Federal action sought to curtail drug noncompliance

A new coalition of patient groups, physician organizations, drugmakers, pharmacists and pharmacies is aiming to make headway in battling the persistent problem of medication noncompliance. The coalition, dubbed Prescriptions for a Healthy America and led by the employer- and insurer-backed Council for Affordable Health Coverage, said it hopes to educate lawmakers about the importance of the issue and pursue public-policy solutions to improve drug adherence.

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Pediatricians offer newborn care standards for home births

Babies born through planned home deliveries should receive the same level of newborn care as those born in hospitals or freestanding birthing centers, according to American Academy of Pediatrics policy published in May.

The academy’s statement, formulated by its Committee on Fetus and Newborn, is meant to supplement the American College of Obstetricians and Gynecologists’ policy adopted in February 2011 and reaffirmed in 2013. The ob-gyns and pediatricians agree that hospitals and birthing centers are the safest settings for birth. Although the ACOG statement acknowledges that women have the right to make a medically informed choice about delivery, the AAP strikes a somewhat softer tone, saying its policy is “intended to help pediatricians provide supportive, informed counsel to women considering home birth.”

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Diagnostic errors are lead cause of medical liability payouts

Errors in diagnosis are responsible for more deaths, disabilities and medical liability payments than any other kind of medical error, according to a review of more than 350,000 paid claims from 1986 to 2010 included in the National Practitioner Data Bank.

The findings echo earlier research and draw on the largest set of cases yet to be analyzed. More than 100,000 medical liability cases involved errors in diagnosis, nearly 30% of the total. That compares with 27% for treatment mistakes and 24% for surgical errors, said the study, published online April 22 in BMJ Quality & Safety.

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AMA targets 2 diseases to improve outcomes in multiyear initiative

The American Medical Association announced in April that the first phase of its multiyear, multimillion-dollar initiative to improve health outcomes will focus on the prevention of two common, costly and often deadly conditions through better care for patients with uncontrolled hypertension and prediabetes.

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Med schools improve grades on cutting links to pharma

Most U.S. medical schools are earning high marks on an influential scorecard that grades their conflict-of-interest policies. In the latest edition of its PharmFree Scorecard, released April 9, the American Medical Student Assn. handed out A’s and B’s to 114, or 72%, of the nation’s 158 allopathic and osteopathic medical schools.

That represents a rise from last year’s results, which saw 102 schools, or 65%, get an A or a B. The scorecard grades schools’ policies on how tightly they restrict interactions with pharmaceutical companies, device makers and other medical industry firms in 11 areas such as gifts, meals, drug samples and faculty participation in speakers’ bureaus.

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