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Value-based Care

[Abstract Only] Observational Study: Use of Enhanced Recovery After Surgery Protocols Linked to Reduced Postoperative Complications in Total Hip and Knee Arthroplasty

23 Feb, 2020 | 21:20h | UTC

Association Between Use of Enhanced Recovery After Surgery Protocol and Postoperative Complications in Total Hip and Knee Arthroplasty in the Postoperative Outcomes Within Enhanced Recovery After Surgery Protocol in Elective Total Hip and Knee Arthroplasty Study (POWER2) – JAMA Surgery (link to abstract – $ for full-text)

Commentary: Following ERAS Protocol Associated With Better Outcomes After Hip, Knee Surgery – Reuters / Medscape (free registration required)

Related: Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations – Acta Orthopaedica (free) AND Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (free articles)

 

Related Commentary on Twitter

 


Podcast – Things we Do for No Reason Episode 3: Potassium, Oxygen, and Antipsychotics

18 Feb, 2020 | 08:20h | UTC

#195 TWDFNR 3: Potassium, Oxygen, and Antipsychotics – The Curbsiders Internal Medicine Podcast (free)

Related Podcasts: #109: Things We Do For No Reason: A High Value Episode (free) AND #165 Things We Do For No Reason™ Part 2 (free)

See also: Choosing Wisely: Things We Do For No Reason – Journal of Hospital Medicine (free articles)

 


Virtual Care: Recommendations for Scaling up Virtual Medical Services

12 Feb, 2020 | 07:32h | UTC

Virtual care: Recommendations for Scaling up Virtual Medical Services – Canadian Medical Association (free PDF)

News Release: New report: a roadmap to improve virtual care in Canada – Canadian Medical Association (free)

 


A Successful but Underused Strategy for Reducing Low-Value Care: Stop Paying for It

11 Feb, 2020 | 02:20h | UTC

Editor’s Note: A Successful but Underused Strategy for Reducing Low-Value Care: Stop Paying for It – JAMA Internal Medicine (free for a limited period)

Original Study: Comparison of Payment Changes and Choosing Wisely Recommendations for Use of Low-Value Laboratory Tests in the United States and Canada – JAMA Internal Medicine (free for a limited period)

 


De-implementing Wisely: Developing the Evidence Base to Reduce Low-value Care

9 Feb, 2020 | 20:49h | UTC

De-implementing wisely: developing the evidence base to reduce low-value care – BMJ Quality & Safety (free) (via @brhospitalist)

 


Guideline: Enhanced Recovery After Lung Surgery

4 Feb, 2020 | 08:00h | UTC

Clinical guidelines on perioperative management strategies for enhanced recovery after lung surgery – Translational Lung Cancer Research (free)

Related: Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS®) Society and the European Society of Thoracic Surgeons (ESTS) – European Journal of Cardio-Thoracic Surgery (free) AND Enhanced recovery programs in lung cancer surgery: systematic review and meta-analysis of randomized controlled trials – Cancer Management and Research (free)

See also other Enhanced Recovery After Surgery (ERAS) Guidelines (free)

 


2019 Update on Pediatric Medical Overuse

4 Feb, 2020 | 07:53h | UTC

2019 Update on Pediatric Medical Overuse: A Systematic Review – JAMA Pediatrics (free for a limited period)

 


Prevention of Non-communicable Disease: Best Buys, Wasted Buys, and Contestable Buys

29 Jan, 2020 | 08:14h | UTC

Prevention of non-communicable disease: best buys, wasted buys, and contestable buys – The BMJ (free)

See also: Full BMJ Collection on Health, wealth, and profits (free articles)

 


Adapting Lean Methods to Facilitate Stakeholder Engagement and Co-design in Healthcare

29 Jan, 2020 | 08:06h | UTC

Adapting Lean methods to facilitate stakeholder engagement and co-design in healthcare – The BMJ (free)

See also: Full BMJ Collection on Quality Improvement (free articles)

 

Related Commentary on Twitter

 


Effects of Lean Healthcare on Patient Flow: A Systematic Review

24 Jan, 2020 | 08:04h | UTC

Effects of Lean Healthcare on Patient Flow: A Systematic Review – Value in Health (free)

Related: ‘Lean’ Adoption at Public Hospitals has Improved Finances and Efficiency, Reports Survey (link to abstract and commentary)

 


Review: Enhancing Recovery in Pediatric Major Abdominal Surgery

22 Jan, 2020 | 09:26h | UTC

Enhancing recovery in pediatric major abdominal surgery: a narrative review of the literature – Colombian Journal of Anesthesiology (free)

Related Reviews: Review of the enhanced recovery pathway for children: perioperative anesthetic considerations – Canadian Journal of Anesthesia (free) AND Embracing change: the era for pediatric ERAS is here – Pediatric Surgery International (free) AND Preparing Enhanced Recovery After Surgery for implementation in pediatric populations – Journal of Pediatric Surgery (free)

 


Top 10 Best Cities for Medical Tourists in 2020

22 Jan, 2020 | 09:07h | UTC

Patients Beyond Borders Announces Top 10 Best Cities for Medical Tourists in 2020 (free)

 


Study: The Development of a Standardized Pathway for Outpatient Ambulatory Fracture Surgery

16 Jan, 2020 | 03:57h | UTC

The Development of a Standardized Pathway for Outpatient Ambulatory Fracture Surgery – The Journal of Bone and Joint Surgery (free)

