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Patient Safety & Quality

Carefully managed antibiotic use could halve antibiotic-resistant infections

23 Oct, 2017 | 20:38h | UTC

Carefully managed antibiotic use could halve antibiotic-resistant infections – NIHR Signal (free)

Original article: Effect of antibiotic stewardship on the incidence of infection and colonisation with antibiotic-resistant bacteria and Clostridium difficile infection: a systematic review and meta-analysis – The Lancet Infectious Diseases (link to abstract – $ for full-text)

 


Guideline: Update to Practice Standards for Electrocardiographic Monitoring in Hospital Settings

21 Oct, 2017 | 18:14h | UTC

Update to Practice Standards for Electrocardiographic Monitoring in Hospital Settings: A Scientific Statement From the American Heart Association – Circulation (free PDF)

Commentaries: 12 key points to remember: Standards for Inpatient Electrocardiographic Monitoring – American College of Cardiology, Latest in Cardiology (free) AND AHA updates practice standards for electrocardiographic monitoring – ACP Hospitalist (free)

 


Research: Patient Frailty and Morbidity After Common Ambulatory General Surgery Operations

21 Oct, 2017 | 17:38h | UTC

Association of Patient Frailty With Increased Morbidity After Common Ambulatory General Surgery Operations – JAMA Surgery (link to abstract – $ for full-text)

Commentaries: Frailty Associated With Increased Risk of Complications Following Common, Outpatient Operations – The JAMA Network (free) AND Frailty tied to higher risk of complications with common surgeries – Reuters (free) AND Frailty linked to higher rate of perioperative morbidity – OnMedica (free)

 


Long Sleeves on Doctors’ White Coats May Spread Germs

17 Oct, 2017 | 18:57h | UTC

Long Sleeves on Doctors’ White Coats May Spread Germs – Scientific American (free)

Related guideline: Healthcare Personnel Attire in Non-Operating-Room Settings – Infection Control and Hospital Epidemiology (free) AND Commentaries: Goodbye to the Doctor’s White Coat? – The New York Times (10 articles per month are free) AND New infection control recommendations could make white coats obsolete – ScienceDaily (free) AND Should Doctors Still Be Allowed to Wear White Coats? You Decide – HIV and ID Observations (free)

 


Research: Gabapentin, opioids, and the risk of opioid-related death

12 Oct, 2017 | 18:32h | UTC

Gabapentin, opioids, and the risk of opioid-related death: A population-based nested case–control study – PLOS Medicine (free)

Commentaries: Gabapentin, Opioid Combo May Up the Risk of Opioid-Related Death – MPR (free) AND Gabapentin Plus Opioids a Deadly Combination? – MPR (free)

 


Research: Discontinuing Inappropriate Medication Use in Nursing Home Residents

12 Oct, 2017 | 18:18h | UTC

Discontinuing Inappropriate Medication Use in Nursing Home Residents: A Cluster Randomized Controlled Trial – Annals of Internal Medicine (link to abstract – $ for full-text)

Commentaries: Deprescribing Intervention Improves Nursing Home Care – Medscape (free registration required) AND Multistep tool is effective for discontinuing inappropriate medication use in the nursing home setting – MedicalXpress (free)

 


Simple preventive actions by parents linked to fewer child injuries

7 Oct, 2017 | 22:42h | UTC

Simple preventive actions by parents linked to fewer child injuries – NIHR Signal (free)

Original article: Keeping Children Safe: a multicentre programme of research to increase the evidence base for preventing unintentional injuries in the home in the under-fives – Programme Grants for Applied Research (free)

“Children more than twice as likely to attend hospital for stair falls if safety gate not used. Home hazards studied” (RT @NIHR_DC see Tweet)

 


Research: Communication-And-Resolution Programs

7 Oct, 2017 | 22:33h | UTC

Outcomes In Two Massachusetts Hospital Systems Give Reason For Optimism About Communication-And-Resolution Programs – Health Affairs (link to abstract – $ for full-text)

Commentaries: After medical error, apology goes a long way – Stanford University Medical Center, via ScienceDaily (free) AND Conflict Resolution Program: ‘Cause for Optimism’ – MedPage Today (free registration required)

 


Guidelines for Diagnostic Imaging During Pregnancy and Lactation

3 Oct, 2017 | 21:52h | UTC

Guidelines for Diagnostic Imaging During Pregnancy and Lactation – American College of Obstetricians and Gynecologists (free)

See also: Guideline Summary

 


Research: Concurrent bariatric operations and perioperative outcomes

1 Oct, 2017 | 16:25h | UTC

Concurrent bariatric operations and association with perioperative outcomes: registry based cohort study – The BMJ (free)

“Concurrent bariatric operations occurred infrequently, but when they did, there was no observable increased risk for adverse perioperative outcomes compared with non-concurrent operations”.

