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Patient Safety & Quality

Practice Guidelines for Preoperative Fasting

9 Jun, 2017 | 16:03h | UTC

Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration – Anesthesiology, via Medscape (free registration required)

 


Things the Health Care Sector Must Do to Improve Cybersecurity

8 Jun, 2017 | 15:53h | UTC

Perspective: Cyberattack on Britain’s National Health Service: A Wake-up Call for Modern Medicine – New England Journal of Medicine (free)

Related: 11 Things the Health Care Sector Must Do to Improve Cybersecurity – Harvard Business Review (a few articles per month are free) AND Eric D Perakslis: Cyber security modeled as infection prevention and control in the healthcare delivery setting – The BMJ Opinion (free) AND Healthcare Seen Highly Vulnerable to Cyberattack – MedPage Today (free registration required)

 


Handshake-free zones to prevent infections?

8 Jun, 2017 | 15:51h | UTC

Handshake-free zone in a neonatal intensive care unit: Initial feasibility study – American Journal of Infectious Control (link to abstract – $ for full-text)

Commentaries: Hospitals Could One Day Be Handshake-Free Zones To Prevent The Spread Of Disease – WBGH News (free) AND Handshake-Free Zone: Stopping the Spread of Germs in the Hospital – Medscape (free registration required) AND Handshake-Free Zones Target Spread Of Germs In The Hospital – NPR Health News (free)

 


Management of polypharmacy

8 Jun, 2017 | 15:52h | UTC

Current and future perspectives on the management of polypharmacy – BMC Family Practice (free) (RT @Azeem_Majeed see Tweet)

 


#ASCO2017 – Survival in a Trial Assessing Patient-Reported Outcomes for Symptom Monitoring During Cancer Treatment

5 Jun, 2017 | 14:52h | UTC

#ASCO2017 – Overall Survival Results of a Trial Assessing Patient-Reported Outcomes for Symptom Monitoring During Routine Cancer Treatment – JAMA (free)

Commentaries: Quickly reporting cancer complications may boost survival – STAT News (free) AND If This Were a Drug, the Price Would Be $100,000 – Medscape (free registration required) AND How a simple tech tool can help cancer patients live longer – The Washington Post (free)

“For surveillance of cancer, digital tracking of patient-generated data improves survival”. “The cost of digital tracking is very low and > 5 months median survival improvement is more than cancer drugs that cost > $100,000” (RT @EricTopol see Tweets and Answers)

 


Changing the narratives for patient safety – World Health Organization

5 Jun, 2017 | 14:50h | UTC

Perspectives: Changing the narratives for patient safety – World Health Organization (free)

“No simple solutions to patient safety: why we have to change the narratives” (RT @MaryDixonWoods See Tweet)

 


Engaging Patients in Patient Safety – a Canadian Guide

5 Jun, 2017 | 14:49h | UTC

Engaging Patients in Patient Safety – a Canadian Guide (free) (RT @pash22)

News release: How to Effectively Engage Patients in Patient Safety: New Guide available (free)

 


Prevention of Catheter-Associated Urinary Tract Infection in Nursing Home Residents

4 Jun, 2017 | 19:01h | UTC

A National Implementation Project to Prevent Catheter-Associated Urinary Tract Infection in Nursing Home Residents – JAMA Internal Medicine (free)

Invited commentary: A Triumph for the Agency for Healthcare Research and Quality Safety Program for Long-term Care: Moving Beyond “Round Up the Usual Suspects”

 


Prophylactic Acid-Suppressive Therapy in Hospitalized Adults

2 Jun, 2017 | 18:39h | UTC

Prophylactic Acid-Suppressive Therapy in Hospitalized Adults: Indications, Benefits, and Infectious Complications – Critical Care Nurse (free)

Source: Restraint Urged Before Prescribing Acid-Suppressive Therapy in Hospitalized Patients – American Association of Critical-Care Nurses, via Newswise (free)

 


Diabetes – Injection and Infusion Technique Recommendations

1 Jun, 2017 | 18:31h | UTC

The UK Injection and Infusion Technique Recommendations 4th Edition – Forum for Injection Technique (FIT) (free PDF)

Commentary: New Guidance Focuses on Best Injection Practices for Diabetes – Medscape (free registration required)

Related guideline: New Insulin Delivery Recommendations – Mayo Clinic Proceedings (free)

 


The lap band for weight loss is a tale of medicine gone wrong

25 May, 2017 | 15:02h | UTC

The lap band for weight loss is a tale of medicine gone wrong – VOX (free)

See also a recent study showing high complication rates of laparoscopic gastric band surgeries in our May 23rd issue (see #7)

 


Effect of a Modified Hospital Elder Life Program on Delirium and Length of Hospital Stay in Patients Undergoing Abdominal Surgery

25 May, 2017 | 14:50h | UTC

Effect of a Modified Hospital Elder Life Program on Delirium and Length of Hospital Stay in Patients Undergoing Abdominal Surgery: A Cluster Randomized Clinical Trial – JAMA Surgery (free) (RT @PreetiNMalani see Tweet)

Commentary: Anti-delirium strategy reduces after-surgery confusion in elderly – Reuters Health (free)

Multicomponent nonpharmacologic interventions, including orienting communications, oral and nutritional assistance, and early mobilization reduced postoperative delirium by 56% and length of stay by 2 days.

