6 Jun, 2019 | 05:31h | UTC

Use of Peripherally Inserted Central Catheters in Patients With Advanced Chronic Kidney Disease: A Prospective Cohort Study – Annals of Internal Medicine (link to abstract – $ for full-text)

Commentaries: Peripherally inserted central catheters often used in CKD – HealthDay (free) AND Too Many CKD Patients Get Central Catheters Despite Warnings – Medscape (free registration required)

 

Related Commentary on Twitter

Perspective: Protecting Sleep in the Hospital, for Both Patients and Doctors

5 Jun, 2019 | 04:17h | UTC

Protecting Sleep in the Hospital, for Both Patients and Doctors – The New York Times (10 articles per month are free)

Related: An Implementation Guide to Promote Sleep and Reduce Sedative-Hypnotic Initiation for Noncritically Ill Inpatients – JAMA Internal Medicine (free for a limited period)

 

ACP Position Paper on Physician Impairment and Rehabilitation: Reintegration Into Medical Practice While Ensuring Patient Safety

4 Jun, 2019 | 06:31h | UTC

Physician Impairment and Rehabilitation: Reintegration into Medical Practice While Ensuring Patient Safety: A Position Paper From the American College of Physicians – Annals of Internal Medicine (free)

News Release: ACP issues ethical guidance for responding to physician impairment – American College of Physicians (free)

Commentary: ACP issues ethical guidance on responding to physician impairment – ACP Internist (free)

 

An Implementation Guide to Promote Sleep and Reduce Sedative-Hypnotic Initiation for Noncritically Ill Inpatients

4 Jun, 2019 | 06:25h | UTC

An Implementation Guide to Promote Sleep and Reduce Sedative-Hypnotic Initiation for Noncritically Ill Inpatients – JAMA Internal Medicine (free for a limited period)

 

Related Commentary on Twitter

 

Guidance on the Transfer of the Critically Ill Adult

4 Jun, 2019 | 06:17h | UTC

Guidance on the Transfer of the Critically Ill Adult – Intensive Care Society (free PDF)

News Release: Launch of Guidance on the Transfer of the Critically Ill Adult – The Faculty of Intensive Care Medicine (free)

Source: Critical Care Reviews Newsletter

 

[Abstract Only] Study: Estimating the Attributable Cost of Physician Burnout

29 May, 2019 | 01:50h | UTC

Estimating the Attributable Cost of Physician Burnout in the United States – Annals of Internal Medicine (link to abstract – $ for full-text)

Commentaries: Physician burnout costs the US health care system approximately $4.6 billion a year – American College of Physicians (free) AND Doctors are burning out twice as fast as other workers. The problem’s costing the US $4.6 billion each year. – Business Insider (free) AND Physician Burnout Costs the U.S. Billions of Dollars Each Year – TIME (free)

Related: Physician Burnout Costs up to $17B a Year, Task Force Says (articles and commentaries on the subject)

 

Related Commentary on Twitter

Study: Fall-related Injuries are a Leading Hospital Readmission Diagnosis

29 May, 2019 | 01:39h | UTC

Posthospital Fall Injuries and 30-Day Readmissions in Adults 65 Years and Older – JAMA Network Open (free)

Commentaries: Hospitals fall short in teaching fall prevention to departing patients – University of Michigan (free) AND Fall Injuries Top Cause of Hospital Readmission in Elderly – Medscape (free registration required)

 

Guideline: Transition Planning for the Senior Surgeon

16 May, 2019 | 05:22h | UTC

Transition Planning for the Senior Surgeon: Guidance and Recommendations From the Society of Surgical Chairs – JAMA Surgery (free for a limited period)

Invited Commentary: Planning for Retiring From Operating (free for a limited period)

Author Interview: Transition Planning for the Senior Surgeon (free audio)

 

Analysis: Spreading and Scaling Up Innovation and Improvement

14 May, 2019 | 05:44h | UTC

Spreading and scaling up innovation and improvement – The BMJ (free)

 

Speaking up to Prevent Harm: A Systematic Review of the Safety Voice Literature

14 May, 2019 | 05:09h | UTC

Speaking up to prevent harm: A systematic review of the safety voice literature – Safety Science (free)

 

Effects of Surgery on A Warming Planet: Can Anesthesia Go Green?