 


Research: Evaluation of telephone first approach to demand management in English general practice

1 Oct, 2017 | 16:08h | UTC

Evaluation of telephone first approach to demand management in English general practice: observational study – The BMJ (free)

Editorial: Telephone first consultations in primary care (free)

Commentaries: Phone-first GP consults ‘no panacea for reducing workload’ – OnMedica (free) AND No evidence to support claims that telephone consultations reduce GP workload or hospital referrals – University of Cambridge (free)

Related study: Direct-To-Consumer Telehealth May Increase Access To Care But Does Not Decrease Spending – Health Affairs (link to abstract – $ for full-text) AND Commentaries: Telehealth Doctor Visits May Be Handy, But Aren’t Cheaper Overall – NPR (free) AND Are Virtual Doctor Visits Really Cost-Effective? Not So Much, Study Says – Health News Florida (free)

 


Systematic Review: Impact of Transitional Care Services for Chronically Ill Older Patients

1 Oct, 2017 | 15:19h | UTC

Impact of Transitional Care Services for Chronically Ill Older Patients: A Systematic Evidence Review – Journal of The American Geriatrics Society (link to abstract – $ for full-text)

Source: Review: In older patients with chronic disease, transitional care reduces mortality and readmissions – ACP Journal Club ($)

 


Viewpoint: The High Cost of Public Reporting

1 Oct, 2017 | 15:20h | UTC

The High Cost of Public Reporting – The Health Care Blog (free) (RT @CMichaelGibson)

 


Guideline: Quality standards in upper gastrointestinal endoscopy

1 Oct, 2017 | 15:08h | UTC

Quality standards in upper gastrointestinal endoscopy: a position statement of the British Society of Gastroenterology (BSG) and Association of Upper Gastrointestinal Surgeons of Great Britain and Ireland (AUGIS) – Gut (free)

Commentary: Standards for Upper GI Endoscopy Released – Medscape (free registration required)

 


Systematic Review: Methods to improve healthcare worker hand hygiene to decrease infection in patient care

30 Sep, 2017 | 13:40h | UTC

Methods to improve healthcare worker hand hygiene to decrease infection in patient care – Cochrane Library (free)

Original article: Interventions to improve hand hygiene compliance in patient care – Cochrane Library (link to abstract – $ for full-text)

 


Review: New Approaches to Prevent Healthcare-Associated Infection

27 Sep, 2017 | 14:44h | UTC

New Approaches to Prevent Healthcare-Associated Infection – Clinical Infectious Diseases (free)

 


Systematic Review: Comprehensive geriatric assessment for older adults admitted to hospital

20 Sep, 2017 | 22:26h | UTC

Comprehensive geriatric assessment for older adults admitted to hospital – Cochrane Library (free)

Original article: Comprehensive geriatric assessment for older adults admitted to hospital – Cochrane Library (link to abstract – $ for full-text)

Related: Comprehensive assessment may reduce risk of delirium after hip fracture – NIHR Signal (free)

“Older patients are more likely to be alive and in their own homes at follow-up if they received comprehensive geriatric assessment on admission to hospital”.

 


Review: Ultrasound-guided central venous catheter placement

20 Sep, 2017 | 21:07h | UTC

Ultrasound-guided central venous catheter placement: a structured review and recommendations for clinical practice – Critical Care (free)

 


Review: Common Drug Side Effects and Drug-Drug Interactions in Elderly Adults in Primary Care

20 Sep, 2017 | 20:44h | UTC

Common Drug Side Effects and Drug-Drug Interactions in Elderly Adults in Primary Care – Journal of The American Geriatrics Society, via Medscape (free registration required)

 


Meta-Analysis: The Weekend Effect in Hospitalized Patients

19 Sep, 2017 | 22:21h | UTC

The Weekend Effect in Hospitalized Patients: A Meta-Analysis – Journal of Hospital Medicine (link to abstract – free full-text PDF via @unpaywall)

Commentary: Review finds evidence for weekend effect on mortality in hospitalized patients – ACP Hospitalist (free)

Related article: Weekends affect mortality risk and chance of discharge in critically ill patients: a retrospective study in the Austrian registry for intensive care – Critical Care (free) AND Commentary: “Weekend effects” in intensive care units – On Medicine (free)

 


Study: Blood Management Program Reduces Unnecessary Transfusions and Costs

18 Sep, 2017 | 14:54h | UTC

Implementing a Health System–wide Patient Blood Management Program with a Clinical Community Approach – Anesthesiology (link to abstract – $ for full-text)

Commentary: Johns Hopkins Health System Reduces Unnecessary Transfusions With New Blood Management Program (free)

Related: High value quality improvement – High Value Practice Academic Alliance (free)

 


Guideline: Patient-Clinician Communication in Oncology

16 Sep, 2017 | 18:22h | UTC

Patient-Clinician Communication: American Society of Clinical Oncology Consensus Guideline (free)

News release: New Guideline Aims to Improve Clinician Communication With Patients (free)

 


Systematic Review: Laparoscopic and robotic-assisted versus open radical prostatectomy for the treatment of localised prostate cancer

16 Sep, 2017 | 18:21h | UTC

Laparoscopic and robotic-assisted versus open radical prostatectomy for the treatment of localised prostate cancer – Cochrane Library (free)

Original article: Laparoscopic and robotic-assisted versus open radical prostatectomy for the treatment of localised prostate cancer – Cochrane Library (link to abstract – $ for full-text)

“Urinary and sexual quality of life-related outcomes appear similar”.

 


Health Care Providers Can Use Design Thinking to Improve Patient Experiences

14 Sep, 2017 | 18:28h | UTC

Health Care Providers Can Use Design Thinking to Improve Patient Experiences – Harvard Business Review (free)

 


Free Online Course: Leading Healthcare Quality and Safety

11 Sep, 2017 | 01:06h | UTC

Starts Today! Free Online Course: Leading Healthcare Quality and Safety – The George Washington University and Coursera

 


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