Value-based Care
Choosing Wisely Recommendations for Glaucoma and Wet Age‐related Macular Degeneration
3 Feb, 2019 | 16:43h | UTC
Position Statement: Clear Fluids Fasting for Elective Pediatric Anesthesia
3 Feb, 2019 | 13:44h | UTC
Related Guidelines: Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration (free) AND Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology (free)
Related Systematic Review: Practice Guideline Recommendations on Perioperative Fasting – Journal of Parenteral and Enteral Nutrition (free)
Related Narrative Review: Nothing by Mouth at Midnight: Saving or Starving? A Literature Review – Gastroenterology Nursing (free)
“‘It is safe and recommended for all children able to take clear fluids, to be allowed and encouraged to have them up to 1 h before elective general anaesthesia’.”
BMJ Collection: Solutions for Non-communicable Disease Prevention and Control
1 Feb, 2019 | 02:48h | UTCSolutions for non-communicable disease prevention and control – The BMJ (free articles)
Related Commentary on Twitter
Non-communicable diseases (NCDs) constitute a major global health challenge. This new collection examines the major obstacles to preventing and controlling these diseases and suggests scalable solutions https://t.co/mupvuqQoru @ajain247 @KamranAbbasi pic.twitter.com/lZ4b0mrW9e
— The BMJ (@bmj_latest) January 29, 2019
Systematic Review: General Health Checks for Reducing Illness and Mortality
1 Feb, 2019 | 02:41h | UTCGeneral health checks in adults for reducing morbidity and mortality from disease – Cochrane Library (free)
Summary: General health checks for reducing illness and mortality – Cochrane Library (free)
“General health checks are unlikely to be beneficial.”
How to Save Billions on Cancer Care Costs: The Potential of Value-Based Prescribing in Oncology
27 Jan, 2019 | 20:39h | UTCRelated: Research: Low-Dose Abiraterone With Food vs Standard Dose Abiraterone In Prostate Cancer (link to abstract and commentaries) AND Tackling the High Cost of Cancer Care (free commentaries)
Dispatch from Davos: Hospitals of the Future Will Not be Traditional Hospitals
27 Jan, 2019 | 20:29h | UTCDispatch from Davos: Hospitals of the future will not be traditional hospitals – STAT (free)
Report: The Efficacy and Safety of Vertebral Augmentation
27 Jan, 2019 | 20:19h | UTCCommentaries: Spinal Fractures Can Be Terribly Painful. A Common Treatment Isn’t Helping – The New York Times (10 articles per month are free) AND Spinal Fusions Ineffective for Fracture Pain, Says ASBMR – Medscape (free registration required)
Related: Randomized Trial: Vertebroplasty vs. Sham Procedure for Acute Osteoporotic Vertebral Compression Fractures – The BMJ (free study and commentary) AND Cochrane Review: percutaneous vertebroplasty for osteoporotic vertebral compression fracture (free article and summary)
Perspective: Doing Things for No Reason in the Hospital
22 Jan, 2019 | 00:27h | UTCDoing things for no reason in the hospital – The BMJ Opinion (free)
“Many of the things we do as doctors continue simply because “that’s the way we’ve always done it,” says Abraar Karan”
Patient Engagement Survey: Health Care Has a Lot to Learn from Consumer-Friendly Industries
21 Jan, 2019 | 10:15h | UTC
Study: Remote, Non‐physician Led Hypertension Management Program
20 Jan, 2019 | 15:13h | UTCCommentary: Home-based hypertension program produces ‘striking’ results – Brigham and Women’s Hospital (free) AND At-home program helped 91% of patients control their BP in 7 weeks – Cardiovascular Business (free)
Care Redesign: A Teledermatology Initiative to Increase Access for Community Health Center Patients
19 Jan, 2019 | 18:21h | UTCA Teledermatology Initiative to Increase Access for Community Health Center Patients – NEJM Catalyst (free)
How to Get Started in Quality Improvement
18 Jan, 2019 | 00:59h | UTCHow to get started in quality improvement – The BMJ (free)
Medscape National Physician Burnout, Depression & Suicide Report 2019
18 Jan, 2019 | 00:54h | UTCMedscape National Physician Burnout, Depression & Suicide Report 2019 (free registration required)
Commentaries: Burnout Rises Above 50% in Some Specialties, New Survey Shows – Medscape (free registration required) AND No quick fix for physician burnout, depression – Reuters (free) AND More than half of physicians are burned out or depressed – HealthExec (free)
Related Perspectives: Why Physician Burnout Is Endemic, and How Health Care Must Respond – NEJM Catalyst (free) AND Counting the costs: U.S. hospitals feeling the pain of physician burnout – Reuters (free) AND Panic, chronic anxiety and burnout: doctors at breaking point – The Guardian (free) AND The Burnout Crisis in American Medicine – The Atlantic (free) AND Implementing Optimal Team-Based Care to Reduce Clinician Burnout – National Academy of Medicine (free) AND Physician burnout costs up to $17B a year, task force says – HealthcareDive (free)
Related Articles: Physician Burnout Can Lead to Major Medical Errors (link to abstract and commentaries) AND Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction (link to abstract and commentaries) AND Systematic Review: Prevalence of Burnout Among Physicians (link to abstract and commentaries)
New Choosing Wisely List. Society of American Gastrointestinal and Endoscopic Surgeons
