Open access
Open access
Powered by Google Translator Translator

Patient Safety & Quality

Re-designing the pathway to surgery: better care and added value

3 Jul, 2017 | 17:16h | UTC

Re-designing the pathway to surgery: better care and added value – Perioperative Medicine (free)

Source: Critical Care Reviews Newsletter

 


Redesigning Care for High-Cost, High-Risk Patients

3 Jul, 2017 | 13:36h | UTC

Redesigning Care for High-Cost, High-Risk Patients – Harvard Business Review (a few articles per month are free) (RT @pash22 see Tweet)

Related: Designing a High-Performing Health Care System for Patients with Complex Needs: Ten Recommendations for Policymakers – The Commonwealth Fund (free) AND Caring for High-Need, High-Cost Patients — An Urgent Priority – New England Journal of Medicine (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 full text) AND Focusing on High-Cost Patients — The Key to Addressing High Costs? – NEJM Catalyst (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)

 


Delirium Prevention Strategies for Elderly Adults with Hip Fracture

30 Jun, 2017 | 15:18h | UTC

Translating Delirium Prevention Strategies for Elderly Adults with Hip Fracture into Routine Clinical Care: A Pragmatic Clinical Trial – Journal of the American Geriatrics Society (free)

Source: PracticalReviews ($)

See related article on the effect of multicomponent nonpharmacologic interventions to prevent delirium in abdominal surgery in our May 25th issue (see #5)

Delirium-friendly preprinted postoperative orders executed by regular nursing staff resulted in a significant reduction in postoperative delirium.

 


Hospital Visits by Nurse Practitioners Prevent Readmission

28 Jun, 2017 | 22:46h | UTC

Hospital Visits by Nurse Practitioners Prevent Readmission – Medscape (free registration required)

 


Contact Precautions for Endemic MRSA and VRE: Time to Retire Legal Mandates

26 Jun, 2017 | 19:41h | UTC

Viewpoint: Contact Precautions for Endemic MRSA and VRE: Time to Retire Legal Mandates – JAMA (free)

“Contact precautions are easy to use w a single patient, but burdensome when applied to an entire hospital” (RT @JAMA_current see Tweet)

This viewpoint suggests a more selective use of contact precautions for the control of endemic pathogens.

 


Monitoring Medical Devices: Missed Warning Signs Within Existing Data

26 Jun, 2017 | 21:27h | UTC

Viewpoint: Monitoring Medical Devices: Missed Warning Signs Within Existing Data – JAMA (free)

Related: The lap band for weight loss is a tale of medicine gone wrong – VOX (free) Reoperation and Medicare Expenditures After Laparoscopic Gastric Band Surgery – JAMA Surgery (link to abstract – $ for full-text) AND Safety, Effectiveness of Gastric Banding Called Into Question – Medscape (free registration required) AND 1 In 5 Gastric Band Surgeries Require Corrective Operations – American Council on Science and Health (free)

The authors use the example of gastric band surgery to discuss how available data may be used more appropriately for earlier detection of problems in the safety of medical devices.

 


Opinion: Natural health products should be sold separately from drugs

26 Jun, 2017 | 18:54h | UTC

Editorial: Natural health products should be sold separately from drugs – Canadian Medical Association Journal (free)

“Separate “natural” products from drugs to protect consumers, says @drstanbrook” (RT @CMAJ see Tweet)

 


Timely Use of Probiotics in Hospitalized Adults Prevents Clostridium difficile Infection

26 Jun, 2017 | 17:52h | UTC

Timely Use of Probiotics in Hospitalized Adults Prevents Clostridium difficile Infection: A Systematic Review With Meta-Regression Analysis – Gastroenterology (free)

Source: EvidenceAlerts (free resource to find articles of interest)

In this meta-analysis including 19 randomized trials, probiotics given within 2 days of the first antibiotic dose (more effective than if started later) reduced the risk of Clostridium difficile infection (CDI) by >50% in hospitalized adults. 1 case of CDI would be prevented for every 23−144 patients treated with probiotics when antibiotics are started. “There was no convincing evidence of superior efficacy for any of the tested probiotic formulations, delivery methods (drink or capsule), or probiotic doses”.

 


Point of view: Generalists key to improved hospital outcomes

26 Jun, 2017 | 17:26h | UTC

Point of view: Generalists key to improved hospital outcomes – MJA Insights (free)

 


Adverse Events Reported to the US Food and Drug Administration for Cosmetics and Personal Care Products

26 Jun, 2017 | 17:15h | UTC

Adverse Events Reported to the US Food and Drug Administration for Cosmetics and Personal Care Products – JAMA Internal Medicine (free)

Editorial: Cosmetics, Regulations, and the Public Health – Understanding the Safety of Medical and Other Products (free)

The JAMA Network – For the Media: How Many Adverse Events Are Reported to FDA for Cosmetics, Personal Care? (free)

Commentaries: More Health Problems Reported With Hair And Skin Care Products – NPR (free) AND The Hidden Dangers of Makeup and Shampoo – TIME (a few articles per month are free)

 


Interesting initiative for improving quality and reducing readmissions from skilled nursing facilities

25 Jun, 2017 | 14:24h | UTC

Necessity is the mother of invention: an innovative hospitalist-resident initiative for improving quality and reducing readmissions from skilled nursing facilities – Journal of Community Hospital Internal Medicine Perspectives (free) (RT @HMVJC see Tweet)

In this model of care, a hospitalist-led team, including the resident on the geriatrics rotation, followed patients discharged from the hospital to the skilled nursing facility, leading to significant decrease in readmission rates.

