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Association between levator ani muscle avulsions and technique of vacuum extraction – a prospective exploratory study

Original article
Kimmich N, Birri J, Zimmermann R, Kreft M
Swiss Med Wkly. 2020;150:w20280

Trauma of the levator ani muscle in the form of partial or complete avulsions is common after vaginal births, especially after vaginal-operative births. There is little information available regarding associations between the technique of vaginal-operative births and levator ani muscle trauma.

Supporting health professionals after an adverse event in Swiss hospitals: a cross-sectional study

Original article
Reiser Crelier F, Schwappach D, Schwendimann R
Swiss Med Wkly. 2020;150:w20278

In Swiss hospitals, second victim support is generally prevalent, but often in an unstructured way. This lack of methodology increases the risk that, following adverse events, both the quantity and quality of support provided to health professionals will be insufficient. A firm commitment on the part of institutional leaders to implement related policies could foster the adoption of high-quality second victim guidelines in Swiss hospitals.

What interventions do general practitioners recommend avoiding? A nationwide survey from Switzerland

Original article
Neuner-Jehle S, Grischott T, Markun S, Rosemann T, Senn O, Maeder M
Swiss Med Wkly. 2020;150:w20283

Most suggestions from GPs were concordant with previously published recommendations of interventions to avoid, 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.

Statin treatment and LDL target value achievement in Swiss general practice – a retrospective observational study

Original article
Rachamin Y, Meier R, Rosemann T, Langenegger S, Markun S
Swiss Med Wkly. 2020;150:w20244

Results from this study suggest that current treatment may warrant reconsideration in a large proportion of patients treated with statins in Swiss general practice.

Roadmap for the treatment of heart failure patients after hospital discharge: an interdisciplinary consensus paper

Review article: Biomedical intelligence
Mueller C, Bally K, Buser M, Flammer AJ, Gaspoz JM, Mach F, Moschovitis G, Paul M, Zeller A, Heitlinger E, Fay B, Rosemann T
Swiss Med Wkly. 2020;150:w20159

Prescheduled follow-up visits, adherence to therapy and up-titration of heart failure medication are important aspects of reducing the mortality risk during the transition phase after hospital discharge.

Implementation of a multiprofessional, multicomponent delirium management guideline in two intensive care units, and its effect on patient outcomes and nurse workload: a pre-post design retrospective cohort study

Original article
Schubert M, Bettex D, Steiger P, Schürch R, Haller A, Bogdanovic J, Garcia Nuñez D, Schwarz U, Siegemund M
Swiss Med Wkly. 2020;150:w20185

Delirium is a frequent intensive care unit (ICU) complication, affecting 26% to 80% of ICU patients, often with serious consequences. For appropriate delirium management, early identification of relevant risk factors is crucial.

Describing adverse events in medical inpatients using the Global Trigger Tool

Original article
Grossmann N, Gratwohl F, Musy SN, Nielen NM, Simon M, Donzé J
Swiss Med Wkly. 2019;149:w20149

Improving patient safety in hospitals demands effective and reliable monitoring of adverse events (AEs). The most common method of assessing AEs is retrospective chart review; the Global Trigger Tool is a promising chart review method.

Achieving care: promoting alternatives to industrial healthcare

Review article: Biomedical intelligence
Fog Heen A, Montori VM
Swiss Med Wkly. 2019;149:w20115

So-called industrial healthcare provides patients, who may have poorly understood problems, with standardised care, rather than care particularised for that individual patient.

A Swiss database and biobank to better understand and manage congenital lung anomalies

Review article: Biomedical intelligence
Vidal I, Wildhaber BE, Moehrlen U, Regamey N, Trachsel D, Cholewa D, Barben J, Barazzone-Argiroffo C, Ruchonnet-Métrailler I
Swiss Med Wkly. 2019;149:w20081

Pooling data from patients with a rare disease, such as congenital lung anomaly, in a long-term observational cohort study represents an important step to a better understanding of the disease. A biobank is complementary to such a database.

Diagnostic diversity – an indicator of institutional and regional healthcare quality

Original article
Brutsche M, Rassouli F, Gallion H, Kalra S, Roger VL, Baty F
Swiss Med Wkly. 2018;148:w14691

The diagnostic diversity index can be seen as an indicator of diagnostic precision - the higher the degree of diversity, the better the diagnostic precision.

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