BMJ quality & safety
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BMJ quality & safety · Sep 2019
Randomized Controlled Trial Multicenter StudyExposure to incivility hinders clinical performance in a simulated operative crisis.
Incivil behaviour by surgeons in a simulated operating room crisis undermines anaesthesia trainee performance across all domains.
pearl -
BMJ quality & safety · Sep 2019
Multicenter StudyVariation in use and outcomes related to midline catheters: results from a multicentre pilot study.
While midline vascular catheters are gaining popularity in clinical practice, patterns of use and outcomes related to these devices are not well known. ⋯ Midline use and outcomes vary widely across hospitals. Although rates of major complications are low, device removal as a result of adverse events is common.
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BMJ quality & safety · Sep 2019
Randomized Controlled TrialElectronic health record-based clinical decision support alert for severe sepsis: a randomised evaluation.
Sepsis remains the top cause of morbidity and mortality of hospitalised patients despite concerted efforts. Clinical decision support for sepsis has shown mixed results reflecting heterogeneous populations, methodologies and interventions. ⋯ An EHR-based severe sepsis alert did not result in a statistically significant improvement in several sepsis treatment performance measures.