Patient Safety & Quality
Perspective: Time Out — Charting a Path for Improving Performance Measurement
23 Apr, 2018 | 21:03h | UTCTime Out — Charting a Path for Improving Performance Measurement – New England Journal of Medicine (free)
Perspective: Improving Patient Involvement in Care
15 Apr, 2018 | 23:41h | UTCImproving Patient Involvement in Care – NEJM Catalyst (free)
Viewpoint: the risks to patient safety from health system expansions
13 Apr, 2018 | 00:48h | UTCViewpoint: The Risks to Patient Safety From Health System Expansions – JAMA (free for a limited period)
Perspective: disruptive physician behavior recognition and intervention
5 Apr, 2018 | 18:45h | UTC
Perspective: paying hospitals to keep people out of hospitals?
3 Apr, 2018 | 15:42h | UTCPaying Hospitals To Keep People Out Of Hospitals? It Works In Maryland – Kaiser Health News (free)
Electronic Health Record Usability Issues and Potential Contribution to Patient Harm
30 Mar, 2018 | 04:32h | UTCElectronic Health Record Usability Issues and Potential Contribution to Patient Harm – JAMA (link to abstract – $ for full-text)
Commentaries: EHR Usability Linked to Possible Patient Harms, Study Finds – AJMC (free) AND EHRs May Be Tied to Potential Patient Harm, Study Suggests – Medscape (free registration required)
A prescription for medication errors
30 Mar, 2018 | 02:44h | UTCA prescription for medication errors – ACP Hospitalist (free)
Cognitive Load and Its Implications for Health Care
30 Mar, 2018 | 02:43h | UTCCognitive Load and Its Implications for Health Care – NEJM Catalyst (free)
New Guide to Infection Control in The Hospital
8 Mar, 2018 | 22:31h | UTCNew Guide to Infection Control in The Hospital – International Society for Infectious Diseases (free)
A free, online resource on the principles and interventions needed to reduce healthcare associated infections, with suggested control measures across different resource levels.
Opioid Wisely – Choosing Wisely Canada
8 Mar, 2018 | 21:29h | UTCOpioid Wisely – Choosing Wisely Canada (free)
Related Guideline: Guideline for opioid therapy and chronic noncancer pain – Canadian Medical Association Journal (free)
See complete lists from Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
This campaign encourages thoughtful conversation between clinicians and patients to reduce harms associated with opioid prescribing, with recommendations relevant to different specialties.
Policy Statement: Pediatric Medication Safety in the Emergency Department
2 Mar, 2018 | 02:00h | UTCPolicy Statement: Pediatric Medication Safety in the Emergency Department – American Academy of Pediatrics (free)
Commentaries: Recommendations Issued on Reducing Pediatric Medication Errors in the ED – NEJM Physician’s First Watch (free) AND Policy statement outlines ways to improve pediatric medication safety – 2 Minute Medicine (free)
Research: Impact of frailty on outcomes after discharge in older surgical patients
2 Mar, 2018 | 01:18h | UTCCommentary: Frailty associated with readmission risk and postdischarge mortality in older surgical patients – ACP Hospitalist (free)
Related Systematic Review: Identifying older adults at risk of harm following elective surgery: a systematic review and meta-analysis – BMC Medicine (free) AND Commentary: Age itself is not a risk factor for complications after surgery among older patients – OnMedica (free)
Research: Patterns and Predictors of Short-Term PICCs Use
2 Mar, 2018 | 01:15h | UTCPatterns and Predictors of Short-Term Peripherally Inserted Central Catheter Use: A Multicenter Prospective Cohort Study – Journal of Hospital Medicine (free PDF)
Commentary: Short-term use of IV devices is common — and risky — study shows – University of Michigan, via ScienceDaily (free)
“Intravenous devices known as PICCs should be reserved for long-term use, but a new study shows 1 in 4 are used for 5 days or less” (from ScienceDaily)
Opinion: Compassionate leadership has a pivotal role in tackling bullying in healthcare
27 Feb, 2018 | 15:55h | UTCCompassionate leadership has a pivotal role in tackling bullying in healthcare – The BMJ Opinion (free)
“Negative staff experiences are often a precursor for negative patient experiences”.
