Qualidade/Segurança do Paciente

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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Estudo randomizado por cluster | Um programa educacional de promoção de segurança nas unidades de terapia intensiva neonatal reduziu as taxas de eventos adversos.

15 Fev, 2022 | 11:13h

An educational programme in neonatal intensive care units (SEPREVEN): a stepped-wedge, cluster-randomised controlled trial – The Lancet (link para o resumo – $ para o texto completo)

 

Comentário no Twitter

Patients in neonatal intensive care units (NICUs) are at high risk of adverse events.

A stepped-wedge, cluster-RCT by Laurence Caeymaex & colleagues found a multiprofessional safety-promoting training programme in NICUs reduced the rate of such events. https://t.co/plmKBCOLOu pic.twitter.com/NdR9SiAqUI

— The Lancet (@TheLancet) January 26, 2022

 

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Nova Classificação Internacional de Doenças (CID-11) da OMS entra em vigor.

14 Fev, 2022 | 16:18h

Comunicado de imprensa: WHO’s new International Classification of Diseases (ICD-11) comes into effect – World Health Organization

Ver também:

ICD-11 Browser

ICD-11 website

ICD-11 coding tool

 

Comentário no Twitter

🆕 The latest update for the 11th Revision of the International Classification of Diseases (ICD-11) is now online!#ICD11 is a 'common language' for health professionals to share standardized health information around the world.
Learn more https://t.co/M2yu9md9fm pic.twitter.com/jv2IbEkD5u

— World Health Organization (WHO) (@WHO) February 11, 2022

 

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Edição especial | Estratégias baseadas em evidências para melhor prescrição de antibióticos na atenção primária.

14 Fev, 2022 | 16:07h

Editorial: Antibiotic stewardship – Australian Journal of General Practice

Antibiotic stewardship: A review of successful, evidence-based primary care strategies – Australian Journal of General Practice

Evidence-based strategies for better antibiotic prescribing – Australian Journal of General Practice

How can general practitioners reduce antibiotic prescribing in collaboration with their patients? – Australian Journal of General Practice

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Diretrizes ESCMID sobre testagem de SARS-CoV-2 em pessoas assintomáticas para evitar a transmissão em ambientes de cuidado da saúde.

8 Fev, 2022 | 15:04h

ESCMID guidelines on testing for SARS-CoV-2 in asymptomatic individuals to prevent transmission in the healthcare setting – Clinical Microbiology and Infection

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Controle rápido de surtos hospitalares com a variante Ômicron do SARS-CoV-2 por meio de testes diários e uso universal de respiradores/máscaras N95.

8 Fev, 2022 | 14:59h

Rapid control of hospital-based SARS-CoV-2 Omicron clusters through daily testing and universal use of N95 respirators – Clinical Infectious Diseases

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Meu paciente internado precisa de jejum absoluto após a meia-noite antes de uma cirurgia?

4 Fev, 2022 | 17:31h

Does my hospitalized patient need an NPO-after-midnight order preoperatively? – Cleveland Clinic Journal of Medicine

Conteúdos relacionados:

ESPEN practical guideline: Clinical nutrition in surgery – “Preoperative fasting from midnight is unnecessary in most patients. Patients undergoing surgery, who are considered to have no specific risk of aspiration, shall drink clear fluids until 2 h before anesthesia. Solids shall be allowed until 6 h before anesthesia.”

Pro-Con Debate: 1- vs 2-Hour Fast for Clear Liquids Before Anesthesia in Children.

Editorial: The rationale for the recommendations of the European Pediatric Fasting Guideline – “the authors of the 2021 ESAIC pediatric guideline have found reasons to recommend reductions to the minimum fasting times for infant formula to 4 h, for breast milk to 3 h and for clear fluids to 1 h”.

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Estudo randomizado e controlado por cluster | Uma rede inovadora de telemedicina para melhorar o tratamento de doenças infecciosas em pacientes críticos e ambulatoriais.

4 Fev, 2022 | 16:45h

An innovative telemedical network to improve infectious disease management in critically ill patients and outpatients: a stepped-wedge, cluster randomized controlled trial (TELnet@NRW) – Journal of Medical Internet Research

Conteúdos relacionados:

The “Choosing Wisely” initiative in infectious diseases – German Society of Infectious Diseases (link para o resumo – $ para o texto completo)

Infectious Diseases Society of America: Five Things Physicians and Patients Should Question

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Perspectiva | As origens, o desenvolvimento e o contexto da Comissão do Lancet sobre o Valor da Morte – “A morte deixou de ser um evento familiar, social e cultural para se tornar, sobretudo, um evento médico.”

4 Fev, 2022 | 16:42h

The origins, development, and context of the Lancet Commission on the Value of Death – The BMJ

Conteúdo relacionado: The Lancet Commission: Experts warn of the increasing overmedicalization of death, call for radical rethink of how society cares for dying people.

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