Patient Safety & Quality
Carefully managed antibiotic use could halve antibiotic-resistant infections
23 Oct, 2017 | 20:38h | UTCCarefully 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 | UTCCommentaries: 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 | UTCAssociation 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 | UTCLong 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 | UTCCommentaries: 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 | UTCDiscontinuing 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 | UTCSimple 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 | UTCOutcomes 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 | UTCSee also: Guideline Summary
Research: Concurrent bariatric operations and perioperative outcomes
1 Oct, 2017 | 16:25h | UTC“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 | UTCEditorial: 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 | UTCImpact 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)
Viewpoint: The High Cost of Public Reporting
1 Oct, 2017 | 15:20h | UTCThe High Cost of Public Reporting – The Health Care Blog (free) (RT @CMichaelGibson)
Guideline: Quality standards in upper gastrointestinal endoscopy
1 Oct, 2017 | 15:08h | UTCCommentary: 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 | UTCOriginal 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 | UTCNew 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 | UTCComprehensive 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
Review: Common Drug Side Effects and Drug-Drug Interactions in Elderly Adults in Primary Care
20 Sep, 2017 | 20:44h | UTCCommon 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 | UTCThe 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 | UTCImplementing 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 | UTCPatient-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 | UTCOriginal 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
Free Online Course: Leading Healthcare Quality and Safety
11 Sep, 2017 | 01:06h | UTCStarts Today! Free Online Course: Leading Healthcare Quality and Safety – The George Washington University and Coursera


