Medical Issues (Injury & Error)

Balanced Advice May Reduce Antibiotic Prescriptions for Kids

Diana Swift May 18, 2015 By offering parents positive advice on ways to reduce children’s respiratory symptoms and explaining the reasons why antibiotics are not indicated, clinicians reduced inappropriate antibiotic prescribing, a new study suggests. At the same time, this two-sided approach improved parents’ experience and provider care ratings. Rita Magione-Smith, MD, MPH, a professor of pediatrics […]

Pill-Mill Bust in South Nets 22 Clinicians and Pharmacists

Robert Lowes May 22, 2015 One was a physician with a warehouse full of Ferraris, Mercedes-Benzes, and other fancy cars. Another was an Arkansas pharmacist who owned some 100 machine guns, rifles, and other firearms, some with silencers. Still another was a physician who billed himself as a world-renown diabetologist on his practice website. What they shared […]

Dallas anesthesiologist, indicted on 17 counts of health care fraud, to plead not guilty

By Robert Wilonsky Published: May 20, 2015 12:17 pm Dr. Richard Ferdinand Toussaint Jr. is a licensed anesthesiologist who co-founded Dallas’ Forest Park Medical Center and started Ascendant Anesthesia, which has 16 practice locations scattered around the area. He’s also just been indicted by a Dallas federal grand jury on 17 counts of health care […]

Florida college forced vaginal probes on students, lawsuit claims

May 19, 2015 Two women are suing a Central Florida college and three professors after allegedly being forced to undergo internal vaginal probes during peer physical examinations (PPEs), My Fox Alabama reported. The former medical diagnostic students, who were not named, say their professors at Valencia College, in Orlando, Fla., threatened to dock their grades […]

Diagnostic errors linked to high incidence of incorrect antibiotic use

Date: May 18, 2015 Source: Society for Healthcare Epidemiology of America Summary: Misdiagnoses lead to increased risk of incorrect antibiotic use, threatening patient outcomes and antimicrobial efficacy, while increasing healthcare costs, a new study concludes. The researchers found that 95 percent of patients with an incorrect or indeterminate diagnosis, or with a symptom identified but […]

Nearly Half of Pediatric Medical Errors Deemed Preventable

Action Points   A tool developed to prevent medical errors (“harms”) in pediatric inpatients found that nearly half of the harms in patient charts were preventable, according to a pilot study to measure the tool’s effectiveness. Note that the most common of these were intravenous catheter infiltrations/burns, respiratory distress, constipation, pain, and surgical complication. A […]

Orthopedic Surgeons Largely Contribute To Opioid Epidemic, Study Reveals

Understanding why physicians from various areas of expertise prescribe opioids helps the medical community as a whole combat opioid abuse, misuse and overdose. Even though emergency physicians are not likely to prescribe opioids to discharged patients, doctors from other medical fields are contributing to the opioid epidemic at a higher rate. Published in The Journal […]

Strong statin-diabetes link seen in large study

In a database study of nearly 26,000 beneficiaries of Tricare, the military health system, those taking statin drugs to control their cholesterol were 87 percent more likely to develop diabetes. The study, reported online April 28, 2015, in the Journal of General Internal Medicine, confirms past findings on the link between the widely prescribed drugs and […]

Doctors Throwing Fits

An epidemic of bullying doctors is threatening both nurses and patients ALEXANDRA ROBBINS, SLATE MAY 3, 2015, 8:58 PM A doctor-bully epidemic is jeopardizing both nurses and patients. In news reports and hospital break rooms, stories abound of physicians berating nurses, hurling profanities, or even physically threatening or assaulting them. Doctors are shoving nurses in […]

More than 1,000 deaths in Mass. last year linked to opioid overdoses

By Lynn Arditi Journal Staff Writer Posted Apr. 28, 2015 @ 2:12 pm Updated Apr 28, 2015 at 4:33 PM PROVIDENCE, R.I. – Massachusetts health officials said Tuesday that more than 1,000 deaths in 2014 are likely related to opioid overdoses, but the overdose death rate is still lower than Rhode Island’s. Based on those […]

