Patient Safety & Quality
Opinion: Too Many Older Patients Get Cancer Screenings
1 Jan, 2018 | 12:27h | UTCToo Many Older Patients Get Cancer Screenings – The New York Times (10 articles per month are free)
Systematic Review: Whole-System Approaches to Improving the Health and Wellbeing of Healthcare Workers
1 Jan, 2018 | 12:24h | UTC
Guideline: Appropriate Use of Antimicrobial Agents across the Surgical Pathway
1 Jan, 2018 | 12:21h | UTC
Guideline – Achieving Hospital-wide Patient Flow: The Right Care, in the Right Place, at the Right Time
1 Jan, 2018 | 12:15h | UTCWhite Paper: Achieving Hospital-wide Patient Flow: The Right Care, in the Right Place, at the Right Time – Institute for Healthcare Improvement (free registration required – PDF) (via @brhospitalist and @TheIHI see Tweet)
Research: Association of Hospitalist Years of Experience With Mortality
1 Jan, 2018 | 12:10h | UTCAssociation of Hospitalist Years of Experience With Mortality in the Hospitalized Medicare Population – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentary: Mortality Higher for Inpatients Seen by First-Year Hospitalists – Medscape (free registration required)
Infographic: Date Night with the Electronic Health Record
29 Dec, 2017 | 19:38h | UTCInfographic: Date Night with the EHR – 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)
Related Commentary: Why Physician Burnout Is Endemic, and How Health Care Must Respond – NEJM Catalyst (free)
Meta-Analysis: Implementation Strategies for Blood Pressure Control in Hypertensive Patients
29 Dec, 2017 | 17:46h | UTCComparative Effectiveness of Implementation Strategies for Blood Pressure Control in Hypertensive Patients: A Systematic Review and Meta-analysis – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Meta-Analysis: It Takes a Team to Optimize Hypertension Tx – MedPage Today (free registration required) AND Blood pressure control best achieved with a multilevel, multicomponent approach – American College of Physicians, via EurekAlert (free)
Performance Improvement: Insulin Dosing Error in a Patient With Severe Hyperkalemia
29 Dec, 2017 | 17:48h | UTCInsulin Dosing Error in a Patient With Severe Hyperkalemia – JAMA (free)
Research: Regional Variation of CT Imaging and the Risk of Nephrectomy
29 Dec, 2017 | 17:45h | UTCEditorial: Use of Advanced Imaging Tests and the Not-So-Incidental Harms of Incidental Findings (free)
Commentary: Trunk Imaging Tied to Higher Nephrectomy Risk – MedPage Today (free registration required)
“The remarkable number of unnecessary CT scans and their downstream risk from incidental findings” (via @EricTopol see Tweet)
Why Doctors Keep Doing Expensive Procedures That Don’t Work
29 Dec, 2017 | 17:41h | UTCWhy American doctors keep doing expensive procedures that don’t work – VOX (free)
“The proportion of medical procedures unsupported by evidence may be nearly half”.
Research: Safety of Magnetic Resonance Imaging in Patients with Cardiac Devices
29 Dec, 2017 | 17:43h | UTCSafety of Magnetic Resonance Imaging in Patients with Cardiac Devices – The New England Journal of Medicine (link to abstract – $ for full-text)
Commentaries: MRI scan safe for most people with older pacemakers, defibrillators – Reuters (free) AND Even Thoracic MRI Safe for ‘Legacy’ ICDs, Pacemaker Systems: Large Cohort Study – Medscape (free registration required) AND MRIs safe with older pacemakers, study finds – MedicalXpress (free)
The Struggle to Do No Harm in Clinical Trials
29 Dec, 2017 | 16:54h | UTCThe struggle to do no harm in clinical trials – Nature (free)
“The struggle to do no harm: the unexplained deaths in #cancer immunotherapy trials” (via @EricTopol see Tweet)
Opinion: Are Hospital Readmission Penalties a Good Idea?
