Tele-ICU technology improves patient outcomes

My lede:

Technology that helps physicians remotely track more patients in intensive care units also improves care outcomes, according to a Journal of the American Medical Association study published in May that contradicts research finding no benefit.

So-called tele-ICUs allow intensivists, critical care nurses, respiratory therapists and other critical-care experts to see patients on video, receive electronic clinical data on their progress and communicate in real time with the health professionals in the unit to make changes in care.

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Donor families join anatomy students at ceremony honoring loved ones

My lede:

In front of her fellow first-year medical students, Natsai Nyakudarika spoke about the difficulty she had looking at the face of her anatomy class cadaver, a man named Gerald.

“I can’t look at Gerald’s face,” she said. “I’m afraid that I will see in it the face of everyone I’ve loved who has died.”

Nyakudarika was among several students at Northwestern University’s Feinberg School of Medicine in Chicago who talked about their experiences with dissection as part of the school’s closing ceremony for its anatomy class.

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New York bill seeks physician dress code to cut infections

My lede:

New York physicians may have to take off their neckties, jewelry, wristwatches and long-sleeved white coats when caring for patients if a bill under consideration in the state Legislature becomes law.

The bill, proposed in April in the state Senate, calls for a “hygienic dress code council” within the New York Health Dept. to consider advancing a ban on neckties and requiring physicians and other health professionals to adopt a “bare below the elbow” dress code in an effort to slash hospital-acquired infections.

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Doctors failed to inquire about Gitmo detainees’ injuries

My lede:

Physicians and other health professionals at Guantanamo Bay failed to properly document and report evidence “highly consistent” with detainee allegations of torture, says a case review of nine detainees’ medical records published in the April issue of PLoS Medicine.

Three of the detainees had documented physical injuries that were highly consistent with their allegations of abuse, including contusions, bone fractures, lacerations and peripheral nerve damage, said the study, written by two experts on the evidence of torture. The reviewers were hired as medical consultants by attorneys for some of the detainees.

The detainees said they were exposed to interrogation techniques such as sleep deprivation, extreme temperatures, stress positions, beatings, forced nudity, prolonged isolation and sexual molestation — all recognized as torture by the United Nations Convention Against Torture as well as the U.S. government before 2002.

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Seeking sunshine in Wisconsin

I wrote an op-ed on the lack of disclosure on Wisconsin school district websites that was published today by the Milwaukee Journal Sentinel. I drafted the essay on behalf of Sunshine Review, a pro-transparency group.

My lede:

When it comes to transparency, Wisconsin school districts are like the kids who spent all night playing video games and the next morning pray that their teachers won’t call on them in class. They are falling behind, offering few of the answers that parents and taxpayers deserve.

Wisconsin’s 442 school districts have earned an overall grade of D on disclosure, according to an analysis conducted by Sunshine Review. The analysis tests the information publicly available on district websites against a 10-point transparency checklist in areas ranging from budgets to criminal background checks on employees.

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Coalition pushes for safe injection practices

My lede:

More education and research and superior product designs are needed to end unsafe injection practices that have led to 30 infectious-disease outbreaks in the last 10 years, said a coalition of physicians, nurses, manufacturers and government officials.

In the last decade, more than 125,000 patients have been notified about potential exposure to infectious diseases such as hepatitis C due to reuse of syringes, according to the Safe Injection Practices Coalition, which was formed in 2008. Along with Premier, an alliance of more than 2,500 U.S. hospitals, the coalition co-sponsored an April 26 meeting in Washington, D.C., to discuss the problem.

“These are largely preventable medical errors — they are not so different from wrong-side surgery,” said Joseph Perz, DrPH, who leads the prevention team in the Division of Healthcare Quality Promotion at the Centers for Disease Control and Prevention, a member of the coalition.

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Quality of health news reporting found lacking

My lede:

Articles in the most-read American news outlets usually fail to adequately discuss the pros and cons of new medical treatments, tests, products and procedures, according to an analysis of nearly 1,500 health stories from the last five years.

The finding is based on reviews done by a panel of more than 30 physicians, scientists, public health researchers, medical journalists and other experts affiliated with the website HealthNewsReview.org, which marked its fifth anniversary in April. Less than 30% of stories explicitly discussed the cost of new treatments, and only about one-third adequately covered their benefits and harms or addressed the quality of the medical evidence offered in their support.

“On most days, on most stories, we’re giving a kid-in-the-candy-store view where we’re making everything look terrific without noting the downside or noting the price tag,” said Gary Schwitzer, a former TV news reporter and publisher of HealthNewsReview.org. “And we wonder why we have a confused health care consumer population?”

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Rx side effects causing more hospitalizations

My lede:

The number of hospitalizations due to medication side effects jumped by more than half between 2004 and 2008, says a federal report that heightened concerns about polypharmacy among an aging U.S. population.

Antibiotics, anti-cancer drugs, benzodiazepines, corticosteroids, insulin, and blood thinners and other cardiovascular drugs were among the leading causes of more than 2.7 million hospital stays and treat-and-release visits to emergency departments in 2008, said the Agency for Healthcare Research and Quality report, released in April.

Opiates such as codeine and morphine were a principal culprit, implicated in 121,200 hospital stays and 44,300 ED visits. The latest confirmation of problems associated with painkillers came as the Obama administration launched an inter- agency attack on opioid misuse that a White House report dubbed “America’s prescription drug abuse crisis.”

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Golden again

I’m pleased to report that the American Society of Healthcare Publication Editors recently honored two of my stories — “Katrina’s legacy: Moving beyond the storm” and “Katrina’s legacy: Rethinking disaster planning” — with the gold award in their best feature article series category.

I was afforded the opportunity to travel to New Orleans last year to do some first-hand reporting on how its recovery has progressed. I owe a debt to my editor, Damon Adams, for helping to make that happen. Click here for the slide show that ran online with the “Moving Beyond the Storm” story. And here’s a little music: