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 | UTCAssociation 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
An increase in adherence to the ERAS program was associated with a decrease in postoperative complications, although only a few ERAS items were individually associated with improved outcomes https://t.co/aLq4QTnq0K
— JAMA Surgery (@JAMASurgery) February 12, 2020
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 | UTCVirtual 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 | UTCEditor’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 | UTCDe-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 | UTCRelated: 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 | UTC2019 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 | UTCPrevention 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 | UTCAdapting 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
What is #Lean?@DrIainMSmith and colleagues argue that this #QualityImprovement approach drawn from industry can go beyond traditional concepts of value and deliver improvements in health care services.
Read our new #QI series article in @bmj_latest: https://t.co/xsKBHTUksP pic.twitter.com/MvOEXQp304
— Health Foundation (@HealthFdn) January 28, 2020
Effects of Lean Healthcare on Patient Flow: A Systematic Review
24 Jan, 2020 | 08:04h | UTCEffects 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 | UTCRelated 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 | UTCPatients 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 | UTCCommentary: 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
[Abstract Only] Study: Hospital Mergers and Acquisitions Not Associated with Improved Quality of Care
15 Jan, 2020 | 08:00h | UTCChanges 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 | UTCRelated: 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 | UTCRelated: Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (free articles)
BMJ Collection: Achieving Fair Pricing of Medicines
14 Jan, 2020 | 00:45h | UTCHomepage: 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
– 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
[Abstract Only] Health Care Hotspotting — A Randomized, Controlled Trial
9 Jan, 2020 | 01:24h | UTCHealth 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 | UTCRelated: 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 | UTCSee 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 | UTCCochrane 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
Cochrane Sustainable Healthcare: evidence for action on too much medicine https://t.co/w2vIv67sUN Less is more: @CochraneLibrary editorial on reducing unnecessary tests & treatment and launch of @Cochrane_SH pic.twitter.com/5sqyXm6My4
— The Cochrane Library (@CochraneLibrary) December 7, 2019
[Abstract Only] ‘Lean’ Adoption at Public Hospitals has Improved Finances and Efficiency, Reports Survey
24 Nov, 2019 | 20:31h | UTCOriginal Study: Lean Management and U.S. Public Hospital Performance: Results from a National Survey – Journal of Healthcare Management (link to abstract – $ for full-text)