Commentaries: Lack of nurses linked to increased risk of patient death – OnMedica (free) AND Low Nurse Staffing Increases Risk for Inpatient Death – Medscape (free registration required)
Why Hospitals Should Let You Sleep – The New York Times (10 articles per month are free)
“Frequent disruptions are more than just annoying for patients. They can also cause harm.”
Commentaries: Night shifts worsen diabetes risk for unhealthy women – OnMedica (free) AND Night shifts and unhealthy lifestyle linked to particularly high risk of type 2 diabetes – MedicalXpress (free) AND Unhealthy nurses working irregular night shifts at high diabetes risk – Nursing Times (free)
Commentaries: Diabetes outcomes similar when primary care provided by NPs, PAs, or physicians, study finds – ACP Internist Weekly (free) AND Diabetics Cared for by NPs, PAs Do as Well as Those in Physicians’ Care – NEJM Journal Watch (free)
Association of Nurse Workload With Missed Nursing Care in the Neonatal Intensive Care Unit – JAMA Pediatrics (link to abstract – $ for full-text)
Commentary: Updated Guidelines Advise on Outpatient Parenteral Antimicrobial Therapy – Pharmacy Times (free) AND ID specialist input improves outcomes for outpatient parenteral antimicrobial therapy – Infectious Diseases Society of America (free)
Commentaries: Palliative care guidelines updated with increased focus on collaboration, communication – ACP Internist (free) AND New Palliative Care Guidelines Demand ‘Seismic Shift’ in Care – Medscape (free registration required)
Training the Next Generation of Doctors and Nurses – The New York Times (10 articles per month are free)
Commentaries: Joint Commission accreditation doesn’t lead to better outcomes, study shows – Modern Healthcare (free) AND Doubt cast on value of hospital accreditation in Harvard study – Healthcare Dive (free)
How To Prevent Brain-Sapping Delirium In The ICU – NPR (free text and podcast)
Related: ABCDEF Bundle – Society of Critical Care Medicine (free resource) AND The ABCDEF Bundle: Science and Philosophy of How ICU Liberation Serves Patients and Families – Critical Care Medicine (free)
Ethanol lock is effective on reducing the incidence of tunneled catheter-related bloodstream infections in hemodialysis patients: a systematic review and meta-analysis – International Urology and Nephrology (link to abstract – $ for full-text)
Commentary: Ethanol locks in catheters for dialysis may prevent sepsis – NIHR Signal (free)
Modifying the consistency of food and fluids for swallowing difficulties in dementia – Cochrane Library (free for a limited period)
“We are uncertain about the immediate and long-term effects of modifying the consistency of fluid for swallowing difficulties in dementia”
Commentaries: Telemedicine in Heart Failure Patients (TIM-HF2) – American College of Cardiology (free) AND ESC: Telemonitoring of HF Cuts Admissions, Mortality MedPage Today (free registration required)
Commentaries: No level of alcohol consumption improves health – The Lancet (free) AND No amount of alcohol is good for your overall health, global study says – CNN (free) AND New scientific study: no safe level of alcohol – Institute for Health Metrics and Evaluation (free)
“Alcohol was responsible for nearly 3 million deaths in 2016, the study says. It was the leading risk factor for disease and premature death in men and women between the ages of 15 and 49 worldwide in 2016, accounting for nearly one in 10 deaths.” (from @cnni see Tweet)
Association Between the New York Sepsis Care Mandate and In-Hospital Mortality for Pediatric Sepsis – JAMA (link to abstract – $ for full-text)
Commentaries: Pediatric sepsis care within an hour increases chances of survival, shows study – News Medical (free) AND “Rory’s Regulations” Improves Pediatric Sepsis Care – MedicalResearch.com (free) AND Sepsis Survival Higher in Kids With Quick Bundle Completion – Medscape (free registration required)
Editorial: Testing Epinephrine for Out-of-Hospital Cardiac Arrest (free)
See also: Infographic detailing result findings (free)
“A clinical trial of the use of adrenaline in cardiac arrests has found that its use results in less than 1% more people leaving hospital alive – but almost doubles the risk of severe brain damage for survivors of cardiac arrest” (from University of Warwick).
“This updated Cochrane Review indicates that nurses can effectively expand the capacity of the primary care workforce”.
Related Research: Randomized Trial: Negative Pressure Wound Therapy No Better Than Regular Dressing in Severe Open Fracture of the Lower Limb (link to abstract and commentaries)
News Release: Low quality healthcare is increasing the burden of illness and health costs globally (free)
“More than half of patients surveyed while they had a urinary catheter, and again weeks later, reported a complication – and infections were only part of the problem” (from NewsWise)
Source: Critical Care Reviews Newsletter
“Out-of-hours discharge from an ICU is strongly associated with both in-hospital death and ICU readmission. Whether these increases in mortality and readmission result from patient differences, differences in care, or a combination remains unclear”.
Related Cochrane Review: Dressings and topical agents for treating venous leg ulcers (free) AND Summary (free)
Effect of Negative Pressure Wound Therapy vs Standard Wound Management on 12-Month Disability Among Adults With Severe Open Fracture of the Lower Limb: The WOLLF Randomized Clinical Trial – JAMA (free for a limited period)
Commentaries: High-tech treatment of open leg wounds no better than using regular dressings – University of Warwick (free) AND Negative-Pressure Therapy No Better for Open Fractures – Medscape (free registration required)
“Negative pressure wound therapy did not improve 12-month disability for patients with severe open fracture of the lower limb compared with standard wound dressing”
Invited Commentary: The Importance of User-Centered Design and Evaluation: Systems-Level Solutions to Sharp-End Problems – JAMA Internal Medicine (free for a limited period)
Eliminating Inappropriate Telemetry Monitoring: An Evidence-Based Implementation Guide – JAMA Internal Medicine (free for a limited period)
Invited Commentary: Continuing to Improve Appropriateness of Continuous Electrocardiographic Monitoring (Telemetry) (free for a limited period)
Editorial: Nurse-Led Communication in the Intensive Care Unit (free)
Noninfectious Hospital Adverse Events Decline After Elimination of Contact Precautions for MRSA and VRE – Infection Control & Hospital Epidemiology (link to abstract – $ for full-text)
Commentary: Hospital adverse events decline after routine contact precautions removed – Healio (free registration required)
Surgical Checklists Save Lives — but Once in a While, They Don’t. Why? – The New York Times (10 articles per month are free)
SAVE LIVES: Clean Your Hands 5 May 2018 – World Health Organization Campaign (free guidelines, implementation tools, infographics, videos and more)
“It’s in your hands – prevent sepsis in health care”
Flexible Versus Restrictive Visiting Policies in ICUs: A Systematic Review and Meta-Analysis – Critical Care Medicine (link to abstract – $ for full-text)
Commentary: Flexible ICU visiting hours tied to less delirium and anxiety – Reuters (free)
Commentaries: Study: Palliative Care Reduces Hospital Stay, Cost of Sickest Patients – U.S. News (free) AND Prompt Palliative Care Saves Money, Especially in Sickest Patients – MedPage Today (free registration required)
Interventions for preventing occupational irritant hand dermatitis – Cochrane Library (link to abstract – $ for full-text)
Antimicrobial lock solutions for preventing catheter-related infections in haemodialysis – Cochrane Library (link to abstract – $ for full-text)
USPSTF Draft Recommendation Statement: Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults: Screening (free)
“The USPSTF recommends that clinicians screen for intimate partner violence (IPV) in women of reproductive age and provide or refer women who screen positive to ongoing support services.”
Original Article: The effectiveness of community-based coordinating interventions in dementia care: a meta-analysis and subgroup analysis of intervention components – BMC Health Services Research (free)
“The review suggests that nurses may be particularly well placed to act as case managers for people with dementia, perhaps because they have the skills to perform the broad range of tasks associated with the role.” (via @NIHR_DC see Tweet)
Related Guidelines: American Geriatrics Society Feeding Tubes in Advanced Dementia Position Statement (free) AND ESPEN guideline on ethical aspects of artificial nutrition and hydration (free)
Related Reviews: Artificial nutrition and hydration in advanced dementia – Canadian Family Physician (free) AND End-of-life issues in advanced dementia: Part 1: goals of care, decision-making process, and family education – Canadian Family Physician (free) AND End-of-life issues in advanced dementia: Part 2: management of poor nutritional intake, dehydration, and pneumonia – Canadian Family Physician (free) AND Advanced Dementia – New England Journal of Medicine (free)
Association of Repeated Measurements With Blood Pressure Control in Primary Care – JAMA Internal Medicine (link to abstract – $ for full-text)
Commentaries: Repeat BP Measurements in the Office Are Key, Study Highlights – TCTMD (free) AND Should Blood Pressure Measurement Be Repeated During Primary Care Visit? – MedicalResearch.com (free) AND Second BP Measurement Often Brings Better News – MedPage Today (free registration required) AND Repeated BP Measures Linked to Drop in Initially Elevated BP – Physician’s Weekly (free)
A free, online resource on the principles and interventions needed to reduce healthcare associated infections, with suggested control measures across different resource levels.
