Value-based Care
Health Care Providers Can Use Design Thinking to Improve Patient Experiences
14 Sep, 2017 | 18:28h | UTC
Free Online Course: Leading Healthcare Quality and Safety
11 Sep, 2017 | 01:06h | UTCStarts Today! Free Online Course: Leading Healthcare Quality and Safety – The George Washington University and Coursera
11 Drugs You Should Seriously Consider Deprescribing
11 Sep, 2017 | 00:24h | UTC11 Drugs You Should Seriously Consider Deprescribing – Medscape Slideshow (free registration required)
Related: Canadian Deprescribing Network (CaDeN) (free) AND CaDeN Deprescribing Guidelines and Algorithms (free) AND Deprescribing guidelines for the elderly – Ontario Pharmacy Evidence Network (free) AND Deprescribing proton pump inhibitors: Evidence-based clinical practice guideline – Canadian Family Physician (free) AND Too Many Meds? America’s Love Affair With Prescription Medication – Consumer Reports (free) AND Patient often prescribed potentially futile drugs in their final months of life – Science Daily AND The Challenge of Polypharmacy: From Rhetoric to Reality – Royal Pharmaceutical Society and Royal College of General Practitioners Partnership (free PDF) Current and future perspectives on the management of polypharmacy – BMC Family Practice (free)
Commentary: Potential Implications of NORSTENT (Norwegian Coronary Stent Trial) in Contemporary Practice
10 Sep, 2017 | 01:29h | UTCOriginal article: Drug-Eluting or Bare-Metal Stents for Coronary Artery Disease – New England Journal of Medicine (free)
In this large trial, differences in outcomes between bare metal stents (BMS) and drug eluding stents (DES) were small. During 6 years of follow-up there was a 3.3% absolute risk reduction in any repeat revascularization with DES, without differences in cardiovascular mortality or death.
Study: Impact of early in-hospital medication review by clinical pharmacists on health services utilization
8 Sep, 2017 | 02:16h | UTCSource: Hospital Medicine Virtual Journal Club
Viewpoint: Public Reporting of Surgical Outcomes: Surgeons, Hospitals, or Both?
8 Sep, 2017 | 02:29h | UTCPublic Reporting of Surgical Outcomes: Surgeons, Hospitals, or Both? – JAMA Forum (free)
Ten Recommendations: Designing a High-Performing Health Care System for Patients with Complex Needs
6 Sep, 2017 | 18:41h | UTCRelated: 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: Effect of Palliative Care on Aggressiveness of End-of-Life Care Among Patients With Advanced Cancer
4 Sep, 2017 | 15:45h | UTCEffect of Palliative Care on Aggressiveness of End-of-Life Care Among Patients With Advanced Cancer – Journal of Oncology Practice (link to abstract – $ for full-text)
Commentaries: Palliative Care May Substantially Decrease Health-Care Utilization in Patients With Advanced Cancer – ASCO Post (free) AND End-of-Life Palliative Care Lowered Utilization for Patients With Cancer – AJMC (free) AND Palliative Care Cut Healthcare Use in Advanced Cancer – MedPage Today (free registration required)
Related guideline: Integration of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology Clinical Practice Guideline Update (free)
Study: Improving the Appropriate Use of Transthoracic Echocardiography
4 Sep, 2017 | 15:01h | UTCImproving the Appropriate Use of Transthoracic Echocardiography: The Echo WISELY Trial – Journal of The American College of Cardiology (link to abstract – $ for full-text)
Commentaries: Improving Echo Appropriateness: Audit and Feedback Intervention Works – TCTMD (free) AND Improving Appropriate Use of Transthoracic Echocardiography – American College of Cardiology, Latest in Cardiology (free)
“Do “bundled payments” truly produce better healthcare?
31 Aug, 2017 | 21:11h | UTCThe Battle Of The Bundle: Lessons From My Mother’s Partial Hip Replacement – Health Affairs (free) (RT @OUPMedicine see Tweet)
Study: Active Surveillance for Low-Risk Papillary Thyroid Cancer May be Safe
31 Aug, 2017 | 22:34h | UTCNatural History and Tumor Volume Kinetics of Papillary Thyroid Cancers During Active Surveillance – JAMA Otolaryngology Head & Neck Surgery (free for a week)
Author interview audio: Natural History and Tumor Volume Kinetics of Papillary Thyroid Cancers (free)
Commentaries: Findings Support Use of Active Surveillance for Low-Risk Papillary Thyroid Cancer – The JAMA Network (free) AND Many People Can Delay Treatment For Thyroid Cancer, Study Finds – NPR (free)
Employers Accelerate Move To Value-Based Care In 2018
31 Aug, 2017 | 16:39h | UTCEmployers Accelerate Move To Value-Based Care In 2018 – Forbes (free)
Study: Impact of Obesity on Intensive Care Unit Resource Utilization After Cardiac Operations
31 Aug, 2017 | 16:31h | UTCImpact of Obesity on Intensive Care Unit Resource Utilization After Cardiac Operations – The Annals of Thoracic Surgery (link to abstract – $ for full-text)
Commentaries: Obese cardiac patients a drain on ICU resources – Cardiovascular Business (free) AND Obese Cardiac Surgery Patients a Burden on ICU Resources – TCTMD (free) AND Post–Cardiac Surgery ICU Usage Rises With Increasing Obesity – Medscape (free registration required)
Opinion: When surgery is just a stitch-up
22 Aug, 2017 | 13:03h | UTCWhen surgery is just a stitch-up – The Guardian (RT @Onisillos see Tweet)
Related article: Use of placebo controls in the evaluation of surgery: systematic review – The BMJ (free)
“With evidence mounting that many minor operations owe their success to the placebo effect, is it time to call a halt to some routine procedures?”