12 May, 2019 | 21:40h | UTC

Effects Of Surgery On A Warming Planet: Can Anesthesia Go Green? – NPR (free)

Related: Anaesthetic gases, climate change, and sustainable practice – The Lancet Planetary Health (free) AND Greenhouse gases: the choice of volatile anesthetic does matter – Canadian Journal of Anesthesiology (free) AND Greening the Operating Room and Perioperative Arena: Environmental Sustainability for Anesthesia Practice – American Society of Anesthesiologists (free PDF) AND People, planet and profits: the case for greening operating rooms – Canadian Medical Association Journal (free)

 

NYT Editorial: 80,000 Deaths. 2 Million Injuries. It’s Time for a Reckoning on Medical Devices

7 May, 2019 | 01:10h | UTC

80,000 Deaths. 2 Million Injuries. It’s Time for a Reckoning on Medical Devices – The New York Times (10 articles per month are free)

Related: Investigation: The Implant Files (free report and commentaries) AND It’s time to get serious about the safety of medical devices – STAT News (free)

 

Opinion: Is It Time for Safeguards in the Adoption of Robotic Surgery?

1 May, 2019 | 07:05h | UTC

Is It Time for Safeguards in the Adoption of Robotic Surgery? – JAMA (free for a limited period)

Related: FDA Cautions Patients, Providers About Using Robotically-assisted Surgical Devices for Mastectomy and Other Cancer-related Surgeries (free safety alert and commentary)

“To date, most studies demonstrating potential benefits of robotic-assisted surgery have been small, single-centered reports without rigorous controls.”

 

Detection and Management of Common Medication Errors in Internal Medicine Wards: Impact on Medication Costs and Patient Care

25 Apr, 2019 | 17:22h | UTC

Detection and Management of Common Medication Errors in Internal Medicine Wards: Impact on Medication Costs and Patient Care – Advanced Pharmaceutical Bulletin (free)

Source: Hospital Medicine Virtual Journal Club

 

Meta-Analysis: In‐hospital Mobilization Programs Associated with Reduced Length of Stay and Improvement in Physical Function

24 Apr, 2019 | 06:27h | UTC

Systematic review and meta‐analysis of experimental studies: In‐hospital mobilization for patients admitted for medical treatment – Journal of Advanced Nursing (free)

Commentary: Getting hospital patients up and moving shortens stay and improves fitness – NIHR Signal (free)

Related: Randomized Trial: Effect of Exercise Intervention on Functional Decline in Very Elderly Patients During Acute Hospitalization (link to abstract and commentaries)

 

Reducing Surgical Mortality by Use of the WHO Surgical Safety Checklist

18 Apr, 2019 | 07:56h | UTC

Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist – BJS (free)

Commentaries: Hospital deaths after surgery fall after launch of surgical safety checklists in Scotland – Wiley (free) AND Surgical safety checklist linked to decline in hospital deaths – UPI (free)

See also: WHO Surgical Safety Checklist – World Health Organization (free resources)

 

FDA Orders Manufacturers of Surgical Mesh for Pelvic Organ Prolapse to Stop Selling all Devices

17 Apr, 2019 | 05:50h | UTC

FDA takes action to protect women’s health, orders manufacturers of surgical mesh intended for transvaginal repair of pelvic organ prolapse to stop selling all devices – U.S. Food & Drug Administration (free)

Commentaries: FDA: Companies Must Stop Selling Vaginal Meshes for Pelvic Organ Prolapse – NEJM Journal Watch (free) AND F.D.A. Halts U.S. Sales of Pelvic Mesh, Citing Safety Concerns for Women – The New York Times (10 articles per month are free) AND US halts sales of pelvic mesh tied to injuries in women – Associated Press (free)

Related: Mesh Implants for Women: Scandal or Standard of Care? – JAMA (free for a limited period)

 

Randomized Trial: Comic illustrations Improve Patient Comprehension and Periprocedural Anxiety Before Coronary Angiography

11 Apr, 2019 | 00:38h | UTC

Annals Graphic Medicine – Patient-Informed Consent – Annals of Internal Medicine (free)

Original Article: Medical Graphic Narratives to Improve Patient Comprehension and Periprocedural Anxiety Before Coronary Angiography and Percutaneous Coronary Intervention: A Randomized Trial – Annals of Internal Medicine (link to abstract – $ for full-text)

Commentary: Comic illustrations enhance informed consent before coronary angiography – Cardiovascular Business (free)

 

Related Commentary on Twitter

 

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