Patient Safety & Quality
Review: Enhanced recovery after surgery for major orthopedic surgery.
24 Feb, 2022 | 10:01h | UTCSee 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
Development of a metric to detect and decrease low-value prescribing in older adults.
16 Feb, 2022 | 09:58h | UTCInvited Commentary: Considering Value in Prescribing and Deprescribing for Older Adults – JAMA
Commentary on Twitter
In this qualitative study, a scientifically valid and clinically useful low-value prescribing metric was built. EVOLV-Rx may enhance the detection of low-value prescribing practices, reduce polypharmacy, and enable older adults to receive high-value care. https://t.co/GtrsUboT9o
— JAMA Network Open (@JAMANetworkOpen) February 15, 2022
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
Commentary on Twitter
Randomized control trial found that @MedSaferTool increases #deprescribing by 22% at hospital discharge but little impact on short term adverse drug events. https://t.co/XqiSwFSPEz @DrEmilyMcD @DrToddLee @DeprescribeUS
— JAMA Internal Medicine (@JAMAInternalMed) January 18, 2022
Cluster RCT: An educational safety-promoting program in neonatal intensive care units reduced the rate of adverse events.
15 Feb, 2022 | 08:27h | UTCAn 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
Patients in neonatal intensive care units (NICUs) are at high risk of adverse events.
A stepped-wedge, cluster-RCT by Laurence Caeymaex & colleagues found a multiprofessional safety-promoting training programme in NICUs reduced the rate of such events. https://t.co/plmKBCOLOu pic.twitter.com/NdR9SiAqUI
— The Lancet (@TheLancet) January 26, 2022
WHO’s new International Classification of Diseases (ICD-11) comes into effect.
13 Feb, 2022 | 22:56h | UTCNews Release: WHO’s new International Classification of Diseases (ICD-11) comes into effect – World Health Organization
See also:
Commentary on Twitter
? The latest update for the 11th Revision of the International Classification of Diseases (ICD-11) is now online!#ICD11 is a 'common language' for health professionals to share standardized health information around the world.
Learn more https://t.co/M2yu9md9fm pic.twitter.com/jv2IbEkD5u— World Health Organization (WHO) (@WHO) February 11, 2022
Special Issue: Evidence-based strategies for better antibiotic prescribing in primary care.
13 Feb, 2022 | 22:40h | UTCEditorial: Antibiotic stewardship – Australian Journal of General Practice
Evidence-based strategies for better antibiotic prescribing – 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
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
Does my hospitalized patient need an NPO-after-midnight order preoperatively?
4 Feb, 2022 | 09:58h | UTCRelated:
Pro-Con Debate: 1- vs 2-Hour Fast for Clear Liquids Before Anesthesia in Children.
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 | UTCThe origins, development, and context of the Lancet Commission on the Value of Death – The BMJ
Cluster randomized controlled trial: An innovative telemedical network to improve infectious disease management in critically ill patients and outpatients.
3 Feb, 2022 | 08:53h | UTCRelated:
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 | UTCGlobal 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)
The #COVID19 pandemic has generated extra tonnes of waste & exposed cracks in waste management, everywhere.
Waste must be reduced & managed safely, for the health of both people & the environment https://t.co/JsYeqvl7G6 pic.twitter.com/UfI0GRjBD1— World Health Organization (WHO) (@WHO) February 1, 2022
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 | UTCAuthor Interview: Effective Delirium Prevention in Older Persons After Elective Surgery
Commentary on Twitter
Study suggests implementing a multifaceted multidisciplinary prevention intervention will improve care and outcomes in older patients undergoing elective general and orthopedic procedures https://t.co/lHU59ca5m5 pic.twitter.com/oj76KiV4It
— JAMA Surgery (@JAMASurgery) December 15, 2021
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 | UTCHomepage: 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
Commentary on Twitter (thread – click for more)
Increasing overmedicalisation at the end of life is denying people & their families a good death.