Free Online Course: Introduction to Health Technology Assessment
21 Aug, 2017 | 01:57h | UTCStarts Today! Free Online Course: Introduction to Health Technology Assessment – University of Glasgow and FutureLearn
Too much medicine: Mapping the drivers of overdiagnosis to potential solutions
17 Aug, 2017 | 21:37h | UTCAnalysis – Too much medicine: Mapping the drivers of overdiagnosis to potential solutions – The BMJ (free)
Related: Overdiagnosis, ethics, and trolley problems: why factors other than outcomes matter – The BMJ (free) AND The overdiagnosis community targets solutions – The BMJ (free) AND Are expanding disease definitions unnecessarily labelling women with polycystic ovary syndrome? – The BMJ (free) AND When technology creates uncertainty: pulse oximetry and Overdiagnosis of hypoxaemia in bronchiolitis – The BMJ (free)
A National Implementation Project to Prevent Catheter-Associated Urinary Tract Infection in Nursing Home Residents
17 Aug, 2017 | 15:57h | UTCA National Implementation Project to Prevent Catheter-Associated Urinary Tract Infection in Nursing Home Residents – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentaries: Study Shows 54 Percent Drop in CAUTIs Among Nursing Home Residents – Infection Control Today (free) AND AHRQ safety program helps cut catheter infections by more than 50% among nursing home patients, JAMA study shows – Healthcare Finance (free) AND Implementing technical and socioadaptive bundles may decrease catheter-associated urinary tract infections in nursing homes – 2 Minute Medicine (free) AND Nursing homes cut urinary tract infections in half through focused effort on catheter care – Michigan University, via EurekAlert (free)
Related: Toolkit for Reducing Catheter-Associated Urinary Tract Infections (CAUTI) – Agency for Healthcare Research and Quality (free resources)
Genetic counseling works as well over the phone as in person, study finds
15 Aug, 2017 | 20:35h | UTCGenetic counseling works as well over the phone as in person, study finds – STAT (free)
Related commentary: Telemedicine OK for Genetic Testing and Counseling – MedPage Today (free registration required)
Eliminating CK–MB Testing in Suspected Acute Coronary Syndrome
15 Aug, 2017 | 00:50h | UTCEliminating Creatine Kinase–Myocardial Band Testing in Suspected Acute Coronary Syndrome: A Value-Based Quality Improvement – JAMA Internal Medicine (free) (RT @EricTopol see Tweet)
Author interview: Eliminating Creatine Kinase–Myocardial Band Testing in Suspected ACS (free)
Commentaries: Eliminating CK-MB Testing in Suspected ACS – American College of Cardiology, Latest in Cardiology (free) AND Research review recommends eliminating widely ordered blood test for diagnosing heart attacks – Johns Hopkins Medicine, via Science Daily (free)
“Review is first publication from national consortium of academic medical centers working to eliminate unnecessary medical tests, treatments and procedures” (from Science Daily)
Self-management interventions for patients with COPD
14 Aug, 2017 | 15:28h | UTCFull review: Self-management interventions including action plans for exacerbations versus usual care in patients with chronic obstructive pulmonary disease (link to summary – $ for full-text)
Related: Asthma self-management programmes can reduce unscheduled care – NIHR Signal (free)
Self-management interventions that include a COPD exacerbation action plan are associated with improvements in health-related quality of life and lower probability of respiratory-related hospital admissions.
What do hypnotics cost hospitals and healthcare?
10 Aug, 2017 | 17:16h | UTCWhat do hypnotics cost hospitals and healthcare? – F1000 Research (free)
Source: Hospital Medicine Virtual Journal Club
“A best estimate is that U.S. costs of hypnotic harms to healthcare systems are on the order of $55 billion, but conceivably might be as low as $10 billion or as high as $100 billion”.
Alternatives to hospital admission for people aged over 65 years
9 Aug, 2017 | 17:58h | UTCA systematic review to identify and assess the effectiveness of alternatives for people over the age of 65 who are at risk of potentially avoidable hospital admission – BMJ Open (free) (RT @NIHR_DC)
Alternatives to hospital admission for people aged over 65 years can be safe and reduce costs across a range of acute and chronic conditions.
Last Month in Oncology with Dr. Bishal Gyawali
5 Aug, 2017 | 15:07h | UTCLast Month in Oncology with Dr. Bishal Gyawali: July 2017 – ecancer News (free)
A critical review of the latest “breakthrough” articles in oncology.
Design Thinking for Doctors and Nurses
5 Aug, 2017 | 14:52h | UTCDesign Thinking for Doctors and Nurses – New York Times (10 articles per month are free)
Cancer screening: concerns, controversy and evidence
3 Aug, 2017 | 20:13h | UTCSpecial issue: Public Health Research & Practice – July 2017 Edition
– Editorial: Cancer screening: concerns, controversy and evidence (free)
– PSA testing for men at average risk of prostate cancer (free)
– What is overdiagnosis and why should we take it seriously in cancer screening? (free)
– History, development and future of cancer screening in Australia (free)
– Assessing the efficacy of cancer screening (free)
– Improving communication about cancer screening: moving towards informed decision making (free)
“A special issue to check out if you’re interested in cancer screening (including communication)” (RT @hildabast see Tweet)