16 Jan, 2019 | 18:52h | UTCCommentary: Choosing Wisely: Don’t Use Ultrasound to Evaluate Palpable Inguinal Hernia – NEJM Journal Watch (free)
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Diving into Overuse in Hospitals: A Starter Kit for Reducing Unnecessary Tests and Treatments
13 Jan, 2019 | 21:57h | UTCNews Release: Diving into Overuse in Hospitals (free)
See complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Disease Management Interventions for Heart Failure
13 Jan, 2019 | 20:57h | UTCDisease management interventions for heart failure – Cochrane Library (free)
Summary: Disease management programmes for heart failure – Cochrane Library (free)
Opinion: 7 Trends That Healthtech Innovators Expect To Shape 2019
13 Jan, 2019 | 20:05h | UTC7 Trends That Healthtech Innovators Expect To Shape 2019 – Forbes (free)
Effects of A Communication-And-Resolution Program on Hospitals’ Malpractice Claims and Costs
10 Jan, 2019 | 21:31h | UTCEffects of A Communication-And-Resolution Program on Hospitals’ Malpractice Claims and Costs – Health Affairs (link to abstract – $ for full-text)
Commentaries: Study finds hospital communication-and-resolution programs do not expand liability risk – Brigham and Women’s Hospital (free) AND Effects of a communication-and-resolution program on hospitals’ malpractice claims and costs – PSNet (free) AND It’s a win-win: Hospitals should apologize for mistakes – Stanford Law School (free)
Systematic Review: Association Between Reimbursement Incentives and Physician Practice in Oncology
8 Jan, 2019 | 22:12h | UTCAssociation Between Reimbursement Incentives and Physician Practice in Oncology: A Systematic Review (link to abstract – $ for full-text)
Related Commentary on Twitter
Study findings suggest that some oncologists may, in certain circumstances, alter treatment recommendations based on personal revenue considerations. https://t.co/oscM0UI8QY pic.twitter.com/a3gh04w1an
— JAMA Oncology (@JAMAOnc) January 4, 2019
Study: Hospital Readmissions Reduction Program May Increase Deaths
7 Jan, 2019 | 21:55h | UTCAssociation of the Hospital Readmissions Reduction Program With Mortality Among Medicare Beneficiaries Hospitalized for Heart Failure, Acute Myocardial Infarction, and Pneumonia – JAMA (link to abstract – $ for full-text)
Commentaries: Did This Health Care Policy Do Harm? – The New York Times (10 articles per month are free) AND Study Finds Implementation of the Hospital Readmissions Reduction Program Associated With Increase in Patient-Level Mortality – Beth Israel Deaconess Medical Center (free) AND Penalties For Hospital Readmissions May Boost Deaths, Study Finds – CommonHealth (free)
Viewpoint: Curbing Unnecessary and Wasted Diagnostic Imaging
7 Jan, 2019 | 21:15h | UTCCurbing Unnecessary and Wasted Diagnostic Imaging – JAMA (free for a limited period)
Too Much Medicine: Not Enough Trust?
7 Jan, 2019 | 11:55h | UTCToo much medicine: not enough trust? – Journal of Medical Ethics (free) (via @Dr_A_Rashid)
Study: Two-Year Evaluation of Mandatory Bundled Payments for Joint Replacement Two-Year Evaluation of Mandatory Bundled Payments for Joint Replacement – New England Journal of Medicine (link to abstract – $ for full-text)
4 Jan, 2019 | 20:15h | UTCTwo-Year Evaluation of Mandatory Bundled Payments for Joint Replacement – New England Journal of Medicine (link to abstract – $ for full-text)
Commentary: Medicare’s bundled payment experiment for joint replacements shows moderate savings – Harvard T.H. Chan School of Public Health (free)
Systematic Review of High-cost Patients’ Characteristics and Healthcare Utilization
13 Dec, 2018 | 19:52h | UTCSystematic review of high-cost patients’ characteristics and healthcare utilization – BMJ Open (free)
Related: Effectiveness of interventions for managing multiple high-burden chronic diseases in older adults: a systematic review and meta-analysis – Canadian Medical Association Journal (free) AND Multimorbidity: a priority for global health research – The Academy of Medical Sciences (free) AND The global burden of multiple chronic conditions: A narrative review – Preventive Medicine Reports (free) AND Designing a High-Performing Health Care System for Patients with Complex Needs: Ten Recommendations for Policymakers – The Commonwealth fund (free) AND Redesigning Care for High-Cost, High-Risk Patients – Harvard Business Review (a few articles per month are free) AND Caring for High-Need, High-Cost Patients — An Urgent Priority – New England Journal of Medicine (free) AND Multimorbidity: clinical assessment and management – NICE Guideline (free) AND Multimorbidity in Older Adults with Cardiovascular Disease – American College of Cardiology, Latest in Cardiology (free) AND Focusing on High-Cost Patients — The Key to Addressing High Costs? – NEJM Catalyst (free) AND Richard Smith: The challenge of high need, high cost patients – The BMJ Blogs (free) AND Playbook: Better Care for People with Complex Needs – Institute for Healthcare Improvement (free)
Study: Quantifying the Benefits and Harms of Various Preventive Health Activities
13 Dec, 2018 | 19:19h | UTCQuantifying the benefits and harms of various preventive health activities – Australian Journal of General Practice (free) (via @PaulGlasziou)