Qualidade/Segurança do Paciente

Como os médicos administram os conflitos com familiares de pacientes críticos durante conversas sobre decisões de fim de vida nos cuidados intensivos neonatal, pediátrico e adulto.

5 Jul, 2022 | 11:28h

How doctors manage conflicts with families of critically ill patients during conversations about end-of-life decisions in neonatal, pediatric, and adult intensive care – Intensive Care Medicine

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Estudo randomizado | Efeito da intervenção de trabalhadores da saúde da comunidade sobre uso do cuidado intensivo, planejamento de cuidado avançado e desfechos relatados pelo paciente entre adultos com câncer em estágios avançados.

4 Jul, 2022 | 11:53h

Effect of a Community Health Worker Intervention on Acute Care Use, Advance Care Planning, and Patient-Reported Outcomes Among Adults With Advanced Stages of Cancer: A Randomized Clinical Trial – JAMA Oncology (gratuito por tempo limitado)

Ver também: Visual Abstract

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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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Diretriz de posicionamento sobre criminalização do erro médico e chamado para ação visando a prevenir danos ao paciente.

14 Jun, 2022 | 13:25h

Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error – Anesthesia Patient Safety Foundation

Comentário: Anesthesiologist Group Says Hospitals Can Prevent Fatal Errors Like Vanderbilt’s — Feds said Vaught wasn’t the only one who erred; hospital had four “immediate jeopardy” flaws – MedPage Today (necessário cadastro gratuito)

Conteúdos relacionados:

ECRI and ISMP PUBLIC STATEMENT | Medication Errors are Complex; Criminal Charges Will Not Improve Care – Institute for Safe Medication Practices

ISMP Speaks Out Against Criminalization of Medication Errors – Institute for Safe Medication Practices

The simple thing hospitals can do to prevent dangerous drug mistakes – CNN

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Revisão sistemática de escopo | Motivos para a prescrição de antibióticos por tempo além do recomendado no ambiente hospitalar.

30 Mai, 2022 | 13:06h

Why we prescribe antibiotics for too long in the hospital setting: a systematic scoping review – Journal of Antimicrobial Chemotherapy

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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 transversal | Avaliação de desfechos perioperatórios entre cirurgiões que operaram na noite anterior.

25 Mai, 2022 | 13:43h

Assessment of Perioperative Outcomes Among Surgeons Who Operated the Night Before – JAMA Internal Medicine (gratuito por tempo limitado)

Comentário convidado: Are Surgeons Really More Resilient Than Athletes? The Trade-off Between Surgeon Outcomes and Surgeon Well-being – JAMA Internal Medicine (gratuito por tempo limitado)

Entrevista com os autores: Assessment of Perioperative Outcomes Among Surgeons Who Operated the Night Before

 

Comentário no Twitter

This cross-sectional study found that operating overnight does not appear to be associated with worse outcomes when the attending surgeon continues to operate the next day. https://t.co/ahLoKav6HT

— JAMA Internal Medicine (@JAMAInternalMed) May 23, 2022

 

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12 pragas da inteligência artificial na atenção à saúde: guia prático para questões atuais do uso de aprendizado de máquina (“machine learning”) no contexto médico.

24 Mai, 2022 | 11:33h

12 Plagues of AI in Healthcare: A Practical Guide to Current Issues With Using Machine Learning in a Medical Context – Frontiers in Digital Health

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Intervenções não farmacológicas para minimizar o uso de restrição física em UTI: revisão abrangente.

19 Mai, 2022 | 13:04h

Non-Pharmacological Interventions for Minimizing Physical Restraints Use in Intensive Care Units: An Umbrella Review – Frontiers in Medicine

 

Comentário no Twitter

Minimizing restraints in ICU: umbrella review incl 47 systematic reviews identified non-pharmacological interventions (education, mobilization), reducing duration of MV, and pain management as effective, but evidence is limited https://t.co/6rAu3jH5B4

— Peter Nydahl (@NydahlPeter) May 17, 2022

 

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M-A | Prevalência de burnout entre médicos generalistas.

16 Mai, 2022 | 16:27h

Prevalence of burnout among GPs: a systematic review and meta-analysis – British Journal of General Practice

Conteúdos relacionados:

Viewpoint | How to Measure Progress in Addressing Physician Well-being: Beyond Burnout.

Physician Well-being 2.0: Where Are We and Where Are We Going?

Consensus Study – Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being – National Academies of Medicine

[Abstract Only] Assessment of Risk Factors for Suicide Among US Health Care Professionals

Beyond Burnout: Docs Decry ‘Moral Injury’ From Financial Pressures of Health Care

Perspective: Hospital Administration Response to Physician Stress and Burnout

Opinion: It’s Time to Talk About Physician Burnout and Moral Injury

Systematic Review: Effect of Organization-Directed Workplace Interventions on Physician Burnout

Perspective: The 3 Causes Of Physician Burnout (And Why There’s No Simple Solution)

Physician Burnout: A Global Crisis (várias fontes sobre o tema)

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