Benchmarking study helps hospitals improve measurement of adverse events

23Jun
2017

Benchmarking study helps hospitals improve measurement of adverse events – NIHR Signal (free)

Original report: Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study – Health Services and Delivery Research (free PDF)

This study compared two different approaches to measure adverse events, the “Trigger Tool system” and the “Two-stage review”

 

Value-Based Care Alone Won’t Reduce Health Spending and Improve Patient Outcomes

22Jun
2017

Value-Based Care Alone Won’t Reduce Health Spending and Improve Patient Outcomes – Harvard Business Review (a few articles per month are free) (RT @pash22 see Tweet)

“We believe that value-based care, implemented using lean principles and in conjunction with an ongoing, community-wide effort to address social determinants of health, can reduce health spending and deliver on the promise of better health”

 

Cardiopulmonary resuscitation – 30:2 or just keep going?

22Jun
2017

Cardiopulmonary resuscitation – 30:2 or just keep going? – by Scott Munro, in Evidently Cochrane (free) (RT @NIHR_DC see Tweet)

“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”.

 

Every Newborn Action Plan – World Health Organization

22Jun
2017

Every Newborn Action Plan – World Health Organization (free) (RT @WHO see Tweet with infographic)

Related report from UK: Each Baby Counts – Royal College of Obstetricians and Gynaecologists (free PDF) Each Baby Counts Homepage (free resources) AND Reducing baby deaths and brain injuries during childbirth – BBC News (free)

Every year, 2.7 million babies die in the first 28 days of life. 75% of these deaths are preventable.

 

Performance Improvement: Phenytoin Toxicity

22Jun
2017

Performance Improvement: Phenytoin Toxicity – JAMA (free)

Interesting case of medication error and prevention of subsequent adverse events (RT @JAMA_current see Tweet)

 

Which patients with advanced respiratory disease die in hospital?

21Jun
2017

Opinion: The practice of radiology needs to change

21Jun
2017

Giles Maskell: The practice of radiology needs to change – The BMJ Opinion (free)

“The practice of radiology is unsafe and needs to change says, Giles Maskell” (RT see Tweet)

 

Lean: Targeted Therapy for Care Delivery

21Jun
2017

Lean: Targeted Therapy for Care Delivery –  Journal of the National Comprehensive Cancer Network (free)

The possible benefits of applying the “Lean” approach to oncology care delivery.

 

Therapeutic Patient Education Interventions to Promote Cardiovascular Patient Self-Management

20Jun
2017

Antibiotic stewardship reduces the incidence of antibiotic-resistant bacteria

20Jun
2017

Surgeon Variation in Complications With Minimally Invasive and Open Colectomy

20Jun
2017

Surgeon Variation in Complications With Minimally Invasive and Open Colectomy: Results From the Michigan Surgical Quality Collaborative – JAMA Surgery (free) (RT @MaryDixonWoods see Tweet)

Surgeon-level variation in complications among surgeons was nearly twice as great for Minimally Invasive Colectomy than for Open Colectomy, implying a need for improved training in adoption of minimally invasive techniques.

 

Why overtreatment and overdiagnosis can be bad for your health

20Jun
2017

Why overtreatment and overdiagnosis can be bad for your health – CBC Radio (free text and audio)

See more on the Choosing Wisely initiative in our April 5 issue, see #6.

“Choosing Wisely on CBC Sunday about overdiagnosis & importance of speaking with your doc about tests/treatments” (RT @ChooseWiselyCA see Tweet)

 

Why Providers May Fail to Reduce Wait Times

20Jun
2017

The tyranny of excessive medical hierarchy

20Jun
2017

Guideline for the Perioperative Management of Antirheumatic Medication in Patients With Rheumatic Diseases Undergoing Elective Total Hip or Total Knee Arthroplasty

19Jun
2017

Hundreds died while taking an arthritis drug, but nobody alerted patients

19Jun
2017

Using the New ASCO Clinical Practice Guideline for Palliative Care Concurrent With Oncology Care Using the TEAM Approach

16Jun
2017

Perspectives on the Use of Clinical Pathways in Oncology Care

16Jun
2017

Pain and Opioids in Cancer Care: Benefits, Risks, and Alternatives

16Jun
2017

Hand hygiene: facilitators and barriers

16Jun
2017

American Society of Health-System Pharmacists – Five Things Physicians and Patients Should Question

16Jun
2017

New Choosing Wisely List: American Society of Health-System Pharmacists – Five Things Physicians and Patients Should Question (free)

See more on the Choosing Wisely initiative in our April 5 issue, see #6.

