Patient Safety & Quality
A qualitative study identified a wide variation of expected impacts of the 626 low-value services spotted by the US Choosing Wisely recommendations.
7 Dec, 2021 | 08:39h | UTCLongitudinal Content Analysis of the Characteristics and Expected Impact of Low-Value Services Identified in US Choosing Wisely Recommendations – JAMA Internal Medicine (free for a limited period)
Editorial: The Next Frontier of Less Is More—From Description to Implementation – JAMA Internal Medicine (free for a limited period)
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Using wearable data, a real-time alerting system can be used for the early detection of Covid-19 and other stress events.
1 Dec, 2021 | 09:59h | UTCReal-time alerting system for COVID-19 and other stress events using wearable data – Nature Medicine
Commentary: Scientists develop a smartwatch-based device for early detection of COVID-19 – News Medical
Commentary on Twitter
A study in @NatureMedicine shows that a smartwatch-based alerting system was able to detect pre-symptomatic and asymptomatic SARS-CoV-2 infection in a high percentage of cases. https://t.co/tquzpYa4pV pic.twitter.com/VIq3phKZ7J
— Nature Portfolio (@NaturePortfolio) November 30, 2021
Systematic Review: Reducing medication errors for adults in hospital settings.
26 Nov, 2021 | 09:56h | UTCReducing medication errors for adults in hospital settings – Cochrane Library
Commentary on Twitter
Reducing medication errors for adults in hospital.
New review of 65 studies involving over 100,000 participantshttps://t.co/yxGKxumZP0#MedicationErrors #PatientSafety@aciapponi pic.twitter.com/4lb9NNxtpo— Cochrane EPOC (@CochraneEPOC) November 25, 2021
Viewpoint: The growing phenomenon of “virtual-first” primary care.
24 Nov, 2021 | 08:39h | UTCThe Growing Phenomenon of “Virtual-First” Primary Care – JAMA (free for a limited period)
RCT: Educating outpatients for bowel preparation before colonoscopy using virtual reality videos improved bowel preparation, polyp and adenoma detection rates, and improved compliance and satisfaction.
23 Nov, 2021 | 08:28h | UTC
Commentary on Twitter
RCT finds patients who received virtual reality video education before a colonoscopy had better bowel preparation, higher polyp and adenoma detection rates, and improved compliance and satisfaction. https://t.co/dAUtFf2m4B pic.twitter.com/RKAVZcVGuy
— JAMA Network Open (@JAMANetworkOpen) November 22, 2021
Infographic | Decarbonizing healthcare in low and middle income countries: potential pathways to net zero emissions.
21 Nov, 2021 | 22:52h | UTC
Commentary on Twitter
NEW #BMJInfographic highlights some strategies for sustainable healthcare during the climate emergency @will_s_t https://t.co/ZsQeI9dxEW pic.twitter.com/jXTn65EHDW
— The BMJ (@bmj_latest) November 11, 2021
Carbon footprint of general, regional, and combined anesthesia for total knee replacements.
21 Nov, 2021 | 22:50h | UTCRelated:
Global Consensus Statement: Principles of environmentally-sustainable anesthesia.
Environmental and Occupational Considerations of Anesthesia: A Narrative Review and Update.
Working toward the triple bottom line in surgery to limit the impact of surgery on the environment
Effects Of Surgery On A Warming Planet: Can Anesthesia Go Green? – NPR
Anaesthetic gases, climate change, and sustainable practice – The Lancet Planetary Health
Greenhouse gases: the choice of volatile anesthetic does matter – Canadian Journal of Anesthesiology
Observational study found monitoring outpatients with Covid-19 using text messages that allowed the report of worsening symptoms was associated with improved outcomes.
17 Nov, 2021 | 08:53h | UTCNews Release: Automated Texting System Saved Lives Weekly During First COVID Surge – Penn Medicine
Commentaries:
Monitoring outpatients by text appeared to reduce mortality from COVID-19 – ACP Internist
Texting saved lives during Covid. What does that mean for health care’s future? – STAT
Commentary from the author on Twitter (thread – click for more)
1/ For the >80,000 people in the U.S who will test positive for #Covid19 today, what can we offer to support access to care but help them safely remain at home?
