Patient Safety & Quality | Page 40 of 51 | Links Medicus Content Curation & Alerts in Medicine

Randomized Trial: Letters with Peer Comparison May Reduce Overprescribing

17 Aug, 2018 | 02:34h | UTC

Effect of Peer Comparison Letters for High-Volume Primary Care Prescribers of Quetiapine in Older and Disabled Adults: A Randomized Clinical Trial – JAMA Psychiatry (link to abstract – $ for full-text)

Commentaries: Behavioral nudges lead to striking drop in prescriptions of potent antipsychotic – Columbia University’s Mailman School of Public Health, via ScienceDaily (free) AND Study Reduces Over-prescription of Antipsychotics in Older Adults – Mad in America (free) AND ‘Dear Doctor’ Letters Use Peer Pressure, Government Warning To Stop Overprescribing – NPR (free) AND Peer Pressure Tactic Successfully Curbs Overprescribing – Medscape (free registration required)

Lessons for Physicians from ‘The Bleeding Edge’: If You See Something, Say Something

17 Aug, 2018 | 02:04h | UTC

Opinion: Lessons for physicians from ‘The Bleeding Edge’: If you see something, say something – STAT (free)

“…physicians must act decisively when they identify the rare outlier in their midst. To do anything less would risk our credibility. Worse still, it could risk the lives of the people we took an oath not to harm.”

Study: Mortality Effects of Timing Alternatives for Hip Fracture Surgery

11 Aug, 2018 | 02:38h | UTC

Mortality effects of timing alternatives for hip fracture surgery – Canadian Medical Association Journal (free)

Commentaries: Lower death rate when senior hip fractures are repaired quickly – Reuters (free) AND Delayed surgery for hip fractures cause of preventable deaths, study finds – The Globe and Mail (free) AND The sun should not set twice before hip fracture repair – CMAJ, via ScienceDaily (free)

AAP Clinical Report: Physician’s Role in Coordinating Care of Hospitalized Children

3 Aug, 2018 | 11:43h | UTC

Physician’s Role in Coordinating Care of Hospitalized Children – American Academy of Pediatrics (free)

News Release: Report guides pediatricians in improving care coordination of hospitalized children – AAP News (free)

Study: Quick Treatment May Improve Outcomes in Pediatric Sepsis

26 Jul, 2018 | 18:30h | UTC

Association Between the New York Sepsis Care Mandate and In-Hospital Mortality for Pediatric Sepsis – JAMA (link to abstract – $ for full-text)

Commentaries: Pediatric sepsis care within an hour increases chances of survival, shows study – News Medical (free) AND “Rory’s Regulations” Improves Pediatric Sepsis Care – MedicalResearch.com (free) AND Sepsis Survival Higher in Kids With Quick Bundle Completion – Medscape (free registration required)

Systematic Review: Association Between Nurse Staffing and Omissions in Nursing Care

20 Jul, 2018 | 03:05h | UTC

The association between nurse staffing and omissions in nursing care: A systematic review – Journal of Advanced Nursing (free)

Commentary: Nurse staffing levels linked to reports of missed care in adult wards – NIHR Signal (free)

Position Statement: Reducing Inappropriate Medication Use & Polypharmacy

20 Jul, 2018 | 02:21h | UTC

International Group for Reducing Inappropriate Medication Use & Polypharmacy (IGRIMUP): Position Statement and 10 Recommendations for Action – Drugs & Aging (free)

Review: Update on Infection Control Practices in Cancer Hospitals

13 Jul, 2018 | 02:43h | UTC

Update on infection control practices in cancer hospitals – CA: A Cancer Journal of Clinicians (free)

Study: Physician Burnout Can Lead to Major Medical Errors

13 Jul, 2018 | 02:30h | UTC

Physician Burnout, Well-being, and Work Unit Safety Grades in Relationship to Reported Medical Errors – Mayo Clinic Proceedings (link to abstract – $ for full-text)

Commentaries: Medical errors may stem more from physician burnout than unsafe health care settings – Stanford Medicine, via ScienceDaily (free) AND Physician burnout, depression can lead to major medical errors: Study – ABC News (free) AND Burnout Tied to Twofold Higher Risk for Medical Errors – Medscape (free registration required)

Related: Perspective: The Burnout Crisis in American Medicine (free commentaries on the subject)

WHO Report: Low Quality Healthcare is Increasing the Burden of Illness and Health Costs Globally

6 Jul, 2018 | 09:57h | UTC

Delivering quality health services: A global imperative for universal health coverage – World Health Organization (free)

News Release: Low quality healthcare is increasing the burden of illness and health costs globally (free)

Commentary: Universal quality healthcare coverage—a commitment to building a healthier and more productive society – The BMJ Opinion (free)

Cohort Study: Infectious and Noninfectious Complications Associated with Indwelling Urethral Catheters

