Article
Public, Environmental & Occupational Health
Katherine M. Jia, William P. Hanage, Marc Lipsitch, Amelia G. Johnson, Avnika B. Amin, Akilah R. Ali, Heather M. Scobie, David L. Swerdlow
Summary: Using a simple method based on national data, we estimated that at least 232,000 deaths among unvaccinated adults in the US could have been prevented from May 30, 2021 to September 3, 2022 if they had been vaccinated. While uncertainties exist, this rapid assessment on vaccine-preventable deaths has significant public health implications and can be applied to future emergencies.
EUROPEAN JOURNAL OF EPIDEMIOLOGY
(2023)
Review
Critical Care Medicine
Mpapho Joseph Motsumi, Gezahen Ayane, Morapedi Kwati, Kaone Panzirah-Mabaka, Michael Walsh
Summary: The study found a high rate of preventable deaths from road traffic collisions in the greater Gaborone area of Botswana, with head injuries and hemorrhagic shock being the main causes of death. Recommendations were made for the implementation of a comprehensive trauma system in Botswana to reduce deaths from RTCs.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2021)
Article
Geriatrics & Gerontology
Nianyang Wang, Aitalohi Amaize, Jie Chen
Summary: This study found that rural patients with ADRD were more likely to have preventable ED visits, while hospitals affiliated with ACOs had the potential to decrease such visits for ADRD patients.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Review
Critical Care Medicine
Sarah Vollam, Owen Gustafson, J. Duncan Young, Benjamin Attwood, Liza Keating, Peter Watkinson
Summary: The study found that the proportion of avoidable deaths in patients discharged from ICU is double that of hospital-wide populations, with common problems including out-of-hours discharge from ICU, suboptimal rehabilitation, absent nutritional planning, and incomplete sepsis management.
Article
Medicine, General & Internal
Satya Preetham Gunta, Ain Ul-Ejaz, Abigail May Murphy, Kaylea May Gunn, Ambika Bhatnagar, Vanika Angraal, Angel Lopez-Candales, Suveen Angraal
Summary: This study found that an increase in the number of PCPs in a county is associated with a decrease in preventable hospitalization rate and premature death rate. This suggests that increasing PCPs may be an important metric for improving overall health in a community.
POSTGRADUATE MEDICINE
(2022)
Article
Multidisciplinary Sciences
Jun Suzuki, Ryoukichi Ikeda, Kengo Kato, Risako Kakuta, Yuta Kobayashi, Akira Ohkoshi, Ryo Ishii, Ai Hirano-Kawamoto, Jun Ohta, Rei Kawata, Tomonori Kanbayashi, Masaki Hatano, Tadahisa Shishido, Yuya Miyakura, Kento Ishigaki, Yasunari Yamauchi, Miho Nakazumi, Takuya Endo, Hiroki Tozuka, Shiori Kitaya, Yuki Numano, Shotaro Koizumi, Yutaro Saito, Mutsuki Unuma, Ken Hashimoto, Eiichi Ishida, Toshiaki Kikuchi, Takayuki Kudo, Kenichi Watanabe, Masaki Ogura, Masaru Tateda, Takatsuna Sasaki, Nobuo Ohta, Tatsuma Okazaki, Yukio Katori
Summary: The study found that aspiration pneumonia accounted for 38.4% of all pneumonia cases in acute care hospitals in Northern Japan. Patients with aspiration pneumonia received more swallowing assessments and interventions during hospitalization, had longer hospital stays, and had higher in-hospital mortality rates.
Article
Geriatrics & Gerontology
Nathan Sumarsono, Rebecca L. Sudore, Alexander K. Smith, Steven Z. Pantilat, Wendy G. Anderson, Anil N. Makam
Summary: The study examines the availability of palliative care programs in long-term acute care hospitals in the United States, finding that while a significant number of hospitals have such programs, there is still a shortage of palliative care physicians in these settings.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Medicine, General & Internal
Courtney R. Lee, Elizabeth Taggert, Norma B. Coe, Paula Chatterjee
Summary: The CARE Act is designed to improve patient experience by facilitating communication among patients, caregivers, and clinical care teams during hospitalization. A cohort study of short-term, acute-care US hospitals from 2013 to 2019 found that implementation of the CARE Act was associated with improvements in patient experience.
Article
Multidisciplinary Sciences
Paul Gellert, Raphael Kohl, Kathrin Juerchott, Betty Noack, Christian Hering, Annabell Gangnus, Elisabeth Steinhagen-Thiessen, Wolfram J. Herrmann, Adelheid Kuhlmey, Antje Schwinger
Summary: Hospital admissions and deaths due to myocardial infarction (MI) and stroke declined among long-term care facility (LTCF) residents during the COVID-19 pandemic. A nationwide cohort study in Germany showed a decrease of 22.5% in MI admissions and a 15.1% drop in stroke admissions during the pandemic. These findings highlight the impact of the pandemic on vulnerable LTCF residents.
