TY - JOUR T1 - Quality and safety in the literature: November 2020 JF - BMJ Quality & Safety JO - BMJ Qual Saf SP - 956 LP - 960 DO - 10.1136/bmjqs-2020-012276 VL - 29 IS - 11 AU - James Uebel AU - Ashwin Gupta AU - Nathan Houchens Y1 - 2020/11/01 UR - http://qualitysafety.bmj.com/content/29/11/956.abstract N2 - 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, while others will highlight unique publications from high-impact medical journals. Key pointsFor patients who have sustained a myocardial infarction, low-cost interventions (eg, mail-outs and telephone calls) to augment secondary prevention increase uptake of cardiac rehabilitation but not adherence to medications. BMJ. 08 April 2020.A policy change that eliminated reimbursement for population-based screening of vitamin D deficiency led to a marked decrease in low-value testing, while recommendations from the Choosing Wisely campaign had only a small effect on vitamin D screening and no effect on low-value testing of triiodothyronine. JAMA Intern Med. 10 February 2020.In a cluster randomised clinical trial, a decision aid for women aged 75–89 years led to fewer mammograms and increased knowledge about mammography screening. JAMA Intern Med. 20 April 2020. BMJ. 8 April 2020Medications have received substantial attention in the field of patient safety in the form of attention to medication errors and preventable adverse drug events.1–6 Other efforts to measure and improve healthcare quality have focused on problems of underprescribing of effective medications and overprescribing of ineffective ones.6 7 By contrast, the well-known problem of medication non-adherence, when patients do not consistently take their medications as prescribed, has received relatively little attention in the healthcare quality literature.8 Yet, why bother to focus on evidence-based medications if non-adherence prevents the intended health outcome improvements from occurring? When the medications in question have well-established benefits on morbidity and mortality, as in the case of medications indicated for … ER -