Estimates of 30-day postoperative pulmonary complications after gastrointestinal endoscopic procedures: A retrospective cohort analysis of a health system population
by Zyad J. Carr, Judy Li, Daniel Agarkov, Makenzie Gazura, Kunal Karamchandani The incidence of 30-day postoperative pulmonary complications (PPC) of gastrointestinal endoscopic procedures (GIEP) are not well characterized in the literature. The primary aim of this study was to identify the incidence of 30-day PPC after GIEP within a large healthcare system. We conducted a r etrospective cohort study of 5377 patients presenting for GIEP between January 2013 and January 2022. Our primary outcome was the Agency for Healthcare Research and Quality PPC composite (AHRQ-PPC). Secondary outcomes were sub-composites derived from ...
Source: PLoS One - February 23, 2024 Category: Biomedical Science Authors: Zyad J. Carr Source Type: research

Choosing Wisely and the climate crisis: a role for clinicians
There are growing calls for healthcare to confront it’s role in the climate crisis. Estimates suggest that carbon emissions from healthcare constitute 5% of net global emissions. To put this into context, emissions from all air travel are estimated at 3.5% of net global emissions.1 Health systems, organisations and clinicians have been called on to lead efforts to reduce emissions given that the climate crisis presents a major threat to human health. Ensuring appropriateness of care, and reducing overuse are central planks of strategies suggested in the literature and are increasingly being enacted by large healthcar...
Source: BMJ Quality and Safety - February 19, 2024 Category: General Medicine Authors: Born, K. B., Levinson, W., Vaux, E. Tags: Viewpoints Source Type: research

Translation and psychometric validation of the Thai version of TeamSTEPPS ® team performance observation tool
J Interprof Care. 2024 Feb 11:1-10. doi: 10.1080/13561820.2024.2307547. Online ahead of print.ABSTRACTIn healthcare, effective communication and teamwork are pivotal in reducing medical errors. Integrating team training into health professions education is crucial. Accurate measurement of team performance during training requires reliable assessment tools. The TeamSTEPPS® Team Performance Observation Tool (TPOT), recently updated by the Agency for Healthcare Research and Quality, serves this purpose. However, it had not been translated and validated for use in Thailand. We aimed to translate and assess the psychometric pr...
Source: Journal of Interprofessional Care - February 12, 2024 Category: Health Management Authors: Pataraporn Kheawwan Chanya Thanomlikhit Khuansiri Narajeeenron Suwimon Rojnawee Source Type: research

Prevalence and influencing factors of sleep disorders in patients with CRS: a protocol for systematic review and meta-analysis
Background Chronic rhinosinusitis (CRS) is a common chronic disease that seriously affects patients’ quality of life and imposes a heavy physical and mental burden on patients. There is growing evidence that sleep disorders are strongly associated with patients with CRS. However, there is no systematic evidence to clarify the prevalence and influencing factors of sleep disorders in patients with CRS with nasal polyps (NP) (CRSwNP) and CRS without NP (CRSsNP). For this reason, this study will systematically analyse the prevalence of sleep disorders in patients with CRSwNP and CRSsNP and explore the related influencing...
Source: BMJ Open - December 30, 2023 Category: General Medicine Authors: Wu, Y., Fu, Y., He, Y., Gong, X., Fan, H., Han, Z., Zhu, T., Li, H. Tags: Open access, Ear, nose and throat/otolaryngology Source Type: research

Evidence-Based Guideline for Prehospital Airway Management
Prehosp Emerg Care. 2023 Dec 22:1-13. doi: 10.1080/10903127.2023.2281363. Online ahead of print.ABSTRACTAirway management is a cornerstone of emergency medical care. This project aimed to create evidence-based guidelines based on the systematic review recently conducted by the Agency for Healthcare Research and Quality (AHRQ). A technical expert panel was assembled to review the evidence using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. The panel made specific recommendations on the different PICO (population, intervention, comparison, outcome) questions reviewed in the AHRQ ...
Source: Prehospital Emergency Care - December 22, 2023 Category: Endocrinology Authors: Jeffrey L Jarvis Ashish R Panchal John W Lyng Nichole Bosson Joelle J Donofrio-Odmann Darren A Braude Lorin R Browne Michael Arinder Scott Bolleter Toni Gross Michael Levy George Lindbeck Lauren M Maloney Connie J Mattera Cheng-Teng Wang Remle P Crowe Chr Source Type: research