SCIENTIFIC REPORTS
(2023)
Article
Public, Environmental & Occupational Health
Daniel J. Livorsi, Rajeshwari Nair, Brian C. Lund, Bruce Alexander, Brice F. Beck, Michihiko Goto, Eli N. Perencevich
Summary: The study found that higher hospital-level MRSA prevalence was associated with significantly higher rates of antibiotic use, even after adjusting for case mix and stewardship strategies. Benchmarking anti-MRSA antibiotic use may need to adjust for MRSA prevalence.
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY
(2021)
Review
Multidisciplinary Sciences
Andrea Schaller, Teresa Klas, Madeleine Gernert, Kathrin Steinbeisser
Summary: Working in the nursing sector is accompanied by great physical and mental health burdens. It is necessary to develop target-oriented, sustainable profession-specific support and health promotion measures for nurses. Research on setting-specific differences of nurses' health problems and violence experiences is insufficient currently.
Article
Critical Care Medicine
Claire A. Hawkes, James Griffin, Karin Eli, Frances Griffiths, Anne-Marie Slowther, Zoe Fritz, Martin Underwood, Catherine Baldock, Doug Gould, Richard Lilford, Claire Jacques, Jane Warwick, Gavin D. Perkins
Summary: This study evaluated the early implementation of the Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) in UK acute hospitals. It found that ReSPECT accounted for a significant percentage of the shift from stand-alone Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) forms to approaches embedding DNACPR decisions within wider emergency care plans. The study also highlighted the need for improvement in the completion of ReSPECT forms, as well as the variation in ReSPECT use across hospitals.
Article
Health Care Sciences & Services
Charlotte Blease, John Torous, Zhiyong Dong, Gail Davidge, Catherine DesRoches, Anna Kharko, Andrew Turner, Ray Jones, Maria Hagglund, Brian McMillan
Summary: This study explores the experiences and opinions of GPs in England regarding patient access to their web-based health records. The majority of GPs expressed skepticism about the benefits of access for both patients and their practices.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Letter
Clinical Neurology
Maarten C. Eisma, Aerjen Tamminga, Geert E. Smid, Paul A. Boelen
Summary: COVID-19 bereavement results in higher levels of grief symptoms compared to natural bereavement, and it is predicted that pandemic-related pathological grief increases will become a worldwide public health concern.
JOURNAL OF AFFECTIVE DISORDERS
(2021)
Article
Medicine, General & Internal
Stella A. Arthur, John P. Hirdes, George Heckman, Anne Morinville, Andrew P. Costa, Paul C. Hebert
Summary: This retrospective cohort study identified predictive factors for delayed discharge such as age, social vulnerability, specific medical conditions, and care needs. These characteristics can be easily identified using existing home care assessments, allowing for targeted preemptive interventions upon hospital admission.
Article
Health Care Sciences & Services
Helen Hogan, Andrew Hutchings, Jerome Wulff, Catherine Carver, Elizabeth Holdsworth, Jerry Nolan, John Welch, David Harrison, Nick Black
BMC HEALTH SERVICES RESEARCH
(2020)
Editorial Material
Health Care Sciences & Services
Perla J. Marang-van de Mheen, Charles Vincent
BMJ QUALITY & SAFETY
(2021)
Review
Medicine, General & Internal
Stacey Rand, Nick Smith, Karen Jones, Alan Dargan, Helen Hogan
Summary: The study aimed to explore the collection and application of safety data in older adult care homes through a scoping review of international literature. Findings revealed potential gaps in safety indicators in care homes, such as user experience and abusive or neglectful care practices.
Review
Psychiatry
Rasanat Fatima Nawaz, Gurpreet Reen, Natasha Bloodworth, Daniel Maughan, Charles Vincent
Summary: Interventions to reduce self-harm and suicide attempts in psychiatric wards can be categorized into therapeutic interventions and organizational interventions. Dialectical behaviour therapy is the most commonly implemented and effective therapeutic intervention, while some ward-based interventions also show promising results in reducing self-harm.
Review
Construction & Building Technology
Noach Leon Ribaric, Charles Vincent, Guenther Jonitz, Achim Hellinger, Goran Ribaric
Summary: This study found high levels of SARS-CoV-2 contamination in the air and on surfaces in hospitals, suggesting the virus is likely dispersed through multiple transmission routes. It highlights the need for more targeted infection prevention and control measures.
