Qualidade/Segurança do Paciente

Ponto de vista | Análise histórica da segurança do paciente: uma oportunidade de refletir e ponderar sobre futuros desafios.

8 Mar, 2022 | 17:02h

Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges – BMJ Quality & Safety

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Revisão | Implementação de “machine learning” na medicina.

8 Mar, 2022 | 15:36h

Implementing machine learning in medicine – Canadian Medical Association Journal

Conteúdos relacionados:

A Clinician’s Guide to Artificial Intelligence (AI): Why and How Primary Care Should Lead the Health Care AI Revolution – The Journal of the American Board of Family Medicine

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.

Artificial intelligence projects in healthcare: 10 practical tips for success in a clinical environment.

WHO issues first global report on Artificial Intelligence (AI) in health and six guiding principles for its design and use.

Opinion | AI-facilitated health care requires education of clinicians

Welcoming new guidelines for AI clinical research

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Diretriz atualizada | Momento da cirurgia eletiva e avaliação de risco após infecção por SARS-CoV-2 – “Mantemos a orientação de que os pacientes devem evitar cirurgias eletivas dentro de 7 semanas da infecção, a menos que os benefícios superem o risco de aguardar por tal período.”

1 Mar, 2022 | 15:38h

Timing of elective surgery and risk assessment after SARS-CoV-2 infection: an update – Anaesthesia

Conteúdos relacionados:

Perioperative cardiovascular considerations prior to elective noncardiac surgery in patients with a history of Covid-19.

Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery

Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk

BJS commission on surgery and perioperative care post-COVID-19.

The risk of postoperative complications following major elective surgery in active or resolved COVID-19 in the United States – Major, elective surgery 0–4 weeks after Covid-19 is associated with greatly increased risk of postoperative complications; surgery performed 4–8 weeks after infection is still associated with an increased risk of pneumonia.

ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.

Position statement: Perioperative management of post-COVID-19 surgical patients.

Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19

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Revisão sistemática sobre uso inapropriado de práticas clínicas no Canadá identificou 144 práticas subutilizadas, 109 práticas usadas em excesso e 25 práticas que atendiam a ambos os critérios.

1 Mar, 2022 | 15:32h

Inappropriate use of clinical practices in Canada: a systematic review – Canadian Medical Association Journal

Comentários: What problems in health care quality should we target as the world burns around us? – Canadian Medical Association Journal

Comunicado de imprensa: Inappropriate use of 228 clinical practices in Canada – Canadian Medical Association Journal

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Revisão sistemática | Plano de alta hospitalar.

25 Fev, 2022 | 14:17h

Discharge planning from hospital – Cochrane Library

Resumo: Discharge planning from hospital – Cochrane Library

 

Comentário no 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

 

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Revisão narrativa | Pré-habilitação, recuperação precoce após cirurgia ou ambas?

25 Fev, 2022 | 14:14h

Prehabilitation, enhanced recovery after surgery, or both? A narrative review – British Journal of Anaesthesia

Ver também: Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (algumas diretrizes são de acesso gratuito)

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Revisão | Protocolos de recuperação precoce em cirurgias ortopédicas de grande porte.

24 Fev, 2022 | 15:19h

Enhanced recovery after surgery for major orthopedic surgery: a narrative review – Knee Surgery & Related Research

Ver também: Complete List of Enhanced Recovery After Surgery (ERAS) Society Guidelines (algumas diretrizes são de acesso gratuito)

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M-A | Associação de programas de educação médica com necessidade de encaminhamentos.

19 Fev, 2022 | 13:40h

Association of Physician Continuous Professional Development and Referrals: A Systematic Review and Meta-Analysis – Academic Medicine

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Desenvolvimento de métricas para detectar e reduzir prescrições de baixo valor para idosos.

17 Fev, 2022 | 14:39h

Development of a Metric to Detect and Decrease Low-Value Prescribing in Older Adults – JAMA Network Open

Comentário convidado: Considering Value in Prescribing and Deprescribing for Older Adults – JAMA

 

Comentário no 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

 

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Estudo clínico randomizado por cluster | Um sistema eletrônico de apoio à tomada de decisão para fazer deprescrições para idosos internados foi seguro e melhorou a deprescrição, mas não reduziu os eventos adversos relacionados a medicamentos.

15 Fev, 2022 | 11:30h

The MedSafer Study—Electronic Decision Support for Deprescribing in Hospitalized Older Adults: A Cluster Randomized Clinical Trial – JAMA Internal Medicine

 

Comentário no Twitter

Randomized control trial found that @MedSaferTool increases #deprescribing by 22% at hospital discharge but little impact on short term adverse drug events. https://t.co/XqiSwFSPEz @DrEmilyMcD @DrToddLee @DeprescribeUS

— JAMA Internal Medicine (@JAMAInternalMed) January 18, 2022

 

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