Research: Prevalence and Economic Burden of Medication Errors
27 Feb, 2018 | 15:47h | UTCPrevalence and Economic Burden of Medication Errors in The NHS in England. Rapid evidence synthesis and economic analysis of the prevalence and burden of medication error in the UK – Policy Research Unit in Economic Evaluation of Health & Care Interventions (EEPRU) (free PDF)
Commentaries: More than 200 million medication errors occur in NHS per year, say researchers – The University of Sheffield News (free) AND Drug errors cause appalling harm and deaths, says Hunt – BBC (free)
Research: Patient Experience and Likelihood of 30-day Readmission
22 Feb, 2018 | 22:42h | UTCThe association between patient experience factors and likelihood of 30-day readmission: a prospective cohort study – BMJ Quality & Safety (link to abstract – $ for full-text)
Commentary: Higher patient satisfaction linked to lower readmissions – Modern Healthcare (free)
Source: Are Patients’ Hospital Experiences Linked to Readmissions? – NEJM Journal Watch ($)
Research: Opioid Analgesic Use and Risk for Invasive Pneumococcal Diseases
16 Feb, 2018 | 02:09h | UTCOpioid Analgesic Use and Risk for Invasive Pneumococcal Diseases: A Nested Case–Control Study – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Opioids may be associated with increased risk for serious invasive pneumococcal infections – ACP Internist (free) AND Opioids For Pain Can Exacerbate Pneumococcal Infections – MedicalResearch.com (free) AND Prescription Opioid Use Tied to Higher Pneumonia Risk – MedPage Today (free registration required)
Systematic Review: Comprehensive Geriatric Assessment for Older People Admitted to a Surgical Service
16 Feb, 2018 | 01:32h | UTCComprehensive geriatric assessment for older people admitted to a surgical service – Cochrane Library (free)
Summary: Does special assessment of older people getting surgery improve their recovery after surgery? – Cochrane Library (free)
Quality improvement collaboratives can improve clinical processes and patient outcomes
16 Feb, 2018 | 01:07h | UTCQuality improvement collaboratives can improve clinical processes and patient outcomes – NIHR Signal (free)
Original article: Are quality improvement collaboratives effective? A systematic review – BMJ Quality & Safety (link to abstract – $ for full-text)
Editor’s Choice: There but for the grace of God
15 Feb, 2018 | 11:32h | UTCEditor’s Choice: There but for the grace of God . . . – The BMJ (free)
About liability and error in medical practice.
The Cost of Patient-Reported Outcomes in Medicine
15 Feb, 2018 | 11:31h | UTCThe Cost of Patient-Reported Outcomes in Medicine – NEJM Catalyst (free)
Opinion: This flu season, physicians need to scrap the ‘martyr culture’ of working while sick
9 Feb, 2018 | 12:43h | UTCThis flu season, physicians need to scrap the ‘martyr culture’ of working while sick – STAT (free) (via @CMichaelGibson)
Related study: Working with influenza-like illness: Presenteeism among US health care personnel during the 2014-2015 influenza season – American Journal of Infection Control (link to abstract – $ for full-text) AND Commentaries: Working while sick – ACP Internist (free) AND Health worker survey reveals many work during flu illness – CIDRAP (free)
Care-Centered Clinical Documentation in the Digital Environment: Solutions to Alleviate Burnout
9 Feb, 2018 | 12:44h | UTCRelated Infographic: Date Night with the EHR – NEJM Catalyst (free)
Related Commentary: Why Physician Burnout Is Endemic, and How Health Care Must Respond – NEJM Catalyst (free)
Related Guideline: Putting Patients First by Reducing Administrative Tasks in Health Care: A Position Paper of the American College of Physicians(free)
Research: Clinical Pharmacist Intervention on the Risk of Readmission
9 Feb, 2018 | 12:15h | UTCEffect of an In-Hospital Multifaceted Clinical Pharmacist Intervention on the Risk of Readmission: A Randomized Clinical Trial – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentaries: Clinical Pharmacist Intervention Can Reduce ED Visits and Hospital Readmissions – MedicalResearch.com (free) AND Pharmacist-led extended medication review and follow-up on discharge may decrease risk of readmission – 2 Minute Medicine (free)
Research: Handover of Anesthesia Care and Adverse Postoperative Outcomes
9 Feb, 2018 | 11:27h | UTCAssociation Between Handover of Anesthesia Care and Adverse Postoperative Outcomes Among Patients Undergoing Major Surgery – JAMA (link to abstract – $ for full-text)
Commentary: Anesthesia Care Hand Off Mid-Surgery Associated With Substantial Risk – MedPage Today (free registration required) AND Complete Handoffs by Anesthesiologists Tied to Poor Outcomes – Medscape (free registration required)