martes, 30 de abril de 2024

Journal of Cannabis Research

https://jcannabisresearch.biomedcentral.com/

Journal of Medical Case Reports

https://jmedicalcasereports.biomedcentral.com/

Journal of Intensive Care

https://jintensivecare.biomedcentral.com/

Journal of Health, Population and Nutrition

https://jhpn.biomedcentral.com/

Prevalence of obesity and associated health risks in soldiers of the German Armed Forces

https://occup-med.biomedcentral.com/

Predictive value of a novel digital risk calculator to determine early patient outcomes after major surgery: a proof-of-concept pilot study

https://pssjournal.biomedcentral.com/

Acceptability and feasibility of FAMS-T1D mHealth intervention to optimize self- and social regulation for emerging adults with type 1 diabetes

https://pilotfeasibilitystudies.biomedcentral.com/

The future burden of type 2 diabetes in Belgium: a microsimulation model

https://pophealthmetrics.biomedcentral.com/

Substance Abuse Treatment, Prevention, and Policy

https://substanceabusepolicy.biomedcentral.com/

Bird flu virus has been spreading in US cows for months, RNA reveals Genomic analysis suggests that the outbreak probably began in December or January, but a shortage of data is hampering efforts to pin down the source.

https://www.nature.com/articles/d41586-024-01256-5

Inequity of genetic screening: DNA tests fail non-white families more often AuthorErin Digitale Published on April 18, 2024

https://scopeblog.stanford.edu/2024/04/18/genetic-testing-dna-racial-inequity-birth/

Prevalence of Homologous Recombination Deficiency Among Patients With Germline RAD51C/D Breast or Ovarian Cancer. Sara Torres-Esquius et al. JAMA Netw Open 2024 7(4) e247811

https://phgkb.cdc.gov/PHGKB/phgHome.action?action=update

Breast Cancer: Screening April 30, 2024

https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-screening

CDER’s Office of New Drugs 2023 Annual Report Now Available

https://www.fda.gov/media/178111/download?attachment=&utm_medium=email&utm_source=govdelivery

Democratic Lawmakers Advocate for Prompt Decontrol of Marijuana By Larry K. Houck —

https://www.thefdalawblog.com/2024/04/democratic-lawmakers-advocate-for-prompt-decontrol-of-marijuana/?utm_source=rss&utm_medium=rss&utm_campaign=democratic-lawmakers-advocate-for-prompt-decontrol-of-marijuana

Building support infrastructure so scientists can focus on research

https://www.fic.nih.gov/?utm_source=funding-news&utm_medium=email&utm_campaign=funding-news

E19 A Selective Approach to Safety Data Collection in Specific Late-Stage Pre-Approval or Post-Approval Clinical Trials

https://www.fda.gov/media/177957/download?attachment=&utm_medium=email&utm_source=govdelivery E19 A Selective Approach to Safety Data Collection in Specific Late-Stage Pre-Approval or Post-Approval Clinical Trials DECEMBER 2022 https://www.fda.gov/regulatory-information/search-fda-guidance-documents/e19-selective-approach-safety-data-collection-specific-late-stage-pre-approval-or-post-approval?utm_medium=email&utm_source=govdelivery CDER Center for Clinical Trial Innovation (C3TI) https://www.fda.gov/about-fda/center-drug-evaluation-and-research-cder/cder-center-clinical-trial-innovation-c3ti?utm_medium=email&utm_source=govdelivery

CDRH New - April 30, 2024

https://content.govdelivery.com/accounts/USFDA/bulletins/39995a3?reqfrom=share

Join us for the National Center on Substance Abuse and Child Welfare’s (NCSACW) upcoming webinar! Peer Support: A Path to Hope and Family Recovery Thursday, May 2, 2024, 1 – 2 p.m. ET

https://cffutures.zoom.us/webinar/register/WN_kvphAEWeRcqo7FzmkbhbTA?utm_source=SAMHSA&utm_campaign=16f250b8fe-EMAIL_CAMPAIGN_2024_04_17_12_19_COPY_01&utm_medium=email&utm_term=0_-ae0dea18ab-%5BLIST_EMAIL_ID%5D#/registration Join this webinar to learn how peer support specialists instill hope and illuminate a pathway to recovery for families affected by substance use and involved with child welfare services. Peer support specialists will offer details on what makes these powerful programs work and what you can do to start one in your community. Peer support programs play an integral role in an effective system of care for families. Goals of peer support programs include to: 1) expedite access to substance use services and treatment, 2) reduce obstacles to recovery, 3) support families to meet the requirements of their treatment and child welfare case plans, and 4) help families remain together. Attendees will learn how to implement the new Four-Module Toolkit for Peer and Recovery Support Programs for Families Affected by Substance Use and Involved with Child Welfare Services and Understand the benefits of peer support specialist programs to engage families in substance use and other services. Identify considerations to design a peer support specialist program. Identify strategies to hire and retain peer support specialists. Presenters: Hanh Dao, Dawnia R. Flonnoy, Semaj Newton, and Chelsea Schoetzow NCSACW is a national resource center providing information, expert consultation, training, and technical assistance to child welfare, dependency court, and substance use treatment professionals to improve the safety, permanency, well-being, and recovery outcomes for children, parents, and families.

Department of Commerce Announces New Actