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Morning Keynote Speaker: Kathryn L.
Morning Keynote Speaker: Kathryn L.

... legislation specifically outlawing aid in dying.4 In the other states, it is unclear whether providing aid in dying exposes physicians to prosecution under criminal laws. This paper will explore the issue with a focus on Hawaii, a jurisdiction where it appears that aid in dying can be provided witho ...
tiered orders of approval
tiered orders of approval

... the last decade, drugs targeting rare diseases had a higher probability of advancing through each phase of the FDA approval processes, resulting in a cumulative “likelihood of approval” more than twice as high as that for all other drugs. These three actions reduce the likelihood that the FDA will b ...
Data Stewardship
Data Stewardship

... balance must be achieved between the positive rights of society and right of a patient to privacy and confidentiality. There must also be considerations for the costs and benefits implicit in the balancing of those competing interests. Fundamental to this balancing is the ethical use of information ...
Figure 1 - BMJ Open
Figure 1 - BMJ Open

... both lower limbs.6 The effect of amputation is greater in younger and more active patients who must adapt to a drastic reduction in mobility and the associated psychological consequences,4 which also often restricts their ability to seek or continue employment.7 The return-to-work rate for lower lim ...
eTable 4. Results for CCDSS trials of acute care management Study
eTable 4. Results for CCDSS trials of acute care management Study

... which therapy was ordered for an eligible patient 2a. Pneumococcal vaccination 2b. Influenza vaccination 2c. Prophylactic heparin 2d. Prophylactic aspirin at discharge 1. (primary outcome) length of time interval from filing alerting result to ordering of appropriate treatment (in hours) [median (IQ ...
National Medical Policy
National Medical Policy

... good pain relief, then a radiofrequency thermocoagulation probe can be inserted at the same site and used to ablate these nerves. In 2006, Foye et al published that sometimes even just a single local nerve block injection at the ganglion impar can give 100% relief of coccydynia when performed under ...
BUDGET-BUSTERS: The shift to high-priced innovator
BUDGET-BUSTERS: The shift to high-priced innovator

... for existing ones. We found that 19 drugs in the Top 100 have moved up a price bracket in the last four years (see page: 7). E.g., nine products have gone from costing less than a $1,000 in 2010 to being priced in the $1,000 to $5,000 bracket in 2014. The US phenomenon of drug price inflation - wher ...
Testosterone_Case Review
Testosterone_Case Review

CONTOMS Medical Handbook - Counter Narcotics and Terrorism
CONTOMS Medical Handbook - Counter Narcotics and Terrorism

... the range of problems the TEMS medic may encounter. Patients often do not fit into a standard presentation and there is no substitute for good clinical judgment. Within the framework of established protocols, each medical provider must always ensure individualized treatment based on clinical judgmen ...
Medication Safety - Maine Quality Counts
Medication Safety - Maine Quality Counts

... Identify the Safety Risk Medication reconciliation is the process of comparing a patient's medication orders to all of the medications that the patient has been taking. This reconciliation is done to avoid medication errors such as omissions, duplications, dosing errors, or drug interactions. It sho ...
Paediatric Referral Guidelines for Cardiology Outpatients Clinics
Paediatric Referral Guidelines for Cardiology Outpatients Clinics

... otherwise clinically well: 1. These babies need a review before discharge, including saturation monitoring. If the murmur is assessed as representing a significant risk of congenital heart disease, or there are other concerns such as desaturation (<95%), then the case will need to be discussed urgen ...
Inadvertent perioperative hypothermia
Inadvertent perioperative hypothermia

... decisions about their care and treatment, in partnership with their healthcare professionals. If patients do not have the capacity to make decisions, healthcare professionals should follow the Department of Health guidelines – ‘Reference guide to consent for examination or treatment’ (2001) (availab ...
Care of the Patient with Presbyopia
Care of the Patient with Presbyopia

... ‰ Refractive surgery ‰ Experimental surgical techniques 3. Patient Education ...
Abdominal Aortic Aneurysm
Abdominal Aortic Aneurysm

... It is important to communicate during unclamping with surgery to optimize cardiac output. During unclamping large swings hymodynamically can occur and vasoactive medications need to be readily available. Partial or complete reclamping may be needed, to optimize hemodynamic state, if patient does not ...
Medication Management - Value Behavioral Health
Medication Management - Value Behavioral Health

