Comparing Intubation of Critically Ill Children between APRNs and Physicians
Dr. Amal Mattu and friends have a new video course you don't want to miss. Take a look!
Spoon Feed
Review of tracheal intubations (TIs) performed in pediatric ICUs found advanced practice registered nurses (APRNs) had a lower first attempt success compared to doctors and respiratory therapists.
Snarky Sign-outs – How to Avoid Bias During Handoff
Spoon Feed
Our words during handoff can bias our colleagues against our patients. Here's how it happens and what we can do to improve.
Source
Patient Factors Associated With Biased Language in Nightly Resident Verbal Handoff. JAMA Pediatr. 2023 Oct 1;177(10):1098-1100. doi: 10.1001/jamapediatrics.2023.2581.
Experienced or Rusty? Physician Age and Patient Mortality
Spoon Feed
Emergency physician (EP) advancing age was associated with higher 7-day patient mortality. This is a call to keep current with literature, clinical skills, and best practices.
Source
Association Between Emergency Physician's Age and Mortality of Medicare Patients Aged 65 to 89 Years After Emergency Department Visit. Ann Emerg Med. 2023 Sep;82(3):301-312. doi: 10.1016/j.annemergmed.2023.02.010. Epub 2023 Mar 23.
How to Identify Errors – “Would You Have Done Something Differently?”
Spoon Feed
Asking EPs the question - “Would you have done something differently? (WYHDSD)” - was found to have high sensitivity (97.4%) and NPV (99.8%) in predicting medical error. Specificity was lower at 92.9%.
Source
Can Asking Emergency Physicians Whether or Not They Would Have Done Something Differently (WYHDSD) be a Useful Screening Tool to Identify Emergency Department Error? J Emerg Med. 2023 Sep;65(3):e250-e255. doi: 10.1016/j.jemermed.2023.05.005. Epub 2023 Jun 10.
Anchoring – Does Information from Triage Bias Our Workup?
We're trying something new! Watch quick videos, with my personal take on the articles we cover each week and more! Here's the JournalFeed YouTube channel link. ~Clay
Spoon Feed
Veterans Affairs (VA) patients with known congestive heart failure (CHF) presenting for shortness of breath as a chief complaint were less likely to receive testing for venous thromboembolism (VTE) when triage reported CHF.
Source
Evidence for Anchoring Bias During Physician Decision-Making. JAMA Intern Med. 2023 Aug 1;183(8):818-823. doi: 10.1001/jamainternmed.2023.2366.
EM Had a Bad Match – Let’s Talk About That
Spoon Feed
An unprecedented 555 unfilled positions in the 2023 emergency medicine (EM) match were less likely a result of wavering interest in our specialty and more due to surging interest after the COVID pandemic (in 2021) and financial pressures within healthcare, resulting in a proliferation of training positions.
Source
The Emergency Medicine Match: Is the Sky Falling or Is This Just Growing Pains? Ann Emerg Med. 2023 Aug 4:S0196-0644(23)00576-0. doi: 10.1016/j.annemergmed.2023.07.004. Epub ahead of print.
Can ChatGPT Solve the Tough Cases?
Spoon Feed
The newest generation GPT chatbot performed similarly, if not better than, current differential diagnosis generators explicitly designed for this purpose.
Source
Accuracy of a Generative Artificial Intelligence Model in a Complex Diagnostic Challenge. JAMA. 2023 Jul 3;330(1):78-80. doi: 10.1001/jama.2023.8288.
Stats for Average People – What is a p-value?
Spoon Feed
A p-value is the probability that an observed outcome (or more extreme outcome) would occur if, in fact, the null hypothesis was true. Say what?? It's tricky to explain! This post explains what a p-value is in simple language.
Can ChatGPT Write for JournalFeed?
Spoon Feed
I think we need to have an open conversation about the power and usefulness of artificial intelligence, like Chat GPT. It is not a fad, and this technology is only going to improve over time. Thus, I want to be clear on the value we, as human authors, bring to you, the JournalFeed readers.
Does Coaching Make Pediatric Airway Safer?
Spoon Feed
Implementation of video laryngoscope (VL) assisted coaching for intubation in the pediatric intensive care unit (PICU) was associated with reduced intubation-associated adverse events.
Source
Implementation of Video Laryngoscope Assisted Coaching Reduces Adverse Tracheal Intubation Associated Events in the PICU. Crit Care Med. 2023 Mar 27. doi: 10.1097/CCM.0000000000005847. Online ahead of print.