Louisiana ‘Pill Mill’ Physician Receives 8-Year Prison Term

Robert Lowes April 28, 2015 Joseph Mogan III, MD, was sentenced to roughly 8 years in prison last month for operating two pill-mills in suburban New Orleans, Louisiana, that manufactured illegal prescriptions for narcotics and other controlled substances on a cash-and-carry basis. The sentence might have been longer, however, if Dr Mogan had not agreed to testify […]

Guidelines Not Followed in Testing for Acid Reflux

Kathleen Louden April 28, 2015 Nearly 38% of the upper endoscopies performed in outpatients with gastroesophageal reflux disease and low-risk dyspepsia do not adhere to current best-practice guidelines, according to new research presented at the Society of General Internal Medicine 2015 Annual Meeting in Toronto. According to the American College of Physicians (ACP), “inappropriate use of endoscopy […]

Antibiotics May Be Overused in Many Neonatal ICUs, Study Finds

By Tara Haelle HealthDay Reporter MONDAY, April 20, 2015 (HealthDay News) — Antibiotics appear to be overused in many neonatal intensive care units, new research suggests. Just how overused these medications were varied widely, the study authors found. Some neonatal intensive care units (NICUs) gave antibiotics to newborns at a rate 40 times greater than […]

Desire for Certainty, Litigation Fears Drive ER Overimaging

Diana Swift April 07, 2015 Most emergency department physicians order diagnostic imaging tests they know are unnecessary, according to the results of a national survey published online March 23 in Academic Emergency Medicine. A key driver behind these excess scans is the fear of malpractice lawsuits based on missed diagnoses, the researchers found. “The most striking finding of our study […]

Living Sick and Dying Young in Rich America

Go to…  Print This Post Living Sick and Dying Young in Rich America 76   1587   16   3     Health Impact News Editor Comments When I read an article in The Atlantic recently with the title: Living Sick and Dying Young in Rich America – Chronic illness is the new first-world problem – it caught my attention. This is […]

The Hidden Cost Of Mammograms: More Testing And Overtreatment

APRIL 13, 2015 There’s no question mammograms can save lives by detecting breast cancer early. But they can also result in unnecessary testing and treatment that can be alarming and costly. In fact, each year the U.S. spends $4 billion on follow-up tests and treatments that result from inaccurate mammograms, scientists report in the current […]

Tots and Medication Errors: Anesthesiology News Report

by Anesthesiology News Staff MedPageToday.com Every year, more than 63,000 medication errors occur in children younger than 6, a new study found. Most anesthesiologists believe they should be in charge of key decisions in the operating room when it comes to resource and personnel allocation, according to survey results. “Anesthesia professionals often react negatively to […]

Pain Management Injection Therapies for Low Back Pain

Technology Assessment Report Roger Chou, MD, FACP, Robin Hashimoto, PhD, Janna Friedly, MD, Rochelle Fu, PhD, Tracy Dana, MLS, Sean Sullivan, PhD, Christina Bougatsos, MPH, and Jeffrey Jarvik, MD, MPH. Pacific Northwest Evidence-based Practice Center Rockville (MD): Agency for Healthcare Research and Quality (US); 2015 Mar 20. Structured Abstract Objectives: Low back pain is common and injections […]

Fentanyl: DEA Sounds Nationwide Alarm on Drug’s Dangers

Caroline Cassels March 18, 2015 The US Drug Enforcement Agency (DEA) has issued a nationwide alert about the dangers of the narcotic fentanyl and fentanyl analogues/compounds. According to the DEA, the drug, which is often used in anesthesia to prevent pain after surgery or other procedures, is commonly laced in heroin, causing significant problems across the country, […]

Proton Pump Inhibitor Use Increases Risk for Recurrent C. difficile

JAMA internal medicine TAKE-HOME MESSAGE Researchers retrospectively evaluated 754 patients with healthcare-associated Clostridium difficile infection to determine the association of proton pump inhibitor use (PPI) with recurrence. The hazard ratio for recurrence was 1.5 for continuous PPI use, and 47.1% of patients receiving PPIs had an evidence-based indication. Researchers suggest that PPI use without proper […]