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Patient Safety & Quality

New WHO/ILO guide urges greater safeguards to protect health workers.

10 Mar, 2022 | 10:42h | UTC

New WHO/ILO guide urges greater safeguards to protect health workers – World Health Organization

WHO Guide: Caring for those who care: Guide for the development and implementation of occupational health and safety programmes for health workers – World Health Organization

Executive Summary: Caring for those who care: Guide for the development and implementation of occupational health and safety programmes for health workers – World Health Organization

 

Guidelines on management of persons with multimorbidity and polypharmacy.

8 Mar, 2022 | 08:41h | UTC

Italian guidelines on management of persons with multimorbidity and polypharmacy – Aging Clinical and Experimental Research

 

FDA issues warning after 2 children strangled by enteral feeding set tubing.

8 Mar, 2022 | 08:33h | UTC

FDA issues warning after 2 children strangled by enteral feeding set tubing – AAP News

Original Report: Potential Risk of Strangulation in Children who Use Enteral Feeding Delivery Sets – U.S. Food & Drug Administration

 

Process evaluation of implementation strategies to reduce potentially inappropriate medication prescribing in older population: A scoping review.

8 Mar, 2022 | 08:16h | UTC

Process evaluation of implementation strategies to reduce potentially inappropriate medication prescribing in older population: A scoping review – Research in Social and Administrative Pharmacy

 

Commentary on Twitter

 

Viewpoint | Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges.

6 Mar, 2022 | 23:51h | UTC

Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges – BMJ Quality & Safety

 

Review: Implementing machine learning in medicine.

4 Mar, 2022 | 08:42h | UTC

Implementing machine learning in medicine – Canadian Medical Association Journal

Related:

A Clinician’s Guide to Artificial Intelligence (AI): Why and How Primary Care Should Lead the Health Care AI Revolution – The Journal of the American Board of Family Medicine

Primer for artificial intelligence in primary care.

A Clinician’s Guide to Artificial Intelligence: How to Critically Appraise Machine Learning Studies

Review | AI and the cardiologist: when mind, heart and machine unite.

Review: Artificial intelligence in health and medicine.

Artificial intelligence projects in healthcare: 10 practical tips for success in a clinical environment.

WHO issues first global report on Artificial Intelligence (AI) in health and six guiding principles for its design and use.

Opinion | AI-facilitated health care requires education of clinicians

Welcoming new guidelines for AI clinical research

 

Guideline Update: Timing of elective surgery and risk assessment after SARS-CoV-2 infection – “The guidance remains that patients should avoid elective surgery within 7 weeks of infection, unless the benefits of doing so exceed the risk of waiting”.

1 Mar, 2022 | 08:58h | UTC

Timing of elective surgery and risk assessment after SARS-CoV-2 infection: an update – Anaesthesia

Related:

Perioperative cardiovascular considerations prior to elective noncardiac surgery in patients with a history of Covid-19.

Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery

Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk

BJS commission on surgery and perioperative care post-COVID-19.

The risk of postoperative complications following major elective surgery in active or resolved COVID-19 in the United States – Major, elective surgery 0–4 weeks after Covid-19 is associated with greatly increased risk of postoperative complications; surgery performed 4–8 weeks after infection is still associated with an increased risk of pneumonia.

ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.

Position statement: Perioperative management of post-COVID-19 surgical patients.

Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19

 

Systematic review on inappropriate use of clinical practices in Canada identified 144 underused practices, 109 overused practices, and 25 practices that were both under- and overused.

1 Mar, 2022 | 08:52h | UTC

Inappropriate use of clinical practices in Canada: a systematic review – Canadian Medical Association Journal

Commentary: What problems in health care quality should we target as the world burns around us? – Canadian Medical Association Journal

News Release: Inappropriate use of 228 clinical practices in Canada – Canadian Medical Association Journal

 

Prehabilitation, enhanced recovery after surgery, or both? A narrative review.

25 Feb, 2022 | 11:07h | UTC

Prehabilitation, enhanced recovery after surgery, or both? A narrative review – British Journal of Anaesthesia

See also: Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (some guidelines are free)

 

Systematic Review: Discharge planning from hospital.

25 Feb, 2022 | 11:22h | UTC

Discharge planning from hospital – Cochrane Library

Summary: Discharge planning from hospital – Cochrane Library

 

Commentary on Twitter

https://twitter.com/CochraneUK/status/1496847628989972485

 

Review: Enhanced recovery after surgery for major orthopedic surgery.

24 Feb, 2022 | 10:01h | UTC

Enhanced recovery after surgery for major orthopedic surgery: a narrative review – Knee Surgery & Related Research

See also: Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (some guidelines are free)

 

M-A: Association of physician continuous professional development and referrals.

18 Feb, 2022 | 08:27h | UTC

Association of Physician Continuous Professional Development and Referrals: A Systematic Review and Meta-Analysis – Academic Medicine

 

Development of a metric to detect and decrease low-value prescribing in older adults.

16 Feb, 2022 | 09:58h | UTC

Development of a Metric to Detect and Decrease Low-Value Prescribing in Older Adults – JAMA Network Open

Invited Commentary: Considering Value in Prescribing and Deprescribing for Older Adults – JAMA

 

Commentary on Twitter

 

Cluster Randomized Clinical Trial: An electronic decision support system for deprescribing in hospitalized older adults was safe and led to improvements in deprescribing but did not reduce adverse drug events.

15 Feb, 2022 | 09:43h | UTC

The MedSafer Study—Electronic Decision Support for Deprescribing in Hospitalized Older Adults: A Cluster Randomized Clinical Trial – JAMA Internal Medicine

 

Commentary on Twitter

 

Cluster RCT: An educational safety-promoting program in neonatal intensive care units reduced the rate of adverse events.