... 4.306b Medication Management by a licensed nurse. This service is provided by a nurse who works under the supervision of a physician in monitoring the drug dosage, side effects and effects of the medication, as well as compliance, weight, nutritional status (especially with children), vital signs. T ...
Applying openEHR and GDL for streamlining
Applying openEHR and GDL for streamlining

... made to understand real-world demands and context. A GDL guideline of the most common diagnostic criteria was created and validated. Results: There was a large overlap in the information requested at the different stages. Most the data types were covered by existing archetypes, but for various reaso ...
Certification Review Course Peritoneal Dialysis Ray Agnello, BSN
Certification Review Course Peritoneal Dialysis Ray Agnello, BSN

... subcutaneous pocket for 4-6 weeks or longer, allowing cuff & tunnel to heal  Exit site is externalized in a separate ...
Rumbach, M
Rumbach, M

... b. The uveitis specialist treated the patient with a scleral buckle (SB), pars plana vitrectomy (PPV), membrane peel (MP), and silicone oil. The patient also received intravitreal injections of vancomycin and triesence. c. The patient’s first procedure failed due to significant systemic inflammation ...
Draft guideline on evaluation of anticancer medicinal
Draft guideline on evaluation of anticancer medicinal

... Could it be clarified during what assessment or review of data this applies to or is it all data. If the latter please make that clear. Furthermore, “is not allowed” is rather strong Proposed change (if any): In review of data, assumed disease-related events should be reviewed and assessed appropria ...
Brain shift and herniation
Brain shift and herniation

DSRIP Domain 2-4 Projects for FQHCs
DSRIP Domain 2-4 Projects for FQHCs

... Valuation Score: FQHC attributes that would support this project: Population that project Targets Evidence to reduce (inappropriate or avoidable) hospitalizations Existing models to build on Interdependence with other health care entities Potential leadership entity in project design Likely FQHC sta ...
Patient Selection for Uterine Fibroid Embolization
Patient Selection for Uterine Fibroid Embolization

... these may have parasitized blood supply from other pelvic vessels. There has also been at least one case in France and perhaps others in which a pedunculated subserosal fibroid sloughed into the abdominal cavity and became infected or caused significant intra-pelvic adhesions. These fibroids are als ...
Belgian Minimum Data Set for Comprehensive Geriatric
Belgian Minimum Data Set for Comprehensive Geriatric

... Raft D, Spencer RF, Toomey T, et al. Depression in medical outpatients: use of the Zung scale. Dis Nerv Syst (United States). 1977;38:999-1004. Myers JK, Weissman MM. Use of a self-report symptom scale to detect depression in a community sample. Am J Psychiatry. 1980:137:1081-1084. Carroll BJ, Field ...
Powerful IOP Reductions The First and Only Preservative
Powerful IOP Reductions The First and Only Preservative

... adverse effects on embryo-fetal development at a dose of 3 mcg/kg/day corresponding to maternal plasma levels of tafluprost acid that were 343 times the maximum clinical exposure based on Cmax. In rabbits, effects were seen at a tafluprost dose of 0.03 mcg/kg/day corresponding to maternal plasma lev ...
Estabrooks - EventPilot
Estabrooks - EventPilot

... cool off by sweating. • In very high temperatures, glycopyrrolate can cause fever and heat stroke ...
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Patient safety



Patient safety is a new healthcare discipline that emphasizes the reporting, analysis, and prevention of medical error that often leads to adverse healthcare events. The frequency and magnitude of avoidable adverse patient events was not well known until the 1990s, when multiple countries reported staggering numbers of patients harmed and killed by medical errors. Recognizing that healthcare errors impact 1 in every 10 patients around the world, the World Health Organization calls patient safety an endemic concern. Indeed, patient safety has emerged as a distinct healthcare discipline supported by an immature yet developing scientific framework. There is a significant transdisciplinary body of theoretical and research literature that informs the science of patient safety. The resulting patient safety knowledge continually informs improvement efforts such as: applying lessons learned from business and industry, adopting innovative technologies, educating providers and consumers, enhancing error reporting systems, and developing new economic incentives.
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