Article
Medicine, General & Internal
Keegan Shepard, Ruta Buivydaite, Charles Vincent
Summary: The study describes the current work of PALS in fulfilling their core responsibilities, acting as a point of contact for patients, providing information, and resolving concerns. The study also highlights the potential for PALS to reduce complaints, increase patient satisfaction, and provide rapid organizational feedback.
Article
Health Policy & Services
Mirza Lalani, Sarah Morgan, Anamika Basu, Helen Hogan
Summary: This study examined the implementation of the 'Learning from Deaths' (LfD) policy in the NHS in England, and identified contextual factors that influenced its implementation. The findings suggest that an organization's capacity, dissemination of information, learning culture, and engagement in cross-organizational learning all play a crucial role in the successful implementation of patient safety policies.
JOURNAL OF HEALTH SERVICES RESEARCH & POLICY
(2023)
Review
Health Care Sciences & Services
Phoebe Averill, Charles Vincent, Gurpreet Reen, Claire Henderson, Nick Sevdalis
Summary: Patient safety problems in community-based mental health care have received less research attention compared to physical health care. This study aimed to investigate the conceptual and empirical challenges in understanding patient safety in community-based mental health care. The review found challenges in defining safety, evaluating safety in long-term care journeys, and establishing what constitutes a 'preventable' safety problem in this context.
HEALTH EXPECTATIONS
(2023)
Article
Social Work
Nick Smith, Stacey Rand, Sarah Morgan, Karen Jones, Helen Hogan, Alan Dargan
JOURNAL OF ADULT PROTECTION
(2023)
Review
Medicine, General & Internal
Mirza Lalani, Sarah Wytrykowski, Helen Hogan
Summary: This scoping review aimed to identify approaches to improving patient safety in integrated care for community-dwelling adults with long-term conditions. Falls and medication safety were identified as key priorities in ensuring patient safety across care boundaries. Multiple approaches were implemented at different levels of the integrated care system.
Review
Health Care Sciences & Services
Catherine Leon, Helen Hogan, Yogini H. Jani
Summary: The measures currently used to evaluate the safety of high-risk medications during transfers of care are not comprehensive enough and need to be improved to reflect all components and capture work system factors contributing to outcomes, in order to support proactive intervention to reduce unwanted variation and prevent adverse outcomes.
BMJ QUALITY & SAFETY
(2023)
Article
Health Policy & Services
Mirza Lalani, Priya Sugavanam, James Caiels, Helen Crocker, Sarah Gunn, Harriet Hay, Helen Hogan, Bethan Page, Michele Peters, Ray Fitzpatrick
Summary: This study assesses how integrated care systems (ICSs) in England manage and improve quality using the Quality Management System (QMS) framework. The results show that ICSs prioritize population health, reducing inequity, and improving access. There are tensions between quality assurance and improvement, with partnerships seen as crucial for achieving quality improvements. ICSs express concerns that system pressures might hinder progress in quality development and improving population health.
JOURNAL OF HEALTH SERVICES RESEARCH & POLICY
(2023)
Review
Psychiatry
Caroline Zangani, Edoardo G. Ostinelli, Katharine A. Smith, James S. W. Hong, Orla Macdonald, Gurpreet Reen, Katherine Reid, Charles Vincent, Rebecca Syed Sheriff, Paul J. Harrison, Keith Hawton, Alexandra Pitman, Rob Bale, Seena Fazel, John R. Geddes, Andrea Cipriani
Summary: During the first year of the COVID-19 pandemic, mental health services quickly adapted and implemented or increased the use of telemental health services worldwide. However, limited access to digital devices, poor digital skills, and individual preferences and needs of patients may have resulted in differences in the implementation and accessibility of telemental health services during the pandemic. A blended approach that combines in-person and virtual modalities, taking into consideration the needs, preferences, and digital skills of patients, may better support the future development of mental health services.
JMIR MENTAL HEALTH
(2022)
Review
Health Care Sciences & Services
Clair Ka Tze Chew, Helen Hogan, Yogini Jani
Summary: Most digital interventions for AKI care currently focus on individual-level response triggered by real-time creatinine levels, with limited impact seen at the organizational or healthcare system levels. This limited progress highlights the need for advancements in digitization, system design, human factors, and policy changes to establish comprehensive learning healthcare systems.
BMJ HEALTH & CARE INFORMATICS
(2021)
Article
Health Policy & Services
Mirza Lalani, Helen Hogan
Summary: This study explores the evolution of the Learning from Deaths (LfD) policy in response to failures in the Southern Health National Health Service (NHS) Foundation Trust. Using qualitative methods, the study examines the key drivers involved in the development of LfD and its implications for future national patient safety policy. The findings suggest that LfD shares common features with other patient safety policies in the NHS, highlighting the importance of prompt political response and attempts to address safety concerns.
JOURNAL OF HEALTH SERVICES RESEARCH & POLICY
(2021)