Our team is excited to finally share important, new findings out today in @AnnalsofIM
?https://t.co/VOtpucwWGD pic.twitter.com/UbNRP5bnW4— M. Kit Delgado, MD, MS (@kit_delgadoMD) November 16, 2021
Nursing care for oncologic patients undergoing surgery using an enhanced recovery approach.
17 Nov, 2021 | 08:22h | UTCOncologic Surgical Care Using an Enhanced Recovery Approach – AACN Advanced Critical Care
News release: Enhanced Recovery Approach Changes Care for Surgical Oncology Patients – American Association of Critical-Care Nurses
Related: Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines
Decarbonising healthcare in low and middle income countries: potential pathways to net zero emissions.
16 Nov, 2021 | 08:15h | UTC
Commentary on Twitter
Healthcare in low and middle income countries has a high carbon footprint. Reducing emissions should be integral to plans for universal health coverage, say @FRasheed2 and colleagues https://t.co/wO90qRFvS5 @jeromebaddley @PoornimaPrabha3 @MartenRobert @WISHQatar
— The BMJ (@bmj_latest) November 14, 2021
Viewpoint | How to Measure Progress in Addressing Physician Well-being: Beyond Burnout.
14 Nov, 2021 | 19:40h | UTCHow to Measure Progress in Addressing Physician Well-being: Beyond Burnout – JAMA
Related:
Physician Well-being 2.0: Where Are We and Where Are We Going?
[Abstract Only] Assessment of Risk Factors for Suicide Among US Health Care Professionals
Beyond Burnout: Docs Decry ‘Moral Injury’ From Financial Pressures of Health Care
Perspective: Hospital Administration Response to Physician Stress and Burnout
Opinion: It’s Time to Talk About Physician Burnout and Moral Injury
Systematic Review: Effect of Organization-Directed Workplace Interventions on Physician Burnout
Perspective: The 3 Causes Of Physician Burnout (And Why There’s No Simple Solution)
Physician Burnout: A Global Crisis (several resources on the subject)
IDSA Guidelines on Infection Prevention for Healthcare Personnel Caring for Patients with Suspected or Known COVID-19.
11 Nov, 2021 | 09:01h | UTC
Commentary on Twitter
New recommendation on the use of eye protection as well as revised recommendations and literature on the use of PPE now available in IDSA’s COVID-19 Infection Prevention Guideline: https://t.co/MiACvSoG92#COVID19Guidelines pic.twitter.com/Zp7s0Ely9J
— IDSA (@IDSAInfo) November 5, 2021
Global Consensus Statement: Principles of environmentally-sustainable anesthesia.
9 Nov, 2021 | 01:22h | UTCRelated:
Environmental and Occupational Considerations of Anesthesia: A Narrative Review and Update.
Working toward the triple bottom line in surgery to limit the impact of surgery on the environment
Effects Of Surgery On A Warming Planet: Can Anesthesia Go Green? – NPR
Anaesthetic gases, climate change, and sustainable practice – The Lancet Planetary Health
Greenhouse gases: the choice of volatile anesthetic does matter – Canadian Journal of Anesthesiology
Systematic Review | Management of High-Need, High-Cost Patients.
9 Nov, 2021 | 01:20h | UTCSee also:
Related:
Systematic review of high-cost patients’ characteristics and healthcare utilization – BMJ Open
Multimorbidity: a priority for global health research – The Academy of Medical Sciences
The global burden of multiple chronic conditions: A narrative review – Preventive Medicine Reports
Redesigning Care for High-Cost, High-Risk Patients – Harvard Business Review
Multimorbidity: clinical assessment and management – NICE Guideline
Richard Smith: The challenge of high need, high cost patients – The BMJ Blogs
Better Care for People with Complex Needs – Institute for Healthcare Improvement
Review: SARS-CoV-2 indoor air transmission is a threat that can be addressed with science.
5 Nov, 2021 | 09:55h | UTCRelated:
Ten scientific reasons in support of airborne transmission of SARS-CoV-2
Editorial: Covid-19 has redefined airborne transmission
Covid-19: What do we know about airborne transmission of SARS-CoV-2?