“Great choosing wisely list from @ASHPOfficial. Great doctoring tips for physicians & trainees” (RT @AnilMakam see Tweet)

 

Non–Vitamin K Antagonist Oral Anticoagulant Dosing in Patients With Atrial Fibrillation and Renal Dysfunction

15Jun
2017

Non–Vitamin K Antagonist Oral Anticoagulant Dosing in Patients With Atrial Fibrillation and Renal Dysfunction – Journal of The American College of Cardiology (link to abstract – $ for full-text)

Commentary: NOAC Doses: Just Stick to the Label – MedPage Today (free registration required)

“Among the 1,473 patients with a renal indication for dose reduction, 43.0% were potentially overdosed, which was associated with a higher risk of major bleeding”

 

Association of Adverse Events With Antibiotic Use in Hospitalized Patients

14Jun
2017

Association of Adverse Events With Antibiotic Use in Hospitalized Patients – JAMA Internal Medicine (link to abstract – $ for full-text)

Commentary: Antibiotic-Associated Adverse Events Common – Medscape (free registration required)

“20% of hospitalized patients receiving antibiotics had adverse drug event. Of those, 20% of regimens inappropriate” (RT @PeterPronovost see Tweet)

 

It’s time to get serious about the safety of medical devices

13Jun
2017

Leading Quality in Changing Times

11Jun
2017

Leading Quality in Changing Times – NEJM Catalyst (free)

“4 principles for quality leaders in brave new world of population health” (RT @nejmcatalyst see Tweet)

 

Practice Guidelines for Preoperative Fasting

9Jun
2017

Things the Health Care Sector Must Do to Improve Cybersecurity

8Jun
2017

Management of polypharmacy

8Jun
2017

Handshake-free zones to prevent infections?

8Jun
2017

#ASCO2017 – Survival in a Trial Assessing Patient-Reported Outcomes for Symptom Monitoring During Cancer Treatment

5Jun
2017

#ASCO2017 – Overall Survival Results of a Trial Assessing Patient-Reported Outcomes for Symptom Monitoring During Routine Cancer Treatment – JAMA (free)

Commentaries: Quickly reporting cancer complications may boost survival – STAT News (free) AND If This Were a Drug, the Price Would Be $100,000 – Medscape (free registration required) AND How a simple tech tool can help cancer patients live longer – The Washington Post (free)

“For surveillance of cancer, digital tracking of patient-generated data improves survival”. “The cost of digital tracking is very low and > 5 months median survival improvement is more than cancer drugs that cost > $100,000” (RT @EricTopol see Tweets and Answers)

 

Changing the narratives for patient safety – World Health Organization

5Jun
2017

Perspectives: Changing the narratives for patient safety – World Health Organization (free)

“No simple solutions to patient safety: why we have to change the narratives” (RT @MaryDixonWoods See Tweet)

 

Engaging Patients in Patient Safety – a Canadian Guide

5Jun
2017

Prevention of Catheter-Associated Urinary Tract Infection in Nursing Home Residents

4Jun
2017

Prophylactic Acid-Suppressive Therapy in Hospitalized Adults

2Jun
2017

Diabetes – Injection and Infusion Technique Recommendations

1Jun
2017

The lap band for weight loss is a tale of medicine gone wrong

25May
2017

Effect of a Modified Hospital Elder Life Program on Delirium and Length of Hospital Stay in Patients Undergoing Abdominal Surgery

25May
2017

Effect of a Modified Hospital Elder Life Program on Delirium and Length of Hospital Stay in Patients Undergoing Abdominal Surgery: A Cluster Randomized Clinical Trial – JAMA Surgery (free) (RT @PreetiNMalani see Tweet)

Commentary: Anti-delirium strategy reduces after-surgery confusion in elderly – Reuters Health (free)

Multicomponent nonpharmacologic interventions, including orienting communications, oral and nutritional assistance, and early mobilization reduced postoperative delirium by 56% and length of stay by 2 days.