 


Benchmarking study helps hospitals improve measurement of adverse events

23 Jun, 2017 | 00:58h | UTC

Benchmarking study helps hospitals improve measurement of adverse events – NIHR Signal (free)

Original report: Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study – Health Services and Delivery Research (free PDF)

This study compared two different approaches to measure adverse events, the “Trigger Tool system” and the “Two-stage review”

 


Value-Based Care Alone Won’t Reduce Health Spending and Improve Patient Outcomes

22 Jun, 2017 | 16:32h | UTC

Value-Based Care Alone Won’t Reduce Health Spending and Improve Patient Outcomes – Harvard Business Review (a few articles per month are free) (RT @pash22 see Tweet)

“We believe that value-based care, implemented using lean principles and in conjunction with an ongoing, community-wide effort to address social determinants of health, can reduce health spending and deliver on the promise of better health”

 


Cardiopulmonary resuscitation – 30:2 or just keep going?

22 Jun, 2017 | 15:30h | UTC

Cardiopulmonary resuscitation – 30:2 or just keep going? – by Scott Munro, in Evidently Cochrane (free) (RT @NIHR_DC see Tweet)

“Untrained bystander CPR had better outcomes when given telephone advice from EMS services to perform continuous CPR, rather than interrupted CPR with rescue breaths”. For trained EMS professionals, “it is possible that there is little or no difference between the two approaches”.

 


Every Newborn Action Plan – World Health Organization

22 Jun, 2017 | 01:55h | UTC

Every Newborn Action Plan – World Health Organization (free) (RT @WHO see Tweet with infographic)

Related report from UK: Each Baby Counts – Royal College of Obstetricians and Gynaecologists (free PDF) Each Baby Counts Homepage (free resources) AND Reducing baby deaths and brain injuries during childbirth – BBC News (free)

Every year, 2.7 million babies die in the first 28 days of life. 75% of these deaths are preventable.

 


Performance Improvement: Phenytoin Toxicity

22 Jun, 2017 | 00:02h | UTC

Performance Improvement: Phenytoin Toxicity – JAMA (free)

Interesting case of medication error and prevention of subsequent adverse events (RT @JAMA_current see Tweet)

 


Which patients with advanced respiratory disease die in hospital?

21 Jun, 2017 | 21:07h | UTC

An end of life strategy probably improved choice of where to die for people with severe respiratory disease – NIHR Signal (free)

Original article: Which patients with advanced respiratory disease die in hospital? A 14-year population-based study of trends and associated factors – BMC Medicine (free)

 


Opinion: The practice of radiology needs to change

21 Jun, 2017 | 19:04h | UTC

Giles Maskell: The practice of radiology needs to change – The BMJ Opinion (free)

“The practice of radiology is unsafe and needs to change says, Giles Maskell” (RT see Tweet)

 


Lean: Targeted Therapy for Care Delivery

21 Jun, 2017 | 02:09h | UTC

Lean: Targeted Therapy for Care Delivery –  Journal of the National Comprehensive Cancer Network (free)

The possible benefits of applying the “Lean” approach to oncology care delivery.

 


Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management

20 Jun, 2017 | 12:47h | UTC

Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management: A Scientific Statement for Healthcare Professionals From the American Heart Association (free)

News Release: Healthcare providers should individualize patient education (free)

AHA statement: Doctors’ orders should include tailored health education for patients (free)

Commentary: Sharpening the Focus on Therapeutic Patient Education and Self-management (free)

Top Ten Things to Know: Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management (free PDF)

 


Antibiotic stewardship reduces the incidence of antibiotic-resistant bacteria

20 Jun, 2017 | 12:41h | UTC

Effect of antibiotic stewardship on the incidence of infection and colonisation with antibiotic-resistant bacteria and Clostridium difficile infection: a systematic review and meta-analysis – The Lancet Infectious Diseases (link to abstract – $ for full-text)

Commentaries: Antibiotic Stewardship Programs Linked to Lower Rates of Drug-Resistant Infections – Physician’s First Watch (free) AND Review ties stewardship to sharp drop in resistant bacteria – CIDRAP (free)

 


Surgeon Variation in Complications With Minimally Invasive and Open Colectomy

20 Jun, 2017 | 12:23h | UTC

Surgeon Variation in Complications With Minimally Invasive and Open Colectomy: Results From the Michigan Surgical Quality Collaborative – JAMA Surgery (free) (RT @MaryDixonWoods see Tweet)

Surgeon-level variation in complications among surgeons was nearly twice as great for Minimally Invasive Colectomy than for Open Colectomy, implying a need for improved training in adoption of minimally invasive techniques.

 


Why overtreatment and overdiagnosis can be bad for your health

20 Jun, 2017 | 12:19h | UTC

Why overtreatment and overdiagnosis can be bad for your health – CBC Radio (free text and audio)

See more on the Choosing Wisely initiative in our April 5 issue, see #6.

“Choosing Wisely on CBC Sunday about overdiagnosis & importance of speaking with your doc about tests/treatments” (RT @ChooseWiselyCA see Tweet)

 


Why Providers May Fail to Reduce Wait Times

20 Jun, 2017 | 12:14h | UTC

Perspective: The Waiting Game — Why Providers May Fail to Reduce Wait Times – New England Journal of Medicine (free)

 


The tyranny of excessive medical hierarchy

20 Jun, 2017 | 12:07h | UTC

The tyranny of excessive medical hierarchy – MJA Insight (free) (RT @pash22 see Tweet)

 


Stay Updated in Your Specialty

No spam, just news.