Commentary: Strong Case for Outpatient Fracture Surgery – Orthobuzz (free)

 


Review: Management of Patients Undergoing Same-day Discharge Primary Total Kip and knee Arthroplasty

16 Jan, 2020 | 04:02h | UTC

Management of patients undergoing same-day discharge primary total hip and knee arthroplasty – Canadian Medical Association Journal (free)

Related: Consensus statement for perioperative care in total hip replacement and total knee replacement surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations – Acta Orthopaedica (free)

 


[Abstract Only] Study: Hospital Mergers and Acquisitions Not Associated with Improved Quality of Care

15 Jan, 2020 | 08:00h | UTC

Changes in Quality of Care after Hospital Mergers and Acquisitions – New England Journal of Medicine (link to abstract – $ for full-text)

Commentaries: Hospital mergers don’t improve readmissions, mortality or experience, study – Modern Healthcare (free) AND Patient satisfaction may decline after hospital acquisition – Reuters (free)

 


Meta-Analysis: Enhanced Recovery After Surgery (ERAS) Reduces Hospital Costs and Improve Clinical Outcomes in Liver Surgery

15 Jan, 2020 | 07:57h | UTC

Enhanced Recovery After Surgery (ERAS) Reduces Hospital Costs and Improve Clinical Outcomes in Liver Surgery: a Systematic Review and Meta-Analysis – Journal of Gastrointestinal Surgery (free)

Related: Guidelines for Perioperative Care for Liver Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations – World Journal of Surgery (free)

Related: Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (free articles)

 


Meta-Analysis: The Application of Enhanced Recovery After Surgery for Upper Gastrointestinal Surgery

15 Jan, 2020 | 07:56h | UTC

The application of enhanced recovery after surgery for upper gastrointestinal surgery: Meta-analysis – BMC Surgery (free)

Related: Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (free articles)

 


BMJ Collection: Achieving Fair Pricing of Medicines

14 Jan, 2020 | 00:45h | UTC

Homepage: Achieving fair pricing of medicines – The BMJ (free articles)

Editorial: Can affordability and innovation coexist for medicines?

– Defining the concept of fair pricing for medicines

– Strategies to achieve fairer prices for generic and biosimilar medicines

– Pricing of pharmaceuticals is becoming a major challenge for health systems

– New business models for research and development with affordability requirements are needed to achieve fair pricing of medicines

– Price transparency is a step towards sustainable access in middle income countries

 


Observational Study: Implementation of a Hospital-Based Palliative Care Program Linked to Reduced Use of Intensive Care During Terminal Hospitalizations

12 Jan, 2020 | 20:55h | UTC

Association Between the Implementation of Hospital-Based Palliative Care and Use of Intensive Care During Terminal Hospitalizations – JAMA Network Open (free)

 


[Abstract Only] Health Care Hotspotting — A Randomized, Controlled Trial

9 Jan, 2020 | 01:24h | UTC

Health Care Hotspotting — A Randomized, Controlled Trial – New England Journal of Medicine (link to abstract – $ for full-text)

Commentaries: Reduce Health Costs By Nurturing The Sickest? A Much-Touted Idea Disappoints – Kaiser Health News (free) AND Did a high-profile program really slash hospital spending? Or was it a cautionary tale of ‘regression to the mean’? – STAT (free)

 


How One Medical Checkup Can Snowball Into a ‘Cascade’ of Tests, Causing More Harm than Good

6 Jan, 2020 | 23:26h | UTC

How one medical checkup can snowball into a ‘cascade’ of tests, causing more harm than good – The Washington Post (free)

Related: Study: Cascades of Care After Incidental Findings (free study and commentaries) AND Umbrella Review: Prevalence and Outcomes of Incidental Imaging Findings (free study and commentary) AND Study: Prevalence and Cost of Care Cascades After Low-Value Preoperative Electrocardiogram for Cataract Surgery (link to abstract, commentary and other studies)

 


Podcast: Common Cases of Medical Overuse

6 Jan, 2020 | 23:23h | UTC

#189 Medical Overuse: Common Cases – The Curbsiders Internal Medicine Podcast (free audio and text)

See also: Episode List

 


Choosing Wisely in Pediatric Hematology: Five Things Physicians and Patients Should Question

11 Dec, 2019 | 08:16h | UTC

American Society of Hematology-American Society of Pediatric Hematology/Oncology: Five Things Physicians and Patients Should Question – Choosing Wisely (free)

See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada

Source: NEJM Journal Watch

 


Editorial – Cochrane Sustainable Healthcare: Evidence for Action on Too Much Medicine

9 Dec, 2019 | 01:32h | UTC

Cochrane Sustainable Healthcare: evidence for action on too much medicine – Cochrane Library (free)

News Release: Launch of new Cochrane Sustainable Healthcare Field – Cochrane Library (free)

See Website: Cochrane Sustainable Healthcare (free)

 

Related Commentary on Twitter

 


[Abstract Only] ‘Lean’ Adoption at Public Hospitals has Improved Finances and Efficiency, Reports Survey

24 Nov, 2019 | 20:31h | UTC

‘Lean’ adoption at public hospitals has improved finances and efficiency, reports survey – News Medical (free)

Original Study: Lean Management and U.S. Public Hospital Performance: Results from a National Survey – Journal of Healthcare Management (link to abstract – $ for full-text)

 


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