6 Jul, 2018 | 09:25h | UTC

A Multicenter Study of Patient-Reported Infectious and Noninfectious Complications Associated With Indwelling Urethral Catheters – JAMA Internal Medicine (free)

Commentary: Foleys Aren’t Fun: Patient Study Shows Catheter Risks – University of Michigan, via NewsWise (free)

“More than half of patients surveyed while they had a urinary catheter, and again weeks later, reported a complication – and infections were only part of the problem” (from NewsWise)

Meta-Analysis: Out-Of-Hours Discharge from the ICU, In-Hospital Mortality and Intensive Care Readmission Rates

6 Jul, 2018 | 09:24h | UTC

Out-of-hours discharge from intensive care, in-hospital mortality and intensive care readmission rates: a systematic review and meta-analysis – Intensive Care Medicine (free)

Source: Critical Care Reviews Newsletter

“Out-of-hours discharge from an ICU is strongly associated with both in-hospital death and ICU readmission. Whether these increases in mortality and readmission result from patient differences, differences in care, or a combination remains unclear”.

Randomized Trial: Impact of Intensive Care Management on High-Risk Patients’ Costs and Utilization

18 Jun, 2018 | 11:23h | UTC

Impact of Primary Care Intensive Management on High-Risk Veterans’ Costs and Utilization: A Randomized Quality Improvement Trial – Annals of Internal Medicine (link to abstract – $ for full-text)

Commentaries: Intensive care management for high-risk VA patients didn’t affect overall costs – ACP Hospitalist (free) AND Intensive management for sicker patients increases outpatient care but not costs – 2 Minute Medicine (free)

Randomized Trial: Increased Supervision of Medical Residents Not Associated with Reduced Medical Errors

15 Jun, 2018 | 02:23h | UTC

Effect of Increased Inpatient Attending Physician Supervision on Medical Errors, Patient Safety, and Resident Education: A Randomized Clinical Trial – JAMA Internal Medicine (link to abstract – $ for full-text)

Commentaries: Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial – PSNet (free) AND Increased attending supervision on rounds didn’t significantly reduce medical errors – ACP Hospitalist (free) AND Additional physician resident supervision doesn’t improve patient safety – Modern Healthcare (free) AND Closer Resident Supervision Does Not Reduce Medical Errors – Medscape (free registration required) AND Is More Supervision of Medical Residents Always Better for Patient Care? – MedicalResearch.com (free)

Perspective: Shaking Hands is Disgusting – Here’s What Else You Can Do

15 Jun, 2018 | 02:06h | UTC

Shaking hands is disgusting – here’s what else you can do – The Conversation (free)

Related: Handshake-free zones to prevent infections? (link to abstract and commentaries)

Perspective: A Sleep Prescription for Medicine

15 Jun, 2018 | 02:07h | UTC

A sleep prescription for medicine – The Lancet (free registration required)

“Junior doctors working a 34 h shift will make 460% more diagnostic mistakes than when well rested. Matthew Walker asks how can we change the culture of sleep within medicine?” (via @TheLancet see Tweet)

Perspective: Designing Hospitals That Heal as Well as Treat

15 Jun, 2018 | 01:05h | UTC

Care Redesign: Designing Hospitals That Heal as Well as Treat – NEJM Catalyst (free)

Retrospective Cohort: Ambulatory Medication Reconciliation and Frequency of Hospitalizations and Emergency Department Visits in Patients With Diabetes

15 Jun, 2018 | 01:03h | UTC

Ambulatory Medication Reconciliation and Frequency of Hospitalizations and Emergency Department Visits in Patients With Diabetes – Diabetes Care (link to abstract – $ for full-text)

Commentary: Double-checking diabetes medications may reduce re-hospitalizations – Brigham and Women’s Hospital, via EurekAlert (free)

Qualitative Study: Identification and Characterization of Failures in Infectious Agent Transmission Precaution Practices in Hospitals

15 Jun, 2018 | 01:02h | UTC

Identification and Characterization of Failures in Infectious Agent Transmission Precaution Practices in Hospitals: A Qualitative Study – JAMA Internal Medicine (free for a limited period)

Invited Commentary: The Importance of User-Centered Design and Evaluation: Systems-Level Solutions to Sharp-End Problems – JAMA Internal Medicine (free for a limited period)

FDA Safety Alert: Liquid-filled Intragastric Balloons

15 Jun, 2018 | 00:53h | UTC

Liquid-filled Intragastric Balloons by Apollo Endosurgery and ReShape Lifesciences: Letter to Health Care Providers – New Labeling About Potential Risks – FDA (free)

Commentaries: Stomach Balloons Get New Warning Following Deaths – NEJM Physician’s First Watch (free) AND Five More Deaths Linked to Intragastric Balloons for Obesity – Medscape (free registration required)