15 Feb, 2022 | 08:27h | UTC

An educational programme in neonatal intensive care units (SEPREVEN): a stepped-wedge, cluster-randomised controlled trial – The Lancet (link to abstract – $ for full-text)

 

Commentary on Twitter

 

WHO’s new International Classification of Diseases (ICD-11) comes into effect.

13 Feb, 2022 | 22:56h | UTC

News Release: WHO’s new International Classification of Diseases (ICD-11) comes into effect – World Health Organization

See also:

ICD-11 Browser

ICD-11 website

ICD-11 coding tool

 

Commentary on Twitter

 

Special Issue: Evidence-based strategies for better antibiotic prescribing in primary care.

13 Feb, 2022 | 22:40h | UTC

Editorial: Antibiotic stewardship – Australian Journal of General Practice

Antibiotic stewardship: A review of successful, evidence-based primary care strategies – Australian Journal of General Practice

Evidence-based strategies for better antibiotic prescribing – Australian Journal of General Practice

How can general practitioners reduce antibiotic prescribing in collaboration with their patients? – Australian Journal of General Practice

 

ESCMID guidelines on testing for SARS-CoV-2 in asymptomatic individuals to prevent transmission in the healthcare setting.

8 Feb, 2022 | 10:18h | UTC

ESCMID guidelines on testing for SARS-CoV-2 in asymptomatic individuals to prevent transmission in the healthcare setting – Clinical Microbiology and Infection

 

Rapid control of hospital-based SARS-CoV-2 Omicron clusters through daily testing and universal use of N95 respirators.

8 Feb, 2022 | 10:09h | UTC

Rapid control of hospital-based SARS-CoV-2 Omicron clusters through daily testing and universal use of N95 respirators – Clinical Infectious Diseases

 

Does my hospitalized patient need an NPO-after-midnight order preoperatively?

4 Feb, 2022 | 09:58h | UTC

Does my hospitalized patient need an NPO-after-midnight order preoperatively? – Cleveland Clinic Journal of Medicine

Related:

ESPEN practical guideline: Clinical nutrition in surgery – “Preoperative fasting from midnight is unnecessary in most patients. Patients undergoing surgery, who are considered to have no specific risk of aspiration, shall drink clear fluids until 2 h before anesthesia. Solids shall be allowed until 6 h before anesthesia.”

Pro-Con Debate: 1- vs 2-Hour Fast for Clear Liquids Before Anesthesia in Children.

Editorial: The rationale for the recommendations of the European Pediatric Fasting Guideline – “the authors of the 2021 ESAIC pediatric guideline have found reasons to recommend reductions to the minimum fasting times for infant formula to 4 h, for breast milk to 3 h and for clear fluids to 1 h”.

 

Perspective: The origins, development, and context of the Lancet Commission on the Value of Death – “Death has turned from being a family, social, and cultural event to primarily a medical event”.

3 Feb, 2022 | 08:51h | UTC

The origins, development, and context of the Lancet Commission on the Value of Death – The BMJ

Related: The Lancet Commission: Experts warn of the increasing overmedicalization of death, call for radical rethink of how society cares for dying people.

 

Cluster randomized controlled trial: An innovative telemedical network to improve infectious disease management in critically ill patients and outpatients.

3 Feb, 2022 | 08:53h | UTC

An innovative telemedical network to improve infectious disease management in critically ill patients and outpatients: a stepped-wedge, cluster randomized controlled trial (TELnet@NRW) – Journal of Medical Internet Research

Related:

The “Choosing Wisely” initiative in infectious diseases – German Society of Infectious Diseases (link to abstract – $ for full-text)

Infectious Diseases Society of America: Five Things Physicians and Patients Should Question

 

WHO Report: Global analysis of health care waste in the context of COVID-19.

2 Feb, 2022 | 08:54h | UTC

Global analysis of health care waste in the context of COVID-19 – World Health Organization

News Release: Tonnes of COVID-19 health care waste expose urgent need to improve waste management systems – World Health Organization

Commentaries:

Covid-19: Pandemic waste threatens human and environmental health, says WHO – The BMJ

Amid Mountains of COVID Waste, WHO Urges Sustainable Solutions – Health Policy Watch

 

Commentary on Twitter (thread – click for more)

 

Cluster Randomized Trial: In older patients undergoing elective surgical procedures, a multimodal nonpharmacological prevention program reduced postoperative delirium occurrence and days with delirium.

2 Feb, 2022 | 08:38h | UTC

Outcomes of a Delirium Prevention Program in Older Persons After Elective Surgery: A Stepped-Wedge Cluster Randomized Clinical Trial – JAMA Surgery

Author Interview: Effective Delirium Prevention in Older Persons After Elective Surgery

 

Commentary on Twitter

 

The Lancet Commission: Experts warn of the increasing overmedicalization of death, call for radical rethink of how society cares for dying people.

1 Feb, 2022 | 09:55h | UTC

News Release: THE LANCET: Experts warn of the increasing overmedicalization of death, call for radical rethink of how society cares for dying people

Homepage: Lancet Commission on the Value of Death (free registration required for all articles)

Report of the Lancet Commission on the Value of Death: bringing death back into life

The precariousness of balancing life and death

Ros Taylor: seeing palliative care as relational

Related: What would it take to die well? A systematic review of systematic reviews on the conditions for a good death – The Lancet Health Longevity

 

Commentary on Twitter (thread – click for more)

 

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