Related: Global nursing movement launches – Devex (free) AND Nursing Now campaign: raising the status of nurses – The Lancet (free registration required)
See also: Nursing Now Website
“Intravenous devices known as PICCs should be reserved for long-term use, but a new study shows 1 in 4 are used for 5 days or less” (from ScienceDaily)
“Negative staff experiences are often a precursor for negative patient experiences”.
Original article: Are quality improvement collaboratives effective? A systematic review – BMJ Quality & Safety (link to abstract – $ for full-text)
“There’s moderate quality evidence that behavioural support to motivate & sustain smoking cessation delivered by nurses can lead to a modest increase in the number of people who achieve prolonged abstinence” (via @CochraneUK see Tweet)
E-learning for health professionals – Cochrane Library (link to abstract – $ for full-text)
Original article: Prolonged versus short-term intravenous infusion of antipseudomonal β-lactams for patients with sepsis: a systematic review and meta-analysis of randomised trials – The Lancet Infectious Diseases (link to abstract – $ for full-text)
Commentaries in the same issue: Evidence-Based Guidelines for Fatigue Risk Management in Emergency Medical Services: A Significant Step Forward and a Model for Other High-Risk Industries (free) AND What an Evidence-based Guideline for Fatigue Risk Management Means for Us: Statements From Stakeholders (free) AND Proposed Performance Measures and Strategies for Implementation of the Fatigue Risk Management Guidelines for Emergency Medical Services (free) AND Evidence-Based Guidelines for Fatigue Risk Management in Emergency Medical Services: A Step in the Right Direction Toward Better Sleep Health (free)
Commentaries: Older adult-friendly emergency department staff help reduce hospital admissions – American Geriatrics Society, via EurekAlert (free) AND Emergency department program for older adults cuts hospitalizations by 33 percent – Northwestern University, via EurekAlert (free)
Related White Paper: Achieving Hospital-wide Patient Flow: The Right Care, in the Right Place, at the Right Time – Institute for Healthcare Improvement (free registration required – PDF)
Original article: Early warning systems and rapid response to the deteriorating patient in hospital: A systematic realist review – Journal of Advanced Nursing (link to abstract – $ for full-text)
Night Shift Work Increases the Risks of Multiple Primary Cancers in Women: A Systematic Review and Meta-analysis of 61 Articles – Cancer Epidemiology, Biomarkers & Prevention Online (link to abstract – $ for full-text)
Commentaries: Night shifts raise women’s cancer risk – Medical News Today (free) AND Night Shifts Increase Breast Cancer Risk, Especially for Nurses – Medscape (free registration required) AND Female Night Shift Workers May Have Increased Risk of Common Cancers – American Association for Cancer Research (free)
“There is moderate quality evidence that behavioural support to motivate and sustain smoking cessation delivered by nurses can lead to a modest increase in the number of people who achieve prolonged abstinence”.
Managing Mental Health Emergencies in the ED – American Nurse Today, via Medscape (free registration required)
White Paper: Achieving Hospital-wide Patient Flow: The Right Care, in the Right Place, at the Right Time – Institute for Healthcare Improvement (free registration required – PDF) (via @brhospitalist and @TheIHI see Tweet)
Comparative Effectiveness of Implementation Strategies for Blood Pressure Control in Hypertensive Patients: A Systematic Review and Meta-analysis – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Meta-Analysis: It Takes a Team to Optimize Hypertension Tx – MedPage Today (free registration required) AND Blood pressure control best achieved with a multilevel, multicomponent approach – American College of Physicians, via EurekAlert (free)
Can sleep quality and burnout affect the job performance of shift-work nurses? A hospital cross-sectional study – Journal of Advanced Nursing (link to abstract – $ for full-text)
Commentary: Shift work linked to burnout in sleep-deprived nurses – Reuters (free)
Original article: Effectiveness and cost-effectiveness of a nurse-delivered intervention to improve adherence to treatment for HIV: a pragmatic, multicentre, open-label, randomised clinical trial – The Lancet Infectious Diseases (free)
New Guide from Choosing Wisely Canada: Nine Things Nurse Practitioners and Patients Should Question – Nurse Practitioner Association of Canada (free)
Commentaries: The burden of triumph: meeting health and social care needs – The Lancet (free) AND Do we really need 200,000 more care home beds? – The Guardian (free) AND Time spent frail in old age ‘doubles’ – BBC (free)
“The amount of time spent needing daily care in late life has doubled in England over the past two decades, a study suggests”. (from BBC)
Commentaries: At Last, a Big, Successful Trial of Probiotics – The Atlantic (free) AND Probiotic Bacteria Could Protect Newborns From Deadly Infection – NPR Goats and Soda (free) AND Seeding the Gut Microbiome Prevents Sepsis in Infants – The Scientist (free)
A 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)
Occupation and Risk of Developing Rheumatoid Arthritis: Results From a Population-Based Case-Control Study – Arthritis Care & Research (link to abstract – $ for full-text)
Commentaries: Certain occupations linked to an increased risk of rheumatoid arthritis – Willey, via EurekAlert (free) AND Occupational Exposures Increase Rheumatoid Arthritis Risk – Medscape (free registration required) AND Some jobs tied to higher risk of rheumatoid arthritis – Reuters (free)
Case-control study suggests bricklayers, concrete workers, electricians and nurses are at increased risk.
