Patient Safety & Quality
Study: Association of Overlapping Surgery with Perioperative Outcomes
27 Feb, 2019 | 00:50h | UTCAssociation of Overlapping Surgery With Perioperative Outcomes – JAMA (link to abstract – $ for full-text)
Podcast: Is It Safe? What Happens When Your Surgeon Is Not Actually Doing Some of Your Operation? – JAMA (free)
Commentaries: How Safe Are Overlapping Surgeries? – Harvard Medical School (free) AND Double-Booked Surgeons: Study Raises Safety Questions For High-Risk Patients – NPR (free) AND ‘Overlapping surgery’ is safe for most patients, but not all – STAT (free)
Related Commentary on Twitter (Thread)
Who's doing your surgery?
Our new @JAMA_current study on the controversial practice of overlapping surgery & what it means for patients (led by @StanfordMed Eric Sun), using data on ~66,000 surgeries performed at 8 medical centers. Thread on findingshttps://t.co/JwH1bLCFUg
— Anupam Jena (@AnupamBJena) February 26, 2019
Measuring Hospital-Acquired Complications Associated with Low-Value Care
26 Feb, 2019 | 02:17h | UTCMeasuring Hospital-Acquired Complications Associated With Low-Value Care – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentary: Low-value procedures harm patients, consume hospital resources – HealthExec (free)
Editorial: Humanizing the Intensive Care Unit
3 Feb, 2019 | 15:51h | UTCHumanizing the intensive care unit – Critical Care (free)
Related Commentary on Twitter
Humanizing the intensive care unit#FOAMedhttps://t.co/PyQFWImRwe pic.twitter.com/b69IF9Anca
— Critical Care (@Crit_Care) January 29, 2019
Position Statement: Clear Fluids Fasting for Elective Pediatric Anesthesia
3 Feb, 2019 | 13:44h | UTC
Related Guidelines: Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration (free) AND Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology (free)
Related Systematic Review: Practice Guideline Recommendations on Perioperative Fasting – Journal of Parenteral and Enteral Nutrition (free)
Related Narrative Review: Nothing by Mouth at Midnight: Saving or Starving? A Literature Review – Gastroenterology Nursing (free)
“‘It is safe and recommended for all children able to take clear fluids, to be allowed and encouraged to have them up to 1 h before elective general anaesthesia’.”
Study: Fatal Flaws in Clinical Decision Making
1 Feb, 2019 | 02:45h | UTCFatal flaws in clinical decision making – ANZ Journal of Surgery (free)
Commentary: Fatal flaws in clinical decision making – PSNet (free)
Report: Problems with Medicines Behind 250,000 Hospital Admissions Annually in Australia
1 Feb, 2019 | 02:46h | UTCPSA’s Medicine Safety: Take Care – Pharmaceutical Society of Australia (free PDF)
News Release: Problems with medicines behind 250,000 hospital admissions annually (free)
“The report reveals that 250,000 Australians are hospitalised each year, with another 400,000 presenting to emergency departments, as a result of medication errors, inappropriate use, misadventure and interactions. At least half of this could have been prevented.”
Cohorty Study: Patient-reported Complications Related to Peripherally Inserted Central Catheters
28 Jan, 2019 | 23:55h | UTC
Related Commentary on Twitter
Three in four patients that receive a #PICC report a complication after discharge – yet very few are ever documented. Our new multicenter study in @BMJ_Qual_Saf exploring this issue is now out! #FOAMVa @AVATAR_grp @ISaveThatLine @ins1org #MAGIC https://t.co/sU3sL8aMGG
— Vineet Chopra (@vineet_chopra) January 26, 2019
A Framework for Increasing Trust Between Patients and the Organizations That Care for Them
28 Jan, 2019 | 23:37h | UTCA Framework for Increasing Trust Between Patients and the Organizations That Care for Them – JAMA (free for a limited period)
Editorial: Trust in Health Care (free for a limited period)
AAP Policy Statement – Principles of Pediatric Patient Safety: Reducing Harm Due to Medical Care
24 Jan, 2019 | 21:48h | UTCPrinciples of Pediatric Patient Safety: Reducing Harm Due to Medical Care – Pediatrics (free)
News Release: Make pediatric patient safety a priority: AAP policy highlights common errors (free)
Systematic Review: Clinically‐indicated vs. Routine Replacement of Peripheral Venous Catheters
24 Jan, 2019 | 21:44h | UTCClinically‐indicated replacement versus routine replacement of peripheral venous catheters – Cochrane Library (free)
Summary: Replacing a peripheral venous catheter when clinically indicated versus routine replacement – Cochrane Library (free)
Here’s the latest evidence on replacing peripheral venous catheters https://t.co/XQb0xapuYl #eenursing @CochraneUK pic.twitter.com/IXQZt5fStq
— CochraneVasc (@CochraneVasc) January 23, 2019
A Review of Guidelines to Distinguish Between Gastric and Pulmonary Placement of Nasogastric Tubes
23 Jan, 2019 | 01:06h | UTC
Patient Engagement Survey: Health Care Has a Lot to Learn from Consumer-Friendly Industries
21 Jan, 2019 | 10:15h | UTC
Performance Improvement: Performing an Inadvertent Procedure
