Patient Safety & Quality
Guidance on the Transfer of the Critically Ill Adult
4 Jun, 2019 | 06:17h | UTCGuidance 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 | UTCEstimating 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
The economics of doctor burnout: ~$5B/year, and that isn't even factoring in the cost of the doubling of medical errors https://t.co/fqn0LenWzl @AnnalsofIM pic.twitter.com/ZLNOhvYB1h
— Eric Topol (@EricTopol) May 27, 2019
Study: Fall-related Injuries are a Leading Hospital Readmission Diagnosis
29 May, 2019 | 01:39h | UTCPosthospital 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 | UTCTransition 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 | UTCSpreading 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 | UTCSpeaking 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 | UTCEffects 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 | UTC80,000 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 | UTCIs 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 | UTCSource: 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 | UTCCommentary: 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 | UTCReducing 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 | UTCCommentaries: 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 | UTCAnnals 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
Did you know medical graphic narratives may improve patient #comprehension and relieve anxiety before coronary #angiography? Read more: https://t.co/njrHuokbLG. #graphicmedicine pic.twitter.com/gOU9OLFaAf
— Annals of Int Med (@AnnalsofIM) April 10, 2019
Perspective: Why You Should Be a “Medical Conservative”
25 Mar, 2019 | 00:43h | UTCWhy you should be a “medical conservative” – Lown Institute (free)
Original Article: Perspective: The Case for Being a Medical Conservative (free article and twitter thread)
“being a medical conservative means being skeptical about new medical advances until unbiased and high-quality evidence shows a clear benefit”
JAMA Viewpoint: Physicians’ Trust in One Another
25 Mar, 2019 | 00:39h | UTCPhysicians’ Trust in One Another – JAMA (free for a limited period)
Related Article: Why Physicians Should Trust in Patients – JAMA (free for a limited period)
Commentary: JAMA viewpoint: Physicians’ trust in one another is a care safety and quality issue – Regenstrief Institute (free)
Evaluation of the Collaborative Use of an Evidence-Based Care Bundle in Emergency Laparotomy
22 Mar, 2019 | 07:14h | UTC
Related Commentary on Twitter
A collaborative approach using a quality improvement methodology and a care bundle appeared to be effective in reducing mortality and length of stay in emergency laparotomy. https://t.co/tr0esQxdWC
— JAMA Surgery (@JAMASurgery) March 22, 2019
Systematic Review: Value of Hospital Antimicrobial Stewardship Programs
17 Mar, 2019 | 18:12h | UTC
FDA Safety Alert on Surgical Staplers and Staples
12 Mar, 2019 | 02:44h | UTCCommentary: FDA Alerts Clinicians About Surgical Staple Risks – NEJM Journal Watch (free)
Related: Hidden FDA Reports Detail Harm Caused By Scores Of Medical Devices – Kaiser Health News (free)
Sleep, Alertness and Patient Safety Outcomes under Flexible vs. Standard Resident Duty-Hour Rules
8 Mar, 2019 | 06:18h | UTCPatient Safety Outcomes under Flexible and Standard Resident Duty-Hour Rules – New England Journal of Medicine (link to abstract – $ for full-text)
Related Study: Sleep and Alertness in a Duty-Hour Flexibility Trial in Internal Medicine – New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries: Longer shifts do not create chronic sleep loss in first-year doctors or reduce safety for patients, study finds – University of Pennsylvania School of Medicine (free) AND Flexible Medical Resident Duty Hours Did Not Pose Risks To Patients – MedicalResearch.com (free)
Pro/Con Debate: Contact Precautions for MRSA and VRE
6 Mar, 2019 | 01:17h | UTCCon: Things We Do For No Reason: Contact Precautions for MRSA and VRE – Journal of Hospital Medicine (free)
Study: Probability of a Delivery Complication is Higher During Nights, on Weekends, on Holidays, and at Teaching Hospitals is Highest in July
6 Mar, 2019 | 01:11h | UTCCommentaries: Hospital and Time of Delivery May Affect Mother’s Health – The New York Times (10 articles per month are free) AND Study reveals that night and weekend births have substantially higher risk of delivery complications – Society for Risk Analysis (free)
FDA Cautions Patients, Providers About Using Robotically-assisted Surgical Devices for Mastectomy and Other Cancer-related Surgeries
1 Mar, 2019 | 05:43h | UTCCommentary: FDA sounds an alarm on using robotic devices in cancer surgeries, citing concerns about safety and results – STAT (free)
Perspective: Clinics Aim to Improve Post-ICU Recovery
28 Feb, 2019 | 05:48h | UTCClinics Aim to Improve Post-ICU Recovery – JAMA (free for a limited period)
Related: Post-intensive care outpatient clinic: is it feasible and effective? A literature review – Revista Brasileira de Medicina Intensiva (free) AND Impact of follow-up consultations for ICU survivors on post-ICU syndrome: a systematic review and meta-analysis – Intensive Care Medicine (free) AND Post-intensive Care Syndrome: an Overview – Journal of Translational Internal Medicine (free)
Perspective: Bundled Payments Are Moving Upstream
27 Feb, 2019 | 00:53h | UTCBundled Payments Are Moving Upstream – NEJM Catalyst (free)
“For bundled payments to fulfill their promise of delivering greater value to patients, bundling must shift toward the condition or person level rather than the procedure level”