 


Factors Associated with Pediatric Mortality from Motor Vehicle Crashes

25 May, 2017 | 14:47h | UTC

Factors Associated with Pediatric Mortality from Motor Vehicle Crashes in the United States: A State-Based Analysis – The Journal of Pediatrics(free PDF)

Commentaries: 43 Percent Of Children Who Died From Car Crashes Were Improperly Restrained – NPR Health News (free)

 


Reoperation and Medicare Expenditures After Laparoscopic Gastric Band Surgery

23 May, 2017 | 14:25h | UTC

Reoperation and Medicare Expenditures After Laparoscopic Gastric Band Surgery – JAMA Surgery (link to abstract – $ for full-text)

Commentaries: Following gastric band surgery, device-related reoperation common, costly – Science Daily (free) 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)

 


Pressure ulcer prevention and treatment

19 May, 2017 | 17:53h | UTC

Pressure ulcer prevention and treatment. Is ‘best practice’ evidence-based? – Cochrane Blogs: Evidence for Everyday Nursing (free) (RT @CochraneUK see Tweet)

Evidence for the treatment of pressure ulcers reviewed.

 


Measuring the Burden of Medications in Older Adults near the End of Life

16 May, 2017 | 20:00h | UTC

Choosing Wisely? Measuring the Burden of Medications in Older Adults near the End of Life: Nationwide, Longitudinal Cohort Study – The American Journal of Medicine (free)

See related study on the use of Medications of Questionable Benefit at the End of Life in our April 10th issue, see #8 and Deprescribing guidelines for elderly in our May 8th issue, see #4.

Source: Patient often prescribed potentially futile drugs in their final months of life – Science Daily (free)

“Nearly half of older adults in Sweden take 10 or more medications in their last months of life” (from Science Daily)

 


Countering cognitive biases in minimizing low value care

12 May, 2017 | 19:34h | UTC

Review: Countering cognitive biases in minimizing low value care – The Medical Journal of Australia (free)

“How cognitive bias affects clinical decision making and what to do about it. Well written & useful” (RT @carissa_bon and @JulieLeask see Tweet)

 


Risk of acute myocardial infarction with NSAIDs

11 May, 2017 | 18:38h | UTC

Risk of acute myocardial infarction with NSAIDs in real world use: bayesian meta-analysis of individual patient data – The BMJ (free)

Commentaries: Meta-Analysis: Just a Week of NSAID Use Tied to Increased Heart Attack Risk – Journal Watch (free) AND Common painkillers linked to increased risk of heart attack, study says – CNN (free) All NSAIDs Linked to Increased MI Risk – Medscape (free registration required)

Another study suggesting NSAIDs may be associated with increased cardiovascular risk.

 


Ten Principles of Good Prescribing

11 May, 2017 | 18:42h | UTC

Ten Principles of Good Prescribing – by J K Aronson, Centre for Evidence-Based Medicine (CEBM) (free)

 


How To Do A Really Good Job Washing Your Hands

11 May, 2017 | 18:36h | UTC

How To Do A Really Good Job Washing Your Hands – NPR Health News (free)

See also World Health Organization and Centers for Disease Control and Prevention (CDC) “Clean Hands” campaigns in our May 5th issue, see #2.

 


One-Third Of New Drugs Had Safety Problems After FDA Approval

10 May, 2017 | 18:22h | UTC

Postmarket Safety Events Among Novel Therapeutics Approved by the US Food and Drug Administration Between 2001 and 2010 – JAMA (link to abstract – $ for full-text)

Commentaries: Nearly 1 In 3 Recent FDA Drug Approvals Followed By Major Safety Actions – Scientific American (free) AND One in Three Newly Approved Drugs Has Safety Issues – MedPage Today (free registration required) AND Safety Events Common in Newly Approved Drugs – Medscape(free registration required) AND New safety risks detected in one-third of FDA-approved drugs – The Washington Post (free) (RT @EricTopol see Tweet) AND One-Third Of New Drugs Had Safety Problems After FDA Approval – NPR Health News (free)

*Newer is not always better.

 


Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017

5 May, 2017 | 20:29h | UTC

Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017 – JAMA Surgery (free) (RT @jankluytmans and @CIDRAP_ASP see Tweet)

Invited commentary: Surgical Site Infection Prevention – What We Know and What We Do Not Know – JAMA Surgery (free)

Commentary: ‘Long-Awaited’ CDC Guidelines on SSI Prevention Released – Medscape (free registration required)

Related: Global guidelines on the prevention of surgical site infection 2016 – World Health Organization (free)

 


8 things that excellent hospital doctors do

5 May, 2017 | 20:27h | UTC

First opinion: 8 things that excellent hospital doctors do – STAT News (free)

 


Give patients access to their medical records

5 May, 2017 | 20:20h | UTC

Editor’s Choice: Give patients access to their medical records – The BMJ, by Fiona Godlee, editor in chief (free)

Patients are being empowered in decisions regarding their health care, and this is probably a tendency for the future.

 


Urinary catheter care: what does the evidence say?

4 May, 2017 | 20:12h | UTC

Urinary catheter care: what does the evidence say? – Cochrane Library (free)

“How frequently should indwelling urinary catheters be changed? Are catheter washouts effective? Which type of catheter reduces rates of urinary tract infection?”. This post look at the evidence regarding urinary catheter care.

 


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