Patient Safety & Quality
Opinion: The practice of radiology needs to change
21 Jun, 2017 | 19:04h | UTCGiles Maskell: The practice of radiology needs to change – The BMJ Opinion (free)
“The practice of radiology is unsafe and needs to change says, Giles Maskell” (RT see Tweet)
Lean: Targeted Therapy for Care Delivery
21 Jun, 2017 | 02:09h | UTCLean: Targeted Therapy for Care Delivery – Journal of the National Comprehensive Cancer Network (free)
The possible benefits of applying the “Lean” approach to oncology care delivery.
Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management
20 Jun, 2017 | 12:47h | UTCNews Release: Healthcare providers should individualize patient education (free)
AHA statement: Doctors’ orders should include tailored health education for patients (free)
Commentary: Sharpening the Focus on Therapeutic Patient Education and Self-management (free)
Top Ten Things to Know: Evidence for Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management (free PDF)
Antibiotic stewardship reduces the incidence of antibiotic-resistant bacteria
20 Jun, 2017 | 12:41h | UTCEffect 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)
Commentaries: Antibiotic Stewardship Programs Linked to Lower Rates of Drug-Resistant Infections – Physician’s First Watch (free) AND Review ties stewardship to sharp drop in resistant bacteria – CIDRAP (free)
Surgeon Variation in Complications With Minimally Invasive and Open Colectomy
20 Jun, 2017 | 12:23h | UTCSurgeon Variation in Complications With Minimally Invasive and Open Colectomy: Results From the Michigan Surgical Quality Collaborative – JAMA Surgery (free) (RT @MaryDixonWoods see Tweet)
Surgeon-level variation in complications among surgeons was nearly twice as great for Minimally Invasive Colectomy than for Open Colectomy, implying a need for improved training in adoption of minimally invasive techniques.
Why overtreatment and overdiagnosis can be bad for your health
20 Jun, 2017 | 12:19h | UTCWhy overtreatment and overdiagnosis can be bad for your health – CBC Radio (free text and audio)
See more on the Choosing Wisely initiative in our April 5 issue, see #6.
“Choosing Wisely on CBC Sunday about overdiagnosis & importance of speaking with your doc about tests/treatments” (RT @ChooseWiselyCA see Tweet)
Why Providers May Fail to Reduce Wait Times
20 Jun, 2017 | 12:14h | UTCPerspective: The Waiting Game — Why Providers May Fail to Reduce Wait Times – New England Journal of Medicine (free)
The tyranny of excessive medical hierarchy
20 Jun, 2017 | 12:07h | UTCThe tyranny of excessive medical hierarchy – MJA Insight (free) (RT @pash22 see Tweet)
Guideline for the Perioperative Management of Antirheumatic Medication in Patients With Rheumatic Diseases Undergoing Elective Total Hip or Total Knee Arthroplasty
19 Jun, 2017 | 12:57h | UTCPress release: New Guideline Aims to Reduce Infections in Total Hip & Knee Replacement Patients (free)
Commentaries: New medication guidelines for rheumatic disease patients having joint replacement – Hospital for Special Surgery, via EurekAlert (free) AND New Guidelines Issued on Antirheumatic Drugs for Patients Undergoing Knee or Hip Replacement – Physician’s First Watch (free)
Hundreds died while taking an arthritis drug, but nobody alerted patients
19 Jun, 2017 | 12:47h | UTC
Using the New ASCO Clinical Practice Guideline for Palliative Care Concurrent With Oncology Care Using the TEAM Approach
16 Jun, 2017 | 01:30h | UTC
Perspectives on the Use of Clinical Pathways in Oncology Care
16 Jun, 2017 | 01:29h | UTCPerspectives on the Use of Clinical Pathways in Oncology Care – 2017 ASCO Educational Book (free)
Pain and Opioids in Cancer Care: Benefits, Risks, and Alternatives
16 Jun, 2017 | 01:24h | UTCPain and Opioids in Cancer Care: Benefits, Risks, and Alternatives – 2017 ASCO Educational Book (free)
Hand hygiene: facilitators and barriers
16 Jun, 2017 | 01:07h | UTCHand hygiene: facilitators and barriers – ACP Internist Blog (free)
American Society of Health-System Pharmacists – Five Things Physicians and Patients Should Question
16 Jun, 2017 | 00:59h | UTCNew Choosing Wisely List: American Society of Health-System Pharmacists – Five Things Physicians and Patients Should Question (free)
See more on the Choosing Wisely initiative in our April 5 issue, see #6.
