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Quality and safety in the literature: January 2023
  1. John Hunter1,
  2. Nathan Houchens1,2,
  3. Ashwin Gupta1,2
  1. 1 Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan, USA
  2. 2 Medicine Service, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan, USA
  1. Correspondence to Dr John Hunter, Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI 48109, Michigan, USA; jdhunt{at}

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Healthcare quality and safety span multiple topics across the spectrum of academic and clinical disciplines. Keeping abreast of the rapidly growing body of work can be challenging. In this series, we provide succinct summaries of selected relevant studies published in the last several months. Some articles will focus on a particular theme, whereas others will highlight unique publications from high-impact medical journals.

Key points

  • Use of a telemedicine-based model (with minimal in-person care) to provide medical abortion care in South Africa was non-inferior in efficacy and safety outcomes to standard, in-clinic care. Lancet. 27 Aug 2022

  • Hospital membership in the Children’s Hospitals’ Solutions for Patient Safety, a patient safety collaborative in the USA and Canada, reduced rates of three of eight hospital-acquired conditions above those reductions seen in secular trends. JAMA Pediatr. 1 Sep 2022

  • A combination of interventions aimed at procedural cardiologists that included education, clinical decision support, audits and feedback, reduced the incidence of contrast-induced acute kidney injury following cardiac catheterisation. JAMA. 6 Sep 2022

A telemedicine model for abortion in South Africa: a randomised, controlled, non-inferiority trial

Lancet. 27 Aug 2022

Abortion care, pursued for a variety of reasons (eg, health of the woman, viability of the fetus, pregnancy resulting from sexual assault and unintended pregnancy), is often considered to be fundamental to women’s health. Unsafe abortion can lead to a variety of health risks including haemorrhage, infection and uterine perforation, whereas access to safe abortion has been shown to decrease mortality.1 2

Among many other variables, patient sociodemographic factors such as home location, financial status and access to transportation may play a role in abortion care.3 For some women, changing political landscapes have made abortion care difficult to obtain. For others, distance from abortion providers creates a physical barrier to safe care. Still others may be reticent to engage in healthcare systems due to abortion-related stigma.4 5 A …

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  • Twitter @nate_houchens, @ashwin_b_gupta

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests NH and AG are employed by the United States Department of Veterans Affairs.

  • Provenance and peer review Commissioned; internally peer reviewed.