28 Dec, 2017 | 17:23h | UTCThe data are in, but debate rages: Are hospital readmission penalties a good idea? – STAT (free)
Research: Association of the Hospital Readmissions Reduction Program With Outcomes in Heart Failure
28 Dec, 2017 | 17:22h | UTCAssociation of the Hospital Readmissions Reduction Program Implementation With Readmission and Mortality Outcomes in Heart Failure – JAMA (link to abstract – $ for full-text)
Commentaries: To Fix the Hospital Readmissions Program, Prioritize What Matters – JAMA Forum (free) AND Readmissions reduction program linked to increased mortality for heart failure patients – Cardiovascular Business (free) AND Going the Wrong Way: ACA’s Readmission Reduction Program Linked To Increased Heart Failure Deaths – MedicalResearch (free) AND Hospital quality-control program tied to rise in heart failure deaths – Reuters (free)
Research: Association Between Treatment by Substitute Doctors and 30-Day Mortality
27 Dec, 2017 | 20:53h | UTCAssociation Between Treatment by Locum Tenens Internal Medicine Physicians and 30-Day Mortality Among Hospitalized Medicare Beneficiaries – JAMA (link to abstract – $ for full-text)
Commentaries: Substitute Doctors Are Becoming More Common. What Do We Know About Their Quality of Care? – Harvard Business Review (free) AND Doctor out sick? A substitute physician is no worse for patients’ health – STAT (free) AND When the Doctor’s Away – Harvard Medical School, via NewWise (free) AND Mortality rates similar, readmissions lower in hospital patients cared for by locum tenens – ACP Internist (free)
Review – Healthcare-Acquired Infections: Prevention Strategies
26 Dec, 2017 | 23:29h | UTCHealthcare-acquired infections: prevention strategies – Internal Medicine Journal (free)
Source: Hospital Medicine Virtual Journal Club
Guideline for the Prevention of Venous Thromboembolic Disease in Colorectal Surgery
26 Dec, 2017 | 23:23h | UTC
Meta-Analysis: Atraumatic Versus Conventional Lumbar Puncture Needles
26 Dec, 2017 | 23:17h | UTCAtraumatic versus conventional lumbar puncture needles: a systematic review and meta-analysis – The Lancet (link to abstract – $ for full-text)
Commentaries: Atraumatic needles associated with fewer side effects for lumbar puncture – ACP Hospitalist Weekly (free) AND Atraumatic Lumbar Puncture Needles Show Major Benefit in Meta-Analysis – Physician’s First Watch (free)
Research: Can Sleep Quality and Burnout Affect the Job Performance of Shift-Work Nurses?
26 Dec, 2017 | 20:12h | UTCCan sleep quality and burnout affect the job performance of shift-work nurses? A hospital cross-sectional study – Journal of Advanced Nursing (link to abstract – $ for full-text)
Commentary: Shift work linked to burnout in sleep-deprived nurses – Reuters (free)
Standards for Intensive Care Nursing
26 Dec, 2017 | 19:42h | UTC
Report: Traumatic Coagulopathy and Massive Transfusion
26 Dec, 2017 | 19:33h | UTC
Themed Review – Comprehensive Care: Older People Living With Frailty in Hospitals
12 Dec, 2017 | 12:10h | UTCComprehensive Care: Older People Living With Frailty in Hospitals – NIHR Dissemination Centre (free download)
Analysis – Transvaginal mesh failure: lessons for regulation of implantable devices
10 Dec, 2017 | 13:12h | UTCAnalysis: Transvaginal mesh failure: lessons for regulation of implantable devices – The BMJ (free)
Related commentaries: Women harmed because vaginal mesh regulation ‘not fit for purpose’ – The Guardian (free) AND Vaginal mesh operations for prolapse should be banned, watchdog to say – The Guardian (free)
Research – Perioperative Myocardial Injury After Noncardiac Surgery: Incidence, Mortality, and Characterization
10 Dec, 2017 | 13:13h | UTCCommentaries: Myocardial Injury After Noncardiac Surgery Linked With Higher 1-Year Mortality – TCTMD (free) AND Perioperative Myocardial Injury After Noncardiac Surgery – American College of Cardiology, Latest in Cardiology (free)
Research: Readmissions After Revascularization Procedures for Peripheral Arterial Disease
7 Dec, 2017 | 21:56h | UTCReadmissions After Revascularization Procedures for Peripheral Arterial Disease: A Nationwide Cohort Study – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Burden of Readmission High in PAD Patients Following Revascularization – TCTMD (free) AND 1 in 6 Patients Undergoing Peripheral Arterial Revascularization Readmitted Within 30 Days – Physician’s First Watch (free) AND 1 in 6 Readmitted After Peripheral Revascularization – MedPage Today (free registration required)