Conn Bill to Require Public Disclosure of Hospital Errors
April 17th 2010Connecticut Attorney General Richard Blumenthal has backed a bill that will require hospitals in Connecticut to disclose publicly all adverse events that occur in their facilities. Previously, hospital errors were reported but specifics of the errors, including where they occurred, were never disclosed because of a confidentiality provision enacted in 2004 that allowed the health department to list the overall medical errors without naming a hospital.1
“Vaccine Court” Says Autism Not Linked to Thimerosal
April 17th 2010Thimerosal, the organomercurial compound commonly used as a preservative in vaccines, does not cause autism, ruled the so-called vaccine court, a special branch of the US Court of Federal Claims that was established to handle claims of injury caused by vaccines. In this case, a group of parents who are convinced that there is a connection between the additive and autism were told that they had failed to prove their belief.1
Evidence-Based Perspective on Metabolic Syndrome and Use of Antipsychotics
April 16th 2010Schizophrenia, a devastating mental illness that affects nearly 2.2 million Americans, is associated with high rates of morbidity and mortality.1 Persons with schizophrenia have a 20% shorter life expectancy than the general population.1,2 Furthermore, among persons with schizophrenia, there is an increased prevalence of metabolic syndrome characterized by a constellation of risk factors, including insulin resistance, abdominal obesity, dyslipidemia, hyperglycemia, and hypertension,3
Comparative Effectiveness Research-Part 2: The Impact on Decision Making
April 16th 2010As publicly funded health care payment programs have grown over decades because of demographic shifts and expansion of coverage, comparative effectiveness research (CER) has emerged to address value in health care. The American Recovery and Reinvestment Act of 2008 (ARRA) included $1.1 billion for CER initiatives, and the new health care legislation created the Patient-Centered Outcomes Research Institute, which will be funded with $500 million or more annually. In these efforts exist the promise to create informed decisions that will improve health care at both the individual and population levels.
Reducing Cost-Related Medication Nonadherence in Patients With Diabetes
April 16th 2010In the United States, it has been estimated that 7.8% of the total population has diabetes. In 2007, the direct medical expenditures for diabetes were about $116 billion and the total direct and indirect costs were $174 billion, according to the CDC.1
Featured Whats Your Diagnosis for CFP
April 16th 2010A 20-month-old boy brought to the emergency department with swelling on the right side of the neck and fever (temperature, 39.3°C [102.7°F]) of 1 day’s duration. The parents reported that the child had had intermittent fevers and poor weight gain for the past 3 months but no vomiting, diarrhea, rash, drooling, or difficulty in swallowing.
Featured What's Your Diagnois from Consultant
April 16th 2010A 14-year-old girl is seen because of long-standing nasal itch, intermittent nasal congestion, and clear nasal discharge. Allergies to house dust mites and to cats shown on prior skin testing. Often has marked eye swelling when exposed to cats. Receives antihistamines when in flare-up and prior to cat exposure. The consumption of dairy products exacerbates all of the above.
Allergic Rhinitis: Update on Your Therapeutic Choices
March 31st 2010Many pharmacological options exist for allergic rhinitis. Intranasal corticosteroids are the most effective medication class for patients with moderate to severe symptoms; those with milder intermittent symptoms can be treated with a second-generation oral or intranasal antihistamine.