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If a peer-reviewed study is published with outcomes involving lactating women and the impact of medications on their infants, then it is included in the LactMed database, sponsored by the National Institutes of Health's National Library of Medicine.
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Although breast cancer may not be the most common cancer in women, the diagnosis or even the suspicion is a cause of great distress. Primary care physicians play a pivotal role in their female patients' care by providing the proper risk assessment, encouraging women to get the regular screening, and providing patients with the appropriate referral to definitive treatment.
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In this issue: Clopidogrel and proton pump inhibitors; adverse events with tamsulosin after cataract surgery; new guidelines for persistent pain in the elderly; and FDA Actions.
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A collaborative of 15 hospitals in Michigan, which included cardiologists and radiologists working side by side, has succeeded in cutting the radiation dose for CT angiography on average by more than half for almost 5,000 patients with no effect on image quality.
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The Joint Commission has issued a major new document on the difficult issue of assessing hand hygiene compliance by health care workers. We'll put the bottom line at the top: There are many approaches to solve the Achilles "hand" of infection prevention and none of them is a panacea.
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Among the most challenging standards from The Joint Commission for the first half of 2008 was standard IM.6.50 â "Designated qualified staff accept and transcribe verbal or telephone orders." According to the organization, 40% of hospitals were not in full compliance. (This standard is now in a new chapter, under "RC" as opposed to "IM.".)
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The Joint Commission (TJC) has noted that its verbal order standard, IM.6.50, has been one of the more difficult to comply with, but "ED managers who now wish to brush up on that standard will have to look elsewhere," says Louise Kuhny, RN, MPH, MBA, CIC, TJC's senior associate director of standards interpretation.
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There are many detailed requirements of Life Safety Code (LSC) compliance, and many outpatient surgery managers are not aware of them.