19 Jan, 2019 | 18:27h | UTCPerforming an Inadvertent Procedure – JAMA (free for a limited period)
How to Get Started in Quality Improvement
18 Jan, 2019 | 00:59h | UTCHow to get started in quality improvement – The BMJ (free)
Medscape National Physician Burnout, Depression & Suicide Report 2019
18 Jan, 2019 | 00:54h | UTCMedscape National Physician Burnout, Depression & Suicide Report 2019 (free registration required)
Commentaries: Burnout Rises Above 50% in Some Specialties, New Survey Shows – Medscape (free registration required) AND No quick fix for physician burnout, depression – Reuters (free) AND More than half of physicians are burned out or depressed – HealthExec (free)
Related Perspectives: Why Physician Burnout Is Endemic, and How Health Care Must Respond – NEJM Catalyst (free) AND Counting the costs: U.S. hospitals feeling the pain of physician burnout – Reuters (free) AND Panic, chronic anxiety and burnout: doctors at breaking point – The Guardian (free) AND The Burnout Crisis in American Medicine – The Atlantic (free) AND Implementing Optimal Team-Based Care to Reduce Clinician Burnout – National Academy of Medicine (free) AND Physician burnout costs up to $17B a year, task force says – HealthcareDive (free)
Related Articles: Physician Burnout Can Lead to Major Medical Errors (link to abstract and commentaries) AND Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction (link to abstract and commentaries) AND Systematic Review: Prevalence of Burnout Among Physicians (link to abstract and commentaries)
Perspective: Assessing the Performance of Aging Surgeons
17 Jan, 2019 | 00:13h | UTCAssessing the Performance of Aging Surgeons – JAMA (free for a limited period)
Effect of Early Physician Follow-up on Outcomes After Emergency Care for Heart Failure
16 Jan, 2019 | 00:53h | UTCCommentaries: Heart failure patients need sooner follow-up care – Reuters (free) AND Patients with heart failure have lower risk of death if seen by physician in first 7 days after ED discharge – MedicalXpress (free)
Complications Associated with Invasive Diagnostic Procedures for Lung Abnormalities in the Community Setting
16 Jan, 2019 | 00:41h | UTCComplication Rates and Downstream Medical Costs Associated With Invasive Diagnostic Procedures for Lung Abnormalities in the Community Setting – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentary: Lung cancer screening complications may be higher than expected – Reuters (free)
Program Reduces Objective and Subjective Metrics of Nighttime Hospital Sleep Disruptors
13 Jan, 2019 | 23:16h | UTCCommentary: Hospital SIESTA project reduces inpatient sleep interruptions – University of Chicago Medical Center (free)
Related Commentary on Twitter
Have you ever tried to get a restful night of #sleep in the hospital? It's pretty hard. This is something our team has worked hard to try to improve at @uchicagomed. Our lates paper out in @JHospMedicine today & with key findings in THREAD below https://t.co/IosBRrQtXW 1/x pic.twitter.com/IxnErcdCg8
— Vinny Arora MD MAPP (@FutureDocs) January 8, 2019
Effects of A Communication-And-Resolution Program on Hospitals’ Malpractice Claims and Costs
10 Jan, 2019 | 21:31h | UTCEffects of A Communication-And-Resolution Program on Hospitals’ Malpractice Claims and Costs – Health Affairs (link to abstract – $ for full-text)
Commentaries: Study finds hospital communication-and-resolution programs do not expand liability risk – Brigham and Women’s Hospital (free) AND Effects of a communication-and-resolution program on hospitals’ malpractice claims and costs – PSNet (free) AND It’s a win-win: Hospitals should apologize for mistakes – Stanford Law School (free)
Update: Patient Engagement in Safety
10 Jan, 2019 | 21:28h | UTCPatient Engagement in Safety – Patient Safety Network (free)
Cohort Study: International Variation in Radiation Dose for Computed Tomography Examinations
6 Jan, 2019 | 20:22h | UTC
Related Commentary on Twitter
CT scanning doses varied widely across countries, found this study, with variation chiefly driven by how institutions used the machines, rather than by patient or machine manufacturer or model #BMJResearch https://t.co/eKnz6QFaLW pic.twitter.com/OKbqmIi52J
— The BMJ (@bmj_latest) January 3, 2019
Guideline: Health Industry Cybersecurity Practices
4 Jan, 2019 | 20:11h | UTCNews Release: HHS, in Partnership with Industry, Releases Voluntary Cybersecurity Practices for the Health Industry (free)
Commentaries: Assessing the New Cybersecurity Practices Publication: Why Small and Medium-Sized Care Organizations Have Reason to Rejoice – Healthcare Informatics (free) AND HHS releases voluntary cybersecurity guidance – Healthcare IT News (free)
Position Statement: Evidence‐based Nurse Staffing
4 Jan, 2019 | 18:22h | UTCEvidence‐based Nurse Staffing: ICN’s New Position Statement – International Nursing Review (free)
Review: Complications of Peripherally Inserted Central Catheters in Critically Ill Patients
3 Jan, 2019 | 11:20h | UTC