Patient Safety & Quality
Meta-Analysis: Economics of Palliative Care for Hospitalized Adults With Serious Illness
3 May, 2018 | 20:32h | UTCEconomics of Palliative Care for Hospitalized Adults With Serious Illness: A Meta-analysis – JAMA Internal Medicine (free for a limited period)
Commentaries: Study: Palliative Care Reduces Hospital Stay, Cost of Sickest Patients – U.S. News (free) AND Prompt Palliative Care Saves Money, Especially in Sickest Patients – MedPage Today (free registration required)
AHRQ Guide: Improving Patient Safety in Primary Care Settings by Engaging Patients and Families
3 May, 2018 | 20:22h | UTCSee also: About the Guide (free) AND Infographic (free PDF) AND Quick Start Guide (free)
Guideline: Optimal Use of Ionizing Radiation in Cardiovascular Imaging
3 May, 2018 | 20:05h | UTCCommentary: New Expert Consensus Document Provides Best Practices For Ionizing Radiation Safety – American College of Cardiology (free)
Cohort Study: Preventability of Early Versus Late Hospital Readmissions
3 May, 2018 | 19:54h | UTCPreventability of Early Versus Late Hospital Readmissions in a National Cohort of General Medicine Patients – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Hospital care quality more likely a factor in early versus late readmissions – ACP Hospitalist (free) AND Hospital readmissions occurring within 7 days post-discharge may be more preventable than later readmissions – 2 Minute Medicine (free)
Case–Crossover Study: Association Between Home Care Visits and Same-Day Emergency Department Use
3 May, 2018 | 18:44h | UTCCommentaries: Seniors more likely to visit the ER after nurse’s home care visit – McMaster University (free) AND Seniors visit ER’s more frequently after nurse’s home care visit – UPI (free)
Perspective: Time to Start Using Evidence-Based Approaches to Patient Engagement
3 May, 2018 | 18:38h | UTCTime to Start Using Evidence-Based Approaches to Patient Engagement – NEJM Catalyst (free)
Polypharmacy Guidance, Realistic Prescribing
27 Apr, 2018 | 02:58h | UTCPolypharmacy Guidance, Realistic Prescribing 3 rd Edition, 2018 – Scottish Government Polypharmacy Model of Care Group (free PDF) (via @trishgreenhalgh)
Related Reviews: Current and future perspectives on the management of polypharmacy – BMC Family Medicine (free) AND Routine deprescribing of chronic medications to combat polypharmacy – Therapeutic Advances in Drug Safety (free) AND Polypharmacy—an Upward Trend with Unpredictable Effects – Deutsches Ärzteblatt international (free) AND Clinical Consequences of Polypharmacy in Elderly – Expert Opinion on Drug Safety (free)
“Just because we can, doesn’t mean we should” – supporting informed decision-making
27 Apr, 2018 | 02:56h | UTC
Incorporating Medication Indications Into the Prescribing Process
27 Apr, 2018 | 02:53h | UTCSource: Hospital Medicine Virtual Journal Club (free)
Observational Study: Age and Sex of Surgeons and Mortality of Older Surgical Patients
27 Apr, 2018 | 02:44h | UTCAge and sex of surgeons and mortality of older surgical patients: observational study – The BMJ (free)
Editorial: Links between age and sex of surgeons and patients’ outcomes (free)
Commentary: Study Suggests Older Surgeons Produce Lower Mortality Rates in Emergency Procedures – UCLA, via NewsWise (free)
Cluster Randomized Trial: Effect of Physician Cross-checking on Reducing Adverse Events in the ED
27 Apr, 2018 | 01:08h | UTCEffect of Systematic Physician Cross-checking on Reducing Adverse Events in the Emergency Department: The CHARMED Cluster Randomized Trial – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentaries: Systematic crosschecking between emergency physicians may decrease adverse events – 2 Minute Medicine (free) AND Case-Sharing in ED Puts Dent in Medical Errors, With Serious Caveat – MedPage Today (free registration required)
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”.