 

Factors Associated with Pediatric Mortality from Motor Vehicle Crashes

25May
2017

Reoperation and Medicare Expenditures After Laparoscopic Gastric Band Surgery

23May
2017

Pressure ulcer prevention and treatment

19May
2017

Measuring the Burden of Medications in Older Adults near the End of Life

16May
2017

Countering cognitive biases in minimizing low value care

12May
2017

Review: Countering cognitive biases in minimizing low value care – The Medical Journal of Australia (free)

“How cognitive bias affects clinical decision making and what to do about it. Well written & useful” (RT @carissa_bon and @JulieLeask see Tweet)

 

Ten Principles of Good Prescribing

11May
2017

Risk of acute myocardial infarction with NSAIDs

11May
2017

How To Do A Really Good Job Washing Your Hands

11May
2017

One-Third Of New Drugs Had Safety Problems After FDA Approval

10May
2017

Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017

5May
2017

8 things that excellent hospital doctors do

5May
2017

Give patients access to their medical records

5May
2017

Editor’s Choice: Give patients access to their medical records – The BMJ, by Fiona Godlee, editor in chief (free)

Patients are being empowered in decisions regarding their health care, and this is probably a tendency for the future.

 

Urinary catheter care: what does the evidence say?

4May
2017

Urinary catheter care: what does the evidence say? – Cochrane Library (free)

“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.

 

Advil, Motrin and other NSAIDs painkillers should be prescription only, Danish study says

28Apr
2017

Nursery Product-Related Injuries

25Apr
2017

Nursery Product-Related Injuries Treated in United States Emergency Departments – Pediatrics (free)

Source: Common Nursery Products Send Thousands of Children to Hospitals – The New York Times (10 articles per month are free) (RT @CMichaelGibson)

Baby carriers, mattresses, strollers, high chairs, changing tables, bath seats and other ordinary nursery products lead to injuries and emergency room visits for 66,000 children a year in U.S.

 

Relationship between hospital ward design and healthcare-associated infection rates

25Apr
2017

Relationship between hospital ward design and healthcare-associated infection rates: a systematic review and meta-analysis – Antimicrobial Resistance & Infection Control (RT @brhospitalist and @PreetiNMalani see Tweet)

Single-patient rooms and easily accessible hand rub dispensers located near the patient’s bed are the most effective measures.

 

Mortality Trends After Surgical Safety Checklist

20Apr
2017

Short term use of oral corticosteroids and related harms

13Apr
2017

Short term use of oral corticosteroids and related harms among adults in the United States: population based cohort study – The BMJ (free)

Corticosteroids, even if used for short periods of time, seems to be associated with significant morbidity and mortality. In this retrospective cohort with 1.5 million adults, the incidence of acute adverse events (sepsis, venous thromboembolism, fracture) increased by twofold to fivefold above background rates.

 

How Many Pills Are Too Many?

12Apr
2017

How Many Pills Are Too Many? – The New York Times (10 articles per month are free)

“Evidence has mounted about the dangers of taking multiple, perhaps unnecessary, medications” (from Tweet)

 

WHO Launches Global Effort to Halve Medication-Related Errors in 5 Years

30Mar
2017

Putting Patients First by Reducing Administrative Tasks in Health Care

29Mar
2017

Putting Patients First by Reducing Administrative Tasks in Health Care: A Position Paper of the American College of Physicians (free)

See also: ACP: Stop Saddling Docs With Administrative Tasks – MedPage Today (free registration required)

“It’s time for all those involved in the healthcare industry to reevaluate and reduce the administrative task burden placed on clinicians” (from MedPage commentary above).

 

Healthcare Quality and Safety Online Course

28Mar
2017

Surgeries are being performed with the patient awake

27Mar
2017

Going Under the Knife, With Eyes and Ears Wide Open – New York Times (free access to 10 articles per month)

“More and more surgeries are being performed with the patient awake and looking on, for financial and medical reasons”.

 

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