Towards a compassionate community model: The Lancet #ValueofDeath Commission calls for a radical rethink of care for the dying & attitudes to death. https://t.co/DpJiu1tOcV pic.twitter.com/FU9MgCO1J6
— The Lancet (@TheLancet) January 31, 2022
RCT: A comprehensive geriatric assessment hospital at home may be a cost-effective alternative to hospital admission.
1 Feb, 2022 | 08:32h | UTC
Most physicians in the U.S. paid by volume, despite push for quality and value.
30 Jan, 2022 | 13:39h | UTCNews Release: Most physicians paid by volume, despite push for quality and value – Rand Corporation
Original Study: Physician Compensation Arrangements and Financial Performance Incentives in US Health Systems – JAMA Health Forum
Commentary on Twitter
This mixed-methods study found that despite growth in value-based payment arrangements from payors, health systems currently incentivize physicians to maximize volume, thereby maximizing health system revenues. @RachOReid https://t.co/p2N2ls8Qox
— JAMA Health Forum (@JAMAHealthForum) January 28, 2022
The positive side of the coin: Sars-Cov-2 pandemic has taught us how much Telemedicine is useful as standard of care procedure in real life.
28 Jan, 2022 | 08:30h | UTC
During the COVID-19 pandemic, female, primary care, and behavioral health physicians were most likely to be early adopters of virtual health care. Physicians born between 1928 and 1945 and in surgical specialties were less likely to be early adopters.
28 Jan, 2022 | 08:20h | UTC
Opinion: Preventing SARS-CoV-2 transmission in health care settings in the context of the Omicron variant.
26 Jan, 2022 | 02:14h | UTC
Commentary on Twitter
Our new piece in @JAMA_current
Transmission of #SARSCoV2 in healthcare settings is a serious concern
We outline three ways hospitals can better prepare for surges— mandating boosters, increasing frequency of testing, & upgrading to N95 maskshttps://t.co/2xRKdKPlhO pic.twitter.com/y0L4UzUNSo
— Abraar Karan (@AbraarKaran) January 24, 2022
Time to upgrade from cloth and surgical masks to respirators? Your questions answered.
18 Jan, 2022 | 09:48h | UTCSee also: The CDC updated its mask guidelines. What to know about ‘the highest level of protection’ – CNN
Study raises doubts about rapid Covid tests’ reliability in early days after infection.
18 Jan, 2022 | 09:51h | UTCStudy raises doubts about rapid Covid tests’ reliability in early days after infection – STAT
Original Article (preprint): Discordant SARS-CoV-2 PCR and Rapid Antigen Test Results When Infectious: A December 2021 Occupational Case Series – medRxiv
N95 respirators can be safely decontaminated up to 25 times, research shows.
17 Jan, 2022 | 00:26h | UTCNews Release: N95 Respirators Can Be Safely Decontaminated Up to 25 Times, Research Shows – Beth Israel Deaconess Medical Center
Original Study: Assessing changes to N95 respirator filtration efficiency, qualitative and quantitative fit, and seal check with repeated vaporized hydrogen peroxide (VHP) decontamination – American Journal of Infection Control (link to abstract – $ for full-text)
Viewpoint: Hierarchical payment models—a path for coordinating population- and episode-based payment models.
16 Jan, 2022 | 22:52h | UTCHierarchical Payment Models—A Path for Coordinating Population- and Episode-Based Payment Models – JAMA (free for a limited period)
Raising awareness for time-limited trial discussion upon ICU triage and admission.
8 Dec, 2021 | 09:57h | UTCRaising awareness for time-limited trial discussion upon ICU triage and admission – Intensive Care Medicine (if the link is paywalled, try this one)
Commentary on Twitter
Enhancing situational awareness/prompt time-limited trial discussion vs burden/harm of inappropriate #ICU admission
F functional impairment
R recurrent hospitalisations
A advanced malignancy/chronic diseases
I irreversible organ failure
L long ? stayhttps://t.co/C3aR2lbZtt pic.twitter.com/IB0xjSGVup— Intens Care Med (@yourICM) December 6, 2021