Machine Learning Alerts to Prevent Escalation of Care In ICU Fri, 14 Jun 2024 Deploying and evaluating a machine learning intervention to improve clinical care and patient outcomes is a key step in moving clinical deterioration models from byte to bedside. A Mount Sinai study found that hospitalised patients were 43% more likely to have their care escalated and significantly less likely to die if their care team received AI-generated alerts signalling ...

Original Investigation  Health Policy October 22, 2024 Clinician Staffing and Quality of Care in US Health Centers Q. Wilton Sun, Howard P. Forman, Logan Stern, et al JAMA Netw Open. 2024;7(10):e2440140. doi:10.1001/jamanetworkopen.2024.40140 Key Points Question  Is there an association between clinician staffing (physicians and advanced practice practitioners) and quality-of-care metrics in ...

Original Investigation  October 23, 2024 Long-Term Trajectories of Postoperative Recovery in Younger and Older Veterans Michael A. Jacobs, Carly A. Jacobs, Orna Intrator, et al JAMA Surg. Published online October 23, 2024. doi:10.1001/jamasurg.2024.4691 Key Points Question  What do long-term postoperative recovery trajectories look like? Findings  This cohort study (378 682 cases) i...

Matters Arising Open access Published: 05 August 2024 Probing the efficacy of high-flow nasal cannula in the treatment of acute exacerbations of COPD with acute-moderate hypercapnic respiratory failure Ioannis Pantazopoulos, Georgios Mavrovouni  Critical Care volume 28, Article number: 264 (2024)  Dear Sir, We have read with great interest the single-centre study by Tan, et al. [1], which concluded that high-flow nasal cannula (HFNC) was not no...

Original Investigation  October 25, 2024 Early, Individualized Recommendations for Hospitalized Patients With Acute Kidney Injury: A Randomized Clinical Trial Abinet M. Aklilu, Steven Menez, Megan L. Baker, et al JAMA. 2024;332(24):2081-2090. doi:10.1001/jama.2024.22718 Key Points Question  Among hospitalized patients with acute kidney injury, do diagnostic and therapeutic recommendations sent by a kidney action team through the ...

Ventilator-Induced Lung Injury and Mechanical Power In ICU Mon, 16 Sep 2024 Mechanical ventilation is essential for managing acute respiratory failure but can cause ventilator-induced lung injury (VILI). VILI arises from four main mechanisms: alveolar over-distention (volutrauma), over-pressurisation (barotrauma), cyclic opening and collapse of alveoli (atelectotrauma), and inflammation (biotrauma), leading to alveolar damage and impaired gas exchange....

Research Christmas 2024: Could We Start Again, Please? Age against the machine—susceptibility of large language models to cognitive impairment: cross sectional analysis Roy Dayan, Benjamin Uliel, Gal Koplewitz BMJ 2024; 387 doi: https://doi.org/10.1136/bmj-2024-081948 (Published 20 December 2024)Cite this as: BMJ 2024;387:e081948 Abstract Objective To evaluate the cognitive abilities of the leading large language models and identify their suscepti...

COMMENT Success of the CLEEN study Dinah Gould, Nicolas Drey Lancet Infect Dis 2024 Online first August 13, 2024 https://doi.org/10.1016/S1473-3099(24)00454-7 Health-care-associated infections (HAIs) are the most frequently occurring adverse events in health care. These infections pose a major threat to patient safety and were regarded as an inevitable risk of health care for many years; however, contemporary opinion is that 50% of HAIs are avoidable.1 ...

Feature Christmas 2024: For Forever From plague to planetary crisis: climate fiction before cli-fi Lakshmi Krishnan BMJ 2024; 387 doi: https://doi.org/10.1136/bmj.q2583 (Published 18 December 2024)Cite this as: BMJ 2024;387:q2583 Literature has long sounded ecological alarms and imagined our planetary futures, finds Lakshmi Krishnan Our oldest stories begin in the soil or by the sea, myth being the original ecological narrative. The Mandé and Sume...

Analysis Christmas 2024: Death is Just Around the Corner Ethics of posthumous scholarly authorship in the sciences David Nunan, Jeffrey K Aronson BMJ 2024; 387 doi: https://doi.org/10.1136/bmj-2024-080830 (Published 16 December 2024)Cite this as: BMJ 2024;387:e080830 David Nunan and Jeff Aronson suggest that formal criteria are needed to determine eligibility for posthumous authorship and for dealing with associated ethical problems Post...