Real-world data show that filters clean COVID-causing virus from air.
Recommendations for ventilation of indoor spaces to reduce COVID-19 transmission.
We studied how to reduce airborne COVID spread in hospitals. Here’s what we learnt.
WHO: Roadmap to improve and ensure good indoor ventilation in the context of COVID-19
CDC releases new ventilation guidelines for indoor environments to reduce Covid-19 risk
It’s not just SARS-CoV-2: Most respiratory viruses spread by aerosols.
Commentary on Twitter
Addressing #CovidisAirborne with sciencehttps://t.co/puzxHQ6xGD
proceedings of a workshop with the experts @PNASNews w/ @Smogdr @linseymarr @kprather88 @Lakdawala_Lab @Prof_Lowe pic.twitter.com/xdjjFZ8Uto— Eric Topol (@EricTopol) November 5, 2021
AAP Policy Statement: Preventing Home Medication Administration Errors.
3 Nov, 2021 | 09:58h | UTCPreventing Home Medication Administration Errors – Pediatrics
Commentary: Ways to Prevent Children’s Medication Errors at Home – American Academy of Pediatrics
Commentary on Twitter
This policy statement recommends strategies to reduce the incidence of pediatric medication administration errors at home, including those involving prescription and over-the-counter medications, as well as vitamins/supplements: https://t.co/vgqGNqw5NJ #Pediatrics pic.twitter.com/ar4EeZSxs0
— AAP Journals (@AAPJournals) November 2, 2021
Systematic Review: Virtual care in patients with cancer.
27 Oct, 2021 | 01:04h | UTCVirtual Care in Patients with Cancer: A Systematic Review – Current Oncology
Health care environmental hygiene: new insights and centers for disease control and prevention guidance.
22 Oct, 2021 | 10:07h | UTC
Health care–acquired infections in low- and middle-income countries and the role of infection prevention and control.
22 Oct, 2021 | 10:09h | UTC
Occupational health update: approach to evaluation of health care personnel and preexposure prophylaxis.
22 Oct, 2021 | 10:06h | UTC
Viewpoint: Surgical overtreatment and shared decision-making—the limits of choice. – “Payment models further incentivize surgical intervention. Fee-for-service payment plans reward surgeons for operating, not for ensuring that surgery is right for a patient”.
17 Oct, 2021 | 21:17h | UTCSurgical Overtreatment and Shared Decision-making—The Limits of Choice – JAMA Surgery (free for a limited period)
Commentary on Twitter
“Adjusting payment models to mitigate financial incentives..to overtreat is a start. However..greater focus should be given to the myriad other causes of overtreatment,” such as triggers of care cascades, write Clapp, Schwarze & @LeeAFleisher. https://t.co/f4mPsnxyVB
— Ben Harder #BlackLivesMatter (@benharder) October 14, 2021
Survey finds patients undergoing medical imaging procedures have overall limited knowledge about medical radiation.
14 Oct, 2021 | 09:46h | UTCPatient Perceptions and Knowledge of Ionizing Radiation From Medical Imaging – JAMA Network Open
Invited commentary: It Is Time to Inform Patients of Medical Imaging Risks – JAMA Network Open
Systematic Review: Music interventions may have beneficial effects on anxiety, depression, hope, pain, and fatigue in adults with cancer.
14 Oct, 2021 | 09:43h | UTC
Real-world data show that filters clean COVID-causing virus from air.
13 Oct, 2021 | 01:43h | UTCReal-world data show that filters clean COVID-causing virus from air – Nature
Original article: The removal of airborne SARS-CoV-2 and other microbial bioaerosols by air filtration on COVID-19 surge units – medRxiv
Commentary on Twitter
Research at a hospital swamped by people with COVID-19 has confirmed that portable air filters effectively remove SARS-CoV-2 particles from the air https://t.co/OT3JKIxWhB
— nature (@Nature) October 11, 2021
ACR Announces New Appropriateness Criteria for Diagnostic Exams.
13 Oct, 2021 | 01:32h | UTCAmerican College of Radiology Announces New Appropriateness Criteria – Medical Device News Magazine
New Guidance: ACR Appropriateness Criteria