Patient Safety & Quality
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”
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
— Vascular Evidence (@Vasc_Evidence) 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)