Medicina Baseada em Valor

Revisão | A pandemia escondida: o custo das complicações pós-operatórias.

8 Set, 2022 | 13:31h

The Hidden Pandemic: the Cost of Postoperative Complications – Current Anesthesiology Reports

 

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Revisão sistemática | Intervenções para reduzir o uso de tomografia computadorizada no departamento de emergência.

29 Ago, 2022 | 15:51h

A Systematic Review of Interventions to Reduce Computed Tomography Usage in the Emergency Department – Annals of Emergency Medicine

 

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Estudo randomizado | Agentes antissépticos cutâneos para prevenir infecção de sítio cirúrgico após cirurgia incisional.

9 Ago, 2022 | 17:33h

Antiseptic Skin Agents to Prevent Surgical Site Infection After Incisional Surgery: A Randomized, Three-armed Combined Non-inferiority and Superiority Clinical Trial (NEWSkin Prep Study) – Annals of Surgery (link para o resumo – $ para o texto completo)

Conteúdos relacionados:

Alcoholic chlorhexidine skin preparation or triclosan-coated sutures to reduce surgical site infection: a systematic review and meta-analysis of high-quality randomised controlled trials – The Lancet Infectious Diseases

Reducing surgical site infections in low-income and middle-income countries (FALCON): a pragmatic, multicentre, stratified, randomised controlled trial – The Lancet

 

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Coleção Cochrane | Atingindo a atenção sustentável à saúde por meio da retirada de medicamentos desnecessários.

9 Ago, 2022 | 17:27h

Achieving sustainable healthcare through deprescribing of unnecessary medications: making sense of the evidence – Cochrane Library

 

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Ponto de vista | Retirada de cuidados de baixo valor na cirurgia.

5 Ago, 2022 | 17:44h

Deimplementation of Low-Value Care in Surgery – JAMA Surgery (gratuito por tempo limitado)

 

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Comparação de estratégias para conservação do meio de contraste iodado intravascular para tomografia computadorizada durante um período de escassez.

16 Jun, 2022 | 13:43h

Comparison of Strategies to Conserve Iodinated Intravascular Contrast Media for Computed Tomography During a Shortage – JAMA (gratuito por tempo limitado)

Comunicado de imprensa: Amid Global Shortage, Study Shows How to Cut Contrast Dye Use 83% – University of California, San Francisco (UCSF)

 

Comentário no Twitter

This modeling study estimated that intravenous contrast use for CT scans could be reduced by approximately 80% by using a combination of dose-reduction strategies. https://t.co/hlnvkdEECS

— JAMA (@JAMA_current) June 9, 2022

 

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Covid-19: hospitais dos EUA continuaram a realizar cirurgias desnecessárias durante a pandemia.

16 Jun, 2022 | 13:02h

Covid-19: US hospitals continued to perform unnecessary surgeries during pandemic – The BMJ

Relatório original: Lown Institute. Hospital overuse during covid. 17 May 2022

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Editorial | Avaliação, via revisões sistemáticas, do pagamento por desempenho na atenção à saúde em países de baixa e média rendas: reflexões de 2 equipes.

6 Jun, 2022 | 11:30h

Editorial: Appraising pay‐for‐performance in healthcare in low‐ and middle‐income countries through systematic reviews: reflections from two teams – Cochrane Library

Estudo original: Paying for performance to improve the delivery of health interventions in low‐ and middle‐income countries – Cochrane Library

Resumo: Paying for performance to improve the delivery of healthcare services in low- and middle-income countries – Cochrane Library

 

Comentário no Twitter

'This @CochraneLibrary editorial offers an overview of 4 challenges we met when evaluating 171 studies on #payforperformance for systematic reviews. We hope it will guide future studies/evidence synthesis projects' – @KarinDiaconu
📜 https://t.co/C0sQ5HyAkr@CochraneEPOC #P4P pic.twitter.com/oeH48m5m4y

— The Cochrane Library (@CochraneLibrary) May 27, 2022

 

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Revisão de escopo | Caracterização e quantificação internacional de diagnóstico por imagem de baixo valor.

27 Mai, 2022 | 13:34h

Characterizing and quantifying low-value diagnostic imaging internationally: a scoping review – BMC Medical Imaging

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Estudo de coorte | Sustentabilidade de uma intervenção de apoio a decisão clínica voltada para estimular o cuidado ambulatorial de pacientes selecionados com embolia pulmonar aguda.

18 Mai, 2022 | 16:45h

Sustainability of a Clinical Decision Support Intervention for Outpatient Care for Emergency Department Patients With Acute Pulmonary Embolism – JAMA Network Open

Conteúdo relacionado: Outpatient versus inpatient treatment for acute pulmonary embolism – Cochrane Library

 

Comentário no 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

 

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