"The foundation’s panel will probably meet in January or early February and could release new treatment recommendations for public review a few weeks later, the foundation said.The FDA has, in fact, issued an alert on this topic. CME Providers who are in the process of planning CME activities on this topic need to read this alert!
The anemia panel consists of 15 nephrologists who meet under the auspices of the foundation, a private nonprofit group based in New York that provides financing for kidney researchers. The panel is one of several panels sponsored by the foundation that make recommendations about how to improve treatment for kidney patients.
But some scientists complain that Amgen has until now had too much influence on the creation of the foundation’s guidelines. The most recent version of the anemia guidelines, released earlier this year, encourages more aggressive treatment than the Food and Drug Administration recommends."
Thursday, November 30, 2006
Wednesday, November 29, 2006
More than one-quarter of adults interviewed said they had experienced low back pain in the past three months.
Fifteen percent of adults experienced migraine or severe headache in the past three months. Adults ages 18-44 were almost three times as likely as adults 65 and older to report migraines or severe headaches.
Reports of severe joint pain increased with age, and women reported severely painful joints more often than men (10 percent versus 7 percent).
Between the periods 1988-94 and 1999-2002, the percentage of adults who took a narcotic drug to alleviate pain in the past month rose from 3.2 percent to 4.2 percent.
Monday, November 27, 2006
"Stories like Russell’s are becoming more common. Staph infections, in varying and sometimes deadly forms, are being reported in greater numbers across Ohio and nationwide as more virulent and resilient strains are infecting high school, college and professional athletes.
Football players, wrestlers and even fencers have contracted methicillin-resistant staphylococcus aureus, or MRSA, a serious superbug once isolated to hospitals and health-care settings that has found its way into locker rooms, weight rooms and athletic training facilities. Despite widely available information about the dangers of skin infections, staph has continued spreading."
Saturday, November 25, 2006
For CME providers interested in learning more about medical simulation, please click here to go to the Society for Simulation in Healthcare's website. This society was formed in January 2004 and is comprised of educators and researchers interested in using a "variety of simulation techniques for education, testing, and research in health care". It now has over 1,000 members!
Thursday, November 23, 2006
It turns what we have into enough, and more. It turns denial into acceptance, chaos into order, confusion into clarity.... It turns problems into gifts, failures into success, the unexpected into perfect timing, and mistakes into important events. Gratitude makes sense of our past, brings peace for today and creates a vision for tomorrow."
- Melody Beattie
I wish y'all a Very Happy Thanksgiving!
Tuesday, November 21, 2006
Monday, November 20, 2006
"Wall Street is getting worried. In a note to investors, analysts at Prudential Equity Group fret, 'Democrats are well positioned to force action on drug prices, and contrary to conventional wisdom, a [presidential] veto is not a sure thing.'"More changes to come in CME Land, methinks.
Sunday, November 19, 2006
Friday, November 17, 2006
The CDC has a Home Fall Prevention Checklist available online that older adults (and their loved ones) can utilize to make their homes safer.
Thursday, November 16, 2006
Galvin interviews Martin Roland, an advisor to the "world’s most ambitious P4P program," the United Kingdom’s Quality and Outcomes Framework (QOF). Roland discusses the unexpected results and findings of the QOF and offers some advice to the United States. Even though the UK and US health care delivery systems differ, it is still very worthwhile information. One important point that Roland makes is that exception reporting "was introduced on the basis that if you have some form of evidence-based guideline, nobody would ever suggest that it should be applied to all patients. So, for example, if you’ve got a diabetic who’s dying of cancer, you’re not going to try and get his cholesterol down."
I encourage all who are involved in CME to read this important article; check with your medical librarian to see if your institution already subscribes to Health Affairs (or this article can be purchased online for a nominal fee).
What a boost to primary care in the UK!
Wednesday, November 15, 2006
1. Aspirin chemoprophylaxis
2. Childhood immunization series
3. Tobacco-use screening and brief intervention
See the full results of this study at the AAFP website "Practice Guidelines:
Partnership for Prevention Ranks Preventive Services." Be certain to check out Table 2 which depicts current utilization rates (the current tobacco-use screening and brief intervention national utilization rate is only 35%) and the additional quality-adjusted life years saved if utilization rates were at 90%.
