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Value-Based Care

Medicines with One Seller and Many Buyers: Strategies to Increase the Power of the Payer

29 May, 2020 | 03:00h | UTC

Medicines with one seller and many buyers: strategies to increase the power of the payer – The BMJ

 


The Challenge of Implementing “Less is More” Medicine: A European Perspective

27 May, 2020 | 02:14h | UTC

The challenge of implementing Less is More medicine: A European perspective – European Journal of Internal Medicine

 


Perspective: In Pandemic, Many Seeing Upsides to Telemedicine

26 May, 2020 | 09:52h | UTC

Part I: In pandemic, many seeing upsides to telemedicine – CIDRAP

Part II: COVID-19 reveals telehealth barriers, solutions – CIDRAP

 


Choosing Wisely in the COVID-19 Era: Preventing Harm to Healthcare Workers

22 May, 2020 | 04:58h | UTC

Choosing Wisely in the COVID-19 Era: Preventing Harm to Healthcare Workers – Journal of Hospital Medicine

 


Virtual Care: New Models of Caring for Our Patients and Workforce

14 May, 2020 | 09:58h | UTC

Virtual care: new models of caring for our patients and workforce – The Lancet Digital Health

 


Coronavirus Test Shortages Trigger a New Strategy: Group Screening

14 May, 2020 | 09:53h | UTC

Coronavirus Test Shortages Trigger a New Strategy: Group Screening – Scientific American

Related: Pooling of Samples for Testing for SARS-CoV-2 in Asymptomatic People (studies and commentaries) AND Sample Pooling as a Strategy to Detect Community Transmission of SARS-CoV-2 – JAMA Network

 


Randomized Trial: Enhanced Recovery After Surgery at Cesarean Delivery to Reduce Postoperative Length of Stay

14 May, 2020 | 02:29h | UTC

Enhanced recovery after surgery at cesarean delivery to reduce postoperative length of stay: a randomized controlled trial – American Journal of Obstetrics & Gynecology

Related Study (just published): A Randomized Controlled Trial of Enhanced Recovery After Surgery Versus Standard of Care Recovery for Emergency Cesarean Deliveries at Mbarara Hospital, Uganda – Anesthesia & Analgesia

See also: Enhanced Recovery After Surgery (ERAS) Guidelines for Perioperative Care in Cesarean Delivery (guidelines on the subject)

 


[Abstract Only] Study: No Increased Risk of Infections with Resterilized and Reused Pacemakers or Defibrillators

11 May, 2020 | 00:21h | UTC

Infections Associated with Resterilized Pacemakers and Defibrillators – New England Journal of Medicine (link to abstract – $ for full-text)

Commentaries: Infections With Resterilized Pacemakers and Defibrillators – American College of Cardiology AND No increased risk of infection with recycled pacemakers and defibrillators – Cardiovascular Business

 


Confronting the COVID-19 Surgery Crisis: Time for Transformational Change

7 May, 2020 | 09:11h | UTC

Confronting the COVID-19 surgery crisis: time for transformational change – Canadian Medical Association Journal

Commentary: Transforming surgery in the aftermath of COVID-19 – Canadian Medical Association Journal

 


Pooling of Samples for Testing for SARS-CoV-2 in Asymptomatic People

30 Apr, 2020 | 04:25h | UTC

Pooling of samples for testing for SARS-CoV-2 in asymptomatic people – The Lancet Infectious Diseases AND Commentary: Virologists show that sample pooling can massively increase coronavirus testing capacity – Saarland University

Related Preprint Study: Smart Pooled sample Testing for COVID-19: A Possible Solution for Sparsity of Test Kits – medRxiv AND Commentary: ‘Smart sample pooling’ for COVID-19 could solve test kit shortage problem – News Medical

 


Low-cost, Easy-to-build Non-Invasive Pressure Support Ventilator for Under-resourced Regions: Open Source Hardware Description, Performance and Feasibility Testing

23 Apr, 2020 | 09:26h | UTC

Low-cost, easy-to-build non-invasive pressure support ventilator for under-resourced regions: open source hardware description, performance and feasibility testing – European Respiratory Journal

Commentary: Low-cost, easy-to-build ventilator performs similarly to high-quality commercial device – European Lung Foundation

 


NIH Study Validates Decontamination Methods for Re-use of N95 Respirators

16 Apr, 2020 | 02:50h | UTC

News Release: NIH study validates decontamination methods for re-use of N95 respirators – NIH News Releases

Original Study: [Preprint] Assessment of N95 respirator decontamination and re-use for SARS-CoV-2 – medRxiv

 


FDA Issues Emergency Use Authorization to Decontaminate Millions of N95 Respirators

