Value-based Care
Cohort Study: Sustainability of a clinical decision support intervention for outpatient care for emergency department patients with acute pulmonary embolism.
17 May, 2022 | 10:44h | UTCRelated: Outpatient versus inpatient treatment for acute pulmonary embolism – Cochrane Library
Commentary on Twitter
This multicenter cohort study of ED patients with acute pulmonary embolism found the initial increase in outpatient management from a physician champion-led, EHR-embedded clinical decision support intervention was sustained 4 years later. https://t.co/UPf8pAOTry
— JAMA Network Open (@JAMANetworkOpen) May 16, 2022
Opinion: Medicare’s bundled payment models—progress and pitfalls.
25 Apr, 2022 | 00:21h | UTCMedicare’s Bundled Payment Models—Progress and Pitfalls – JAMA (free for a limited period)
Opinion | Aligning incentives for improving diagnostic excellence.
12 Apr, 2022 | 09:54h | UTCAligning Incentives for Improving Diagnostic Excellence – JAMA (free for a limited period)
Predicting avoidable health care utilization: practical considerations for artificial intelligence/machine learning models in population health.
11 Apr, 2022 | 01:27h | UTC
Review: The use of virtual care in patients with hematologic malignancies.
1 Apr, 2022 | 08:18h | UTC
Study Commentary: Older women with breast cancer chose less aggressive treatment when they used a decision aid.
1 Apr, 2022 | 08:16h | UTC
Commentary on Twitter
Open access in May's BJS: Bridging the age gap in breast cancer: two decision support interventions for older women with operable breast cancer https://t.co/s70uEVyAxU @AmyLightnerMD @bplwijn @des_winter @ksoreide @MalinASund @evanscolorectal @nfmkok @robhinchliffe1 @young_bjs pic.twitter.com/IUuiUldUTS
— BJS (@BJSurgery) June 11, 2021
Studies show same-day discharge post–transcatheter aortic valve replacement is feasible.
25 Mar, 2022 | 09:58h | UTCStudy 1: Same-Day Discharge Post–Transcatheter Aortic Valve Replacement During the COVID-19 Pandemic: The Multicenter PROTECT TAVR Study – JACC: Cardiovascular Interventions (link to abstract – $ for full-text)
Study 2: Feasibility and Safety of Same-Day Discharge Following Transfemoral Transcatheter Aortic Valve Replacement – JACC: Cardiovascular Interventions (link to abstract – $ for full-text)
Editorial: Did the COVID-19 Pandemic Just Turn TAVR Into an Outpatient Procedure?
Commentary: ‘Right Time, Right Moment’: Same-Day Discharge After TAVI Safe, Feasible – TCTMD
Choosing Wisely in clinical practice: Embracing critical thinking, striving for safer care.
23 Mar, 2022 | 10:24h | UTCSee complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Systematic Review: Economic evaluation guidelines in low- and middle-income countries.
23 Mar, 2022 | 10:22h | UTC
Systematic Review: De-implementing low-value care in cancer care delivery.
15 Mar, 2022 | 08:22h | UTCDe-implementing low-value care in cancer care delivery: a systematic review – Implementation Science
Feasibility of discharge within 72 hours of major colorectal surgery: lessons learned after 5 years of institutional experience with the ERAS protocol.
10 Mar, 2022 | 10:21h | UTCRelated:
ERAS Guidelines for Perioperative Care in Elective Colorectal Surgery
Review: Enhanced Recovery After Surgery in Emergency Colorectal Surgery
Commentary on Twitter
A five year #retrospective #cohort study explored link between early post-op discharge and #ERAS (n=965)
-> adherence to >80% ERAS components associated with early discharge. Long operations, drains, and complications assoc w/longer stays.https://t.co/2nXBrKbg5D#SoMe4Surgery pic.twitter.com/h5P4YFC8zh
— BJS Open (@BjsOpen) March 2, 2022
Review: Implementing machine learning in medicine.
4 Mar, 2022 | 08:42h | UTCImplementing machine learning in medicine – Canadian Medical Association Journal
Related:
Primer for artificial intelligence in primary care.
A Clinician’s Guide to Artificial Intelligence: How to Critically Appraise Machine Learning Studies
Review | AI and the cardiologist: when mind, heart and machine unite.
Review: Artificial intelligence in health and medicine.
Opinion | AI-facilitated health care requires education of clinicians
Welcoming new guidelines for AI clinical research
Systematic review on inappropriate use of clinical practices in Canada identified 144 underused practices, 109 overused practices, and 25 practices that were both under- and overused.
