July 2020 Learning Network Resources

Tuesday, July 28th at 4:00PM EST

Join usfor a webinar on our latest tool. Dr. Lisa Letourneau and Kelly Rand will share a look at our patient engagement toolkit, discuss the research behind it and provide a few examples on how to apply the tools to COVID-19. Watch.

Blogs, Issue Briefs, Opinion Pieces and More…

  • Measurement and Evaluation Approaches to Improve Outpatient Antibiotic Prescribing. Center for Healthcare Strategies. July 2020
    “A key consideration for jurisdictions seeking to improve outpatient antibiotic prescribing is how to measure and evaluate baseline performance and progress over time and how to identify goals for antibiotic stewardship initiatives. This technical assistance tool describes metrics that state Medicaid and public health agency partners can use to evaluate and target opportunities to improve antibiotic prescribing practices. It also provides a summary of data sources that can be used to evaluate efforts focused on improving antibiotic stewardship.”
  • Pandemic guidance for health professionals. Choosing Wisely Australia. Retrieved July 2020
    “The Choosing Wisely principles have been a pillar during Australia’s COVID-19 pandemic response. Our health system has come together for a common goal and purpose to manage the pandemic. Health professionals have had to be stewards of our finite health resources. Multidisciplinary teams have united to adopt an evidence-based, patient-centered approach. As a result, our health system has adapted in ways and with urgency unseen before. To assist clinicians and consumers to access reliable information about the pandemic we’ve developed specific pandemic guidance, which is based on current evidence and will continue to be update as evidence evolves over time.”
  • Covid-19: an opportunity to reduce unnecessary healthcare. BMJ. July 2020
    “This pandemic has provoked the best of human compassion and solidarity, but those who manage our health systems still face extraordinary challenges responding to covid-19 and preparing for the second wave. Looking beyond the crisis, our collective learning about the effects of the large falls in healthcare use can help inform and intensify efforts to reduce unnecessary care. This in turn can prevent avoidable harm to patients, enhance healthcare equity, and improve the sustainability of health systems everywhere.”

Journals

  • Sun JY. Implementing Electronic Health Record–Based Clinical Decision Support for Head CT Ordering in Minor Pediatric Head Trauma. Journal of the American College of Radiology. June 2020
    “Traumatic brain injury (TBI) is an important and increasingly common reason for pediatric emergency department (ED) visits, resulting in 812,000 ED visits by children in the United States in 2014. Although head CT is a cornerstone for the diagnosis of clinically significant TBI requiring acute intervention, the large majority of presentations for minor pediatric head trauma have negative imaging findings. Clinical providers must make rapid decisions that balance the need to identify clinically significant TBI with the economic costs and radiation risks of CT overuse.”
  • Neuner-Jehle S, et alt. What interventions do general practitioners recommend avoiding? A nationwide survey from Switzerland. Swiss Medical Weekly. June 2020
    “Most RIA suggestions from GPs were concordant with previously published RIAs, independently of GPs knowledge of these and reflecting their high clinical relevance. In addition, our study revealed some more relevant topics and may help to develop future “Choosing Wisely” recommendations, with the final goal to reduce low-value care.”
  • Graham K, et alt. Challenges of Implementing the Choosing Wisely Guideline to Promote Sleep and Rest at Night for Hospitalized Patients. Nursing Care Quality. June 2020
    “A pilot intervention to support the initiative, “Don’t wake the patient for routine care unless the patient’s condition or care specifically requires it,” was implemented on 3 units in 3 hospitals. All the 3 units had experienced patient concerns about lack of sleep at night. There was multidisciplinary support to promote a better patient experience of nighttime sleep. The experiences across the 3 hospital units were positive for providers, patients, and patients’ families.”

Media Coverage

  • The Dentist Will See You Now. But Should You Go? NPR. July 2020
    “Remember, infectious disease specialists note, that we all have important responsibilities as patients, too, to let the dentist know before or on the day of the appointment if we’re feeling sick in any way. We’re all in this together — if you’re sick, stay home.”
  • Should you take a dietary supplement to prevent disease? CNN Health. June 2020
    “If you’ve been more concerned about your health lately, you might be wondering if taking a nutrition supplement containing vitamins, minerals or a combination is worthwhile. It’s estimated that more than half of Americans take one or more dietary supplements daily or on occasion. The pills are popular in Europe, too: According to one estimate, the dietary supplement market was worth over $14 billion in 2018, although research has suggested that usage varies widely according to each country. But are you wasting your money on vitamins and minerals you don’t need or possibly harming yourself by taking high doses? Here’s the lowdown.”