15 Apr, 2020 | 03:38h | UTC

Coronavirus (COVID-19) Update: FDA Issues Emergency Use Authorization to Decontaminate Millions of N95 Respirators – U.S. Food & Drug Administration

Commentary: FDA clears N95 decontamination process that could clean up to 4 million masks per day – Tech Crunch

 


Implementation Guide: Triage of Scarce Critical Care Resources in COVID-19

15 Apr, 2020 | 03:23h | UTC

Triage of scarce critical care resources in COVID-19: an implementation guide for regional allocation. An expert panel report of the Task Force for Mass Critical Care and the American College of Chest Physicians – CHEST

 


Perspective: Virtual Health Care in the Era of COVID-19

15 Apr, 2020 | 03:18h | UTC

Virtual health care in the era of COVID-19 – The Lancet

Related: Rapidly Converting to “Virtual Practices”: Outpatient Care in the Era of Covid-19 (several texts on the subject)

 


Mechanical Ventilators Adapted from BiPAP machines?

13 Apr, 2020 | 00:17h | UTC

See instructions and protocols developed by Mount Sinai Health System: Repurposing bi-level ventilators for use with intubated patients while minimizing risk to health care works during insufficient supply of conventional ventilation for patients with COVID-19

We want to learn more about this interesting initiative!

 


Podcast: Reusing Face Masks and N95 Respirators

10 Apr, 2020 | 02:54h | UTC

Coronavirus (COVID-19) Update: Reusing Face Masks and N95 Respirators – JAMA

Related Report: N95 mask can be decontaminated without decreasing filtration efficiency – Stanford Medicine

Related Website: N95DECON: A scientific consortium for data-driven study of N95 filtering facepiece respirator decontamination AND Commentary: New website explains how hospitals can decontaminate and reuse scarce N95 masks to fight COVID-19 – Stanford News

Related Guidance: N95 Re-Use Instructions – SAGES

 


COVID-19: Rapidly Converting to “Virtual Practices”

6 Apr, 2020 | 01:31h | UTC

Rapidly Converting to “Virtual Practices”: Outpatient Care in the Era of Covid-19 – NEJM Catalyst

Related: Telemedicine in the Time of Coronavirus – Journal of Pain and Symptom Management AND The rise of telemedicine: How COVID-19 is fundamentally changing healthcare for all of us – Medium AND Telemedicine is essential amid the covid-19 crisis and after it – The Economist AND Virtually Perfect? Telemedicine for Covid-19 – New England Journal of Medicine AND Doctors and Patients Turn to Telemedicine in the Coronavirus Outbreak – The New York Times AND Telemedicine Arrives in the U.K.: ‘10 Years of Change in One Week’ – New York Times AND The Coronavirus Outbreak Could Finally Make Telemedicine Mainstream in the U.S. – TIME (free)

 


CDC Guidance: Decontamination and Reuse of Filtering Facepiece Respirators

2 Apr, 2020 | 04:24h | UTC

Decontamination and Reuse of Filtering Facepiece Respirators using Contingency and Crisis Capacity Strategies – Centers for Disease Control and Prevention

 


N95 Re-Use Instructions

30 Mar, 2020 | 02:06h | UTC

N95 Re-Use Instructions – SAGES

Related: Conserving Supply of Personal Protective Equipment—A Call for Ideas – JAMA AND N95 mask can be decontaminated without decreasing filtration efficiency – Stanford Medicine

 


Pill Splitting: Making the Most of Meds in a Time of Need

25 Mar, 2020 | 02:29h | UTC

[Special Edition: March 2020] Pill splitting: Making the most of meds in a time of need – Therapeutics Initiative (free)

 


Report: N95 Mask Decontamination

25 Mar, 2020 | 02:18h | UTC

Report: N95 mask can be decontaminated without decreasing filtration efficiency – Stanford Medicine

Stanford: N95 masks can be decontaminated without decreasing filtration efficiency using 70C heat for 30 min. Alcohol and bleach should not be used.” (via @CMichaelGibson see Tweet)

 


Fair Allocation of Scarce Medical Resources in the Time of Covid-19

24 Mar, 2020 | 11:42h | UTC

Fair Allocation of Scarce Medical Resources in the Time of Covid-19 – New England Journal of Medicine

Commentary: Life, or death? Experts guide pandemic medical equipment decisions – CIDRAP

Related Perspective: The Toughest Triage — Allocating Ventilators in a Pandemic – New England Journal of Medicine

 


FDA Recommendations for Conserving Medical Supplies

24 Mar, 2020 | 11:23h | UTC

See also: Strategies for Optimizing the Supply of Facemasks – Centers for Disease Control and Prevention (free)

 


5 Ways Research Could Save the NHS Money

13 Mar, 2020 | 07:57h | UTC

5 Ways Research Could Save the NHS Money – NIHR Highlight (free)