Tuesday, November 14, 2006
Mark and I have worked together in the past and he is so knowledgeable and such a nice person. I am so pleased that he was elected to the board as I know he will help lead the Alliance to a bright future. Here is his position statement (from the Alliance website):
"Position Statement: Over the years the Alliance has grown in membership. However, as often happens with a growing, nationally (internationally) based organization, only a small portion of the members take full advantage of what the organization has to offer. I believe it is the responsibility of the members of the Board to build on what previous Boards have done to make the Alliance more inclusive, welcoming, and, above all, of value to the entire membership. Issues the Alliance must address:
- Provide more educational opportunities, especially to those who can’t attend the annual conference.
- Help members address the challenges of developing more relevant content in varied formats.
- Help members recognize the similarities rather than differences of provider types; break the 'silo mentality'; foster concrete ways to partner and share strengths and even resources.
- Identify and secure other sources of revenue."
Friday, November 10, 2006
"He has chaired the United States Pharmacopoeia's Advisory Panel on Mediation Errors and he has served as an ex-officio Member on the National Coordinating Council for Medication Error Reporting and Prevention. He has consulted with healthcare organizations and regulatory authorities in the United States, South Africa, Brazil and the Middle East on medication safety.
He has experience in designing and implementing medication safety surveillance systems in large academic hospitals, small community hospitals and clinic environments. These surveillance systems have included:
- "triggers-based" concurrent monitoring system in a large academic hospital
- national drug information network to collect reports of adverse drug reactions
- voluntary reporting methods in hospitals and clinics
- observational methods and target-drug surveillance methods in hospitals
- computerized screening to identify adverse events in hospital diagnosis databases"
Please also keep John in mind if you are looking for an excellent speaker on medication safety!!
Wednesday, November 08, 2006
"While there is considerable pressure from the public and the legal system to blame and punish individuals who make fatal errors, filing criminal charges against a healthcare provider who is involved in a medication error is unquestionably egregious and may only serve to drive the reporting of errors underground. The belief that a medication error could lead to felony charges, steep fines, and a jail sentence can also have a chilling effect on the recruitment and retention of healthcare providers--particularly nurses, who are already in short supply."
"Dr. Karel Bakker, a foot specialist who is a chairman of the International Diabetes Federation, believes that more effective foot care and patient education strategies would render up to 85 percent of these procedures unnecessary. Lower-limb ulcers are the most reliable harbingers of future amputation: according to a study published earlier this year in the journal Diabetes Care, nearly 9 in 10 nontraumatic foot and leg amputations come after the development of these infected sores, which can spread and quickly destroy surrounding tissue."
What a great QI project for CME providers!
Tuesday, November 07, 2006
Monday, November 06, 2006
"Duke cardiologists were instrumental in the conception and implementation of one the three participating registries, known as CRUSADE. Started five years ago, this registry involves more than 500 hospitals in the United States and has collected clinical data on close to 200,000 patients.
The two other registries joining the collaboration are the National Registry of Myocardial Infarction, supported by Genentech, and the National Cardiovascular Data Registry, supported by American College of Cardiology Foundation.
Each of the three registries has collected detailed data on how patients with acute coronary syndrome were being treated in U.S. hospitals, with the goal helping hospitals stay current with the latest scientific findings."
KUDOS on the collaboration!
Friday, November 03, 2006
"'Although the U.S. pays more for health care than any other country, we are under-investing in our primary care system,' Karen Davis, president of the Commonwealth Fund, the foundation that sponsored the survey, said in a statement. 'Other countries have made high-quality primary care a priority by putting into place the financial and technical systems that support access to, and delivery of, such care.'"
Wednesday, November 01, 2006
"'We’re where the airline industry was 30 years ago' when a series of fatal mistakes increased scrutiny and provoked change, said Dr. Stephen B. Smith, chief medical officer at the Nebraska Medical Center in Omaha, the teaching hospital for the University of Nebraska.
It is well established that, like airplane crashes, the majority of adverse events in health care are the result of human error, particularly failures in communication, leadership and decision-making.
'The culture in the operating room has always been the surgeon as the captain at the controls with a crew of anesthesiologists, nurses and techs hinting at problems and hoping they will be addressed,' Dr. Smith said. 'We need to change the culture so communication is more organized, regimented and collaborative, like what you find now in the cockpit of an airplane.'"