1 Mar, 2022 | 08:52h | UTCNews Release: Inappropriate use of 228 clinical practices in Canada – Canadian Medical Association Journal
Prehabilitation, enhanced recovery after surgery, or both? A narrative review.
25 Feb, 2022 | 11:07h | UTCSee also: Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (some guidelines are free)
Systematic Review: Discharge planning from hospital.
25 Feb, 2022 | 11:22h | UTCDischarge planning from hospital – Cochrane Library
Summary: Discharge planning from hospital – Cochrane Library
Commentary on Twitter
"When people leave hospital with a personalised discharge plan [vs. standard discharge care], there is probably a small reduction in length of stay & they are probably slightly less likely to be re-admitted to hospital".
The latest @CochraneEPOC evidence: https://t.co/EUF6RTRlbp pic.twitter.com/Y0JYQ3qcpD
— Cochrane UK (@CochraneUK) February 24, 2022
ASCO Report: Use of Biosimilar Medications in Oncology.
24 Feb, 2022 | 10:08h | UTCUse of Biosimilar Medications in Oncology – JCO Oncology Practice
News Release: New ASCO Report Clarifies Potential Value and Utility of Biosimilars in Oncology – ASCO Daily News
Review: Enhanced recovery after surgery for major orthopedic surgery.
24 Feb, 2022 | 10:01h | UTCSee also: Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (some guidelines are free)
AHA Scientific Statement: Strategies to reduce low-value cardiovascular care.
23 Feb, 2022 | 10:43h | UTCNews Release: Do you really need that test? New statement highlights need to reduce “low-value” heart care – American Heart Association
Development of a metric to detect and decrease low-value prescribing in older adults.
16 Feb, 2022 | 09:58h | UTCInvited Commentary: Considering Value in Prescribing and Deprescribing for Older Adults – JAMA
Commentary on Twitter
In this qualitative study, a scientifically valid and clinically useful low-value prescribing metric was built. EVOLV-Rx may enhance the detection of low-value prescribing practices, reduce polypharmacy, and enable older adults to receive high-value care. https://t.co/GtrsUboT9o
— JAMA Network Open (@JAMANetworkOpen) February 15, 2022
Systematic Review: Overuse of diagnostic testing in healthcare.
10 Feb, 2022 | 08:47h | UTCOveruse of diagnostic testing in healthcare: a systematic review – BMJ Quality & Safety
Review: video-based telemedicine for kidney disease care.
7 Feb, 2022 | 08:22h | UTCPatient Voice: Patient Views on Telehealth for Kidney Disease Care – Clinical Journal of the American Society of Nephrology
Geriatric Choosing Wisely choice of recommendations in France: a pragmatic approach based on clinical audits.
4 Feb, 2022 | 08:46h | UTCSee complete lists of low-value practices: Choosing Wisely U.S. / Choosing Wisely UK / Choosing Wisely Australia AND Choosing Wisely Canada
Cluster randomized controlled trial: An innovative telemedical network to improve infectious disease management in critically ill patients and outpatients.
3 Feb, 2022 | 08:53h | UTCRelated:
The “Choosing Wisely” initiative in infectious diseases – German Society of Infectious Diseases (link to abstract – $ for full-text)
Infectious Diseases Society of America: Five Things Physicians and Patients Should Question
The Lancet Commission: Experts warn of the increasing overmedicalization of death, call for radical rethink of how society cares for dying people.
1 Feb, 2022 | 09:55h | UTCHomepage: Lancet Commission on the Value of Death (free registration required for all articles)
Report of the Lancet Commission on the Value of Death: bringing death back into life
The precariousness of balancing life and death
Ros Taylor: seeing palliative care as relational
Commentary on Twitter (thread – click for more)
Increasing overmedicalisation at the end of life is denying people & their families a good death.
Towards a compassionate community model: The Lancet #ValueofDeath Commission calls for a radical rethink of care for the dying & attitudes to death. https://t.co/DpJiu1tOcV pic.twitter.com/FU9MgCO1J6
— The Lancet (@TheLancet) January 31, 2022
Observational study: Pharmacist involvement in the care of critically ill patients may reduce resource utilization, adverse drug events, and medical costs.
1 Feb, 2022 | 09:47h | UTC
Commentary from the author on Twitter (thread – click for more)
PHARM-CRIT Study
?? 215 ICU PharmDs at 85 centers
?55,926 accepted interventions on 27,681 patients over 3,148 shifts
?$23,404,089 cost avoidance; monetary benefit-to-cost ratio for ICU pharmacists $3.3:1 – $9.6:1@SCCM_CPP @SCCM #TwitteRx #PharmICU https://t.co/Hv4jPwU6eb— Megan Rech, PharmD, MS (@MeganARech) December 16, 2021