BMJ quality & safety
-
To describe the diagnoses of people who present to the emergency department (ED) with low back pain (LBP), the proportion of people with a lumbar spine condition who arrived by ambulance, received imaging, opioids and were admitted to hospital; and to explore factors associated with these four outcomes. ⋯ Many ED presentations of LBP were not due to a lumbar spine condition. Of those that were, we noted relatively high rates of lumbar imaging, opioid use and hospital admission.
-
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.