“Great choosing wisely list from @ASHPOfficial. Great doctoring tips for physicians & trainees” (RT @AnilMakam see Tweet)
Non–Vitamin K Antagonist Oral Anticoagulant Dosing in Patients With Atrial Fibrillation and Renal Dysfunction
15 Jun, 2017 | 00:50h | UTCNon–Vitamin K Antagonist Oral Anticoagulant Dosing in Patients With Atrial Fibrillation and Renal Dysfunction – Journal of The American College of Cardiology (link to abstract – $ for full-text)
Commentary: NOAC Doses: Just Stick to the Label – MedPage Today (free registration required)
“Among the 1,473 patients with a renal indication for dose reduction, 43.0% were potentially overdosed, which was associated with a higher risk of major bleeding”
Association of Adverse Events With Antibiotic Use in Hospitalized Patients
14 Jun, 2017 | 00:41h | UTCAssociation of Adverse Events With Antibiotic Use in Hospitalized Patients – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentary: Antibiotic-Associated Adverse Events Common – Medscape (free registration required)
“20% of hospitalized patients receiving antibiotics had adverse drug event. Of those, 20% of regimens inappropriate” (RT @PeterPronovost see Tweet)
It’s time to get serious about the safety of medical devices
13 Jun, 2017 | 20:04h | UTCIt’s time to get serious about the safety of medical devices – STAT News (free)
Leading Quality in Changing Times
11 Jun, 2017 | 19:36h | UTCLeading Quality in Changing Times – NEJM Catalyst (free)
“4 principles for quality leaders in brave new world of population health” (RT @nejmcatalyst see Tweet)
Practice Guidelines for Preoperative Fasting
9 Jun, 2017 | 16:03h | UTCPractice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration – Anesthesiology, via Medscape (free registration required)
Things the Health Care Sector Must Do to Improve Cybersecurity
8 Jun, 2017 | 15:53h | UTCPerspective: Cyberattack on Britain’s National Health Service: A Wake-up Call for Modern Medicine – New England Journal of Medicine (free)
Related: 11 Things the Health Care Sector Must Do to Improve Cybersecurity – Harvard Business Review (a few articles per month are free) AND Eric D Perakslis: Cyber security modeled as infection prevention and control in the healthcare delivery setting – The BMJ Opinion (free) AND Healthcare Seen Highly Vulnerable to Cyberattack – MedPage Today (free registration required)
Handshake-free zones to prevent infections?
8 Jun, 2017 | 15:51h | UTCHandshake-free zone in a neonatal intensive care unit: Initial feasibility study – American Journal of Infectious Control (link to abstract – $ for full-text)
Commentaries: Hospitals Could One Day Be Handshake-Free Zones To Prevent The Spread Of Disease – WBGH News (free) AND Handshake-Free Zone: Stopping the Spread of Germs in the Hospital – Medscape (free registration required) AND Handshake-Free Zones Target Spread Of Germs In The Hospital – NPR Health News (free)
Management of polypharmacy
8 Jun, 2017 | 15:52h | UTCCurrent and future perspectives on the management of polypharmacy – BMC Family Practice (free) (RT @Azeem_Majeed see Tweet)
#ASCO2017 – Survival in a Trial Assessing Patient-Reported Outcomes for Symptom Monitoring During Cancer Treatment
5 Jun, 2017 | 14:52h | UTC#ASCO2017 – Overall Survival Results of a Trial Assessing Patient-Reported Outcomes for Symptom Monitoring During Routine Cancer Treatment – JAMA (free)
Commentaries: Quickly reporting cancer complications may boost survival – STAT News (free) AND If This Were a Drug, the Price Would Be $100,000 – Medscape (free registration required) AND How a simple tech tool can help cancer patients live longer – The Washington Post (free)
“For surveillance of cancer, digital tracking of patient-generated data improves survival”. “The cost of digital tracking is very low and > 5 months median survival improvement is more than cancer drugs that cost > $100,000” (RT @EricTopol see Tweets and Answers)
Engaging Patients in Patient Safety – a Canadian Guide
5 Jun, 2017 | 14:49h | UTCEngaging Patients in Patient Safety – a Canadian Guide (free) (RT @pash22)
News release: How to Effectively Engage Patients in Patient Safety: New Guide available (free)