Original systematic review: Skin-to-skin care for procedural pain in neonates – Cochrane Library (link to abstract – $ for full-text)
“Skin-to-skin care probably is an effective intervention for pain during procedures for neonates”.
Alternatives to hospital admission for people aged over 65 years can be safe and reduce costs across a range of acute and chronic conditions.
Invited commentary: Early Orthostatic Hypotension and Orthostatic Intolerance—More Than an Observation or Annoyance (free)
Practice Changing – Orthostatic hypotension within 1 min of standing (rather than at 3 minutes) has greater relation to falls, fracture, syncope, motor vehicle crash, and mortality.
Invited Commentary: Fluoroquinolone restriction to control fluoroquinolone-resistant Clostridium difficile (free)
Redesigning Care for High-Cost, High-Risk Patients – Harvard Business Review (a few articles per month are free) (RT @pash22 see Tweet)
Related: Designing a High-Performing Health Care System for Patients with Complex Needs: Ten Recommendations for Policymakers – The Commonwealth Fund (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 full text) 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)
This viewpoint suggests a more selective use of contact precautions for the control of endemic pathogens.
Topical antimicrobial agents for treating foot ulcers in people with diabetes – Cochrane Library (link to summary – & for full-text)
This study compared two different approaches to measure adverse events, the “Trigger Tool system” and the “Two-stage review”
“Untrained bystander CPR had better outcomes when given telephone advice from EMS services to perform continuous CPR, rather than interrupted CPR with rescue breaths”. For trained EMS professionals, “it is possible that there is little or no difference between the two approaches”.
Commentaries: Working while sick – ACP Internist (free) AND Health worker survey reveals many work during flu illness – CIDRAP (free)
Over 40% of surveyed health care personnel worked with self-reported influenza-like illness. “To reduce levels of health-worker–associated flu transmission, the researchers said that misconceptions about working while sick and sick leave policies both need to be addressed” (from CIDRAP)
Viewpoint: Can Personalized Care Planning Improve Primary Care? – JAMA (free)
See more on caring for people with Complex Needs in our April 24th issue (see #4),
Evidence for the treatment of pressure ulcers reviewed.
Invited commentary: Surgical Site Infection Prevention – What We Know and What We Do Not Know – JAMA Surgery (free)
Commentary: ‘Long-Awaited’ CDC Guidelines on SSI Prevention Released – Medscape (free registration required)
“How frequently should indwelling urinary catheters be changed? Are catheter washouts effective? Which type of catheter reduces rates of urinary tract infection?”. This post look at the evidence regarding urinary catheter care.
See also: Use of Medications of Questionable Benefit at the End of Life in Nursing Home Residents with Advanced Dementia – CBCNews (free) AND Many With Advanced Dementia Receiving Drugs of Uncertain Benefit – Medscape (free registration required)
The wound/burn guidelines – Japanese Dermatological Association (all guidelines are free)
Wounds in general / Guidelines for the diagnosis and treatment for pressure ulcers / Guidelines for the diagnosis and treatment for diabetic ulcer/gangrene / Guidelines for the management of skin ulcers associated with connective tissue disease/vasculitis / Guidelines for the management of lower leg ulcers/varicose veins / Guidelines for the management of burns