Patient Safety & Quality
Ten Tips for Advancing a Culture of Improvement in Primary Care
18 Nov, 2018 | 00:12h | UTCTen tips for advancing a culture of improvement in primary care – BMJ Quality & Safety (free)
Perspective: Are Medical Errors a Huge Problem That’s Simple to Fix?
16 Nov, 2018 | 02:55h | UTCBenjamin Mazer: Are medical errors a huge problem that’s simple to fix? – The BMJ Opinion (free)
Randomized Trial: Effect of a Pharmacist-Led Educational Intervention on Inappropriate Medication Prescriptions in Older Adults
16 Nov, 2018 | 02:24h | UTCEffect of a Pharmacist-Led Educational Intervention on Inappropriate Medication Prescriptions in Older Adults: The D-PRESCRIBE Randomized Clinical Trial – JAMA (free for a limited period)
Video Summary: Effect of a Pharmacist-Led Intervention on Inappropriate Prescriptions in Older Adults (free)
Perspective: Accreditation, Quality, and Making Hospital Care Better
5 Nov, 2018 | 12:07h | UTCAccreditation, Quality, and Making Hospital Care Better – JAMA Forum (free)
Related: Questioning One of Healthcare’s Sacred Cows – Op-Med (free)
See Original Study: Hospital Accreditation not Associated with Better Outcomes in Observational Study (free study and commentaries)
Perspective: Surgical Value — Beyond Bundled Payments
2 Nov, 2018 | 03:22h | UTCSurgical Value — Beyond Bundled Payments – NEJM Catalyst (free)
Physician Burnout Costs up to $17B a Year, Task Force Says
2 Nov, 2018 | 02:20h | UTCPhysician burnout costs up to $17B a year, task force says – HealthcareDive (free)
Related Position Paper: The Business Case for Humanity in Healthcare – National Taskforce for Humanity in Healthcare (free PDF)
Related: Systematic Review: Prevalence of Burnout Among Physicians (link to abstract and commentaries) AND Implementing Optimal Team-Based Care to Reduce Clinician Burnout (free review and commentaries) AND Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction (link to abstract and commentaries) AND Physician Burnout Can Lead to Major Medical Errors (link to abstract and commentaries) AND The Burnout Crisis in American Medicine (free perspectives on the subject)
Hospital Accreditation not Associated with Better Outcomes in Observational Study
26 Oct, 2018 | 01:42h | UTCCommentaries: Joint Commission accreditation doesn’t lead to better outcomes, study shows – Modern Healthcare (free) AND Doubt cast on value of hospital accreditation in Harvard study – Healthcare Dive (free)
Review: Enhanced Recovery in Surgical Intensive Care
19 Oct, 2018 | 00:12h | UTCEnhanced Recovery in Surgical Intensive Care: A Review – Frontiers in Medicine (free)
Perspective: What Should we Stop Doing in the ICU?
16 Oct, 2018 | 23:36h | UTCWhat should we stop doing in the ICU? – ICU Management & Practice (free)
Study: Unapproved Pharmaceutical Ingredients Included in Dietary Supplements
16 Oct, 2018 | 23:07h | UTCEditorial: The FDA and Adulterated Supplements—Dereliction of Duty – JAMA Network Open (free)
Commentaries: Nearly 800 dietary supplements contained unapproved drug ingredients, study finds – CNN (free) AND No Wonder It Works So Well – NPR (free) AND Hundreds of Dietary Supplements Are Tainted with Prescription Drugs – Scientific American (free) AND Hundreds of health, weight loss products contain unapproved ingredients: Study – UPI (free) AND Some dietary supplements contain potentially harmful drugs – Reuters (free)
Systematic Review of Systematic Reviews: Incidence, Causes, and Consequences of Preventable Adverse Drug Reactions Occurring in Inpatients
16 Oct, 2018 | 21:31h | UTC
How to Prevent Brain-Sapping Delirium in the ICU
12 Oct, 2018 | 01:50h | UTCHow To Prevent Brain-Sapping Delirium In The ICU – NPR (free text and podcast)
Related: ABCDEF Bundle – Society of Critical Care Medicine (free resource) AND The ABCDEF Bundle: Science and Philosophy of How ICU Liberation Serves Patients and Families – Critical Care Medicine (free)
Committee Recommends New Restrictions on the use of Fluoroquinolones
11 Oct, 2018 | 21:47h | UTCCommentaries: EMA committee recommends restrictions on fluoroquinolone, quinolone antibiotics – Reuters (free) AND PRAC Recommends Restrictions on Fluoroquinolone, Quinolones – Medscape (free registration required)
Related FDA Safety Alert: Warnings for Fluoroquinolones on Risks of Mental Health and Low Blood Sugar Adverse Reactions (free statement and commentaries)
Perspective: What the Tests Don’t Show
11 Oct, 2018 | 20:11h | UTCWhat the tests don’t show – The Washington Post (a few articles per month are free)
“Many doctors are surprisingly bad at reading test results and/or fail to grasp how false positives work. This is putting patients at risk” (via @pash22 see Tweet)
Ten Principles for More Conservative, Care-Full Diagnosis
5 Oct, 2018 | 02:22h | UTCTen Principles for More Conservative, Care-Full Diagnosis – Annals of Internal Medicine (free) (via @EricTopol)
Study: Association Between Physician Medical School Ranking and Patient Outcomes and Costs of Care
28 Sep, 2018 | 00:58h | UTC“Overall, little or no relation was found between the USNWR ranking of the medical school from which a physician graduated and subsequent patient mortality or readmission rates.”
Study: Adverse Outcomes After Arthroscopic Partial Meniscectomy
27 Sep, 2018 | 22:59h | UTCInvited Commentary: Potential harms of isolated arthroscopic partial meniscectomy (free)
Related: Needless procedures: knee arthroscopy is one of the most common but least effective surgeries – The Conversation (free) AND Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline (free guideline and commentary)
Randomized Trial: Algorithm-Based Therapy vs Usual Care in Patients with Staphylococcal Bacteremia
27 Sep, 2018 | 22:58h | UTCEffect of Algorithm-Based Therapy vs Usual Care on Clinical Success and Serious Adverse Events in Patients with Staphylococcal Bacteremia: A Randomized Clinical Trial – JAMA (free for a limited period)
Editorial: Treatment Algorithms for Staphylococcal Bacteremia: Improving Clinical Care and Enhancing Antimicrobial Stewardship (free for a limited period)
Commentary: Algorithm may reduce antibiotics for staph bloodstream infections – CIDRAP (free)
Meta-Analysis: The Preventable Proportion of Healthcare-associated Infections
21 Sep, 2018 | 02:01h | UTCThe preventable proportion of healthcare-associated infections 2005–2016: Systematic review and meta-analysis – Infection Control & Hospital Epidemiology (link to abstract – $ for full-text)
Commentary: Even the best healthcare facilities can do more to prevent infections – Society for Healthcare Epidemiology of America (free)
“Multifaceted tactics for infection control reduce healthcare-associated infections 35-55 percent”
Study: Use of Medical Scribes to Reduce Documentation Burden
21 Sep, 2018 | 01:45h | UTCAssociation of Medical Scribes in Primary Care With Physician Workflow and Patient Experience – JAMA Internal Medicine (free for a limited period)
Commentaries: Use of Medical Scribes to Reduce Documentation Burden: Are They Where We Need to Go With Clinical Documentation? – JAMA Internal Medicine (free for a limited period) AND Scribes improve physician workflow, patient interaction – MedicalXpress (free) AND Scribes ease physician administrative burden and boost patient experience, JAMA study says – Healthcare Finance (free)
Systematic Review: Prevalence of Burnout Among Physicians
20 Sep, 2018 | 19:41h | UTCPrevalence of Burnout Among Physicians: A Systematic Review – JAMA (link to abstract – $ for full-text)
Commentaries: Doctors Today May Be Miserable, But Are They ‘Burnt Out’? – NPR (free) AND Physician burnout taking center stage – Reuters (free) AND Burnout Found to Be Common Among U.S. Resident Physicians – Psychiatric News Alert (free)
Related: 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 To Care Is Human — Collectively Confronting the Clinician-Burnout Crisis – New England Journal of Medicine (free) AND Beyond Burnout — Redesigning Care to Restore Meaning and Sanity for Physicians (free) AND The Burnout Crisis in American Medicine – The Atlantic (free) AND To Combat Physician Burnout and Improve Care, Fix the Electronic Health Record (free commentaries)
Review: Implementing Optimal Team-Based Care to Reduce Clinician Burnout
20 Sep, 2018 | 19:40h | UTCImplementing Optimal Team-Based Care to Reduce Clinician Burnout – National Academy of Medicine (free)
Commentaries: Optimal team-based health care is associated with improved patient outcomes and physician well-being – ACP Newsroom (free) AND New Review Shows Team-Based Care May Reduce Physician Burnout – Medscape (free registration required)
Review: Optimizing Medications in Older Adults with Cognitive Impairment
20 Sep, 2018 | 19:23h | UTC
Shared Decision-Making: Staying Focused on the Ultimate Goal
20 Sep, 2018 | 19:21h | UTCShared Decision-Making: Staying Focused on the Ultimate Goal – NEJM Catalyst (free)
Viewpoint: Aligning Patient and Physician Incentives
14 Sep, 2018 | 01:33h | UTCAligning Patient and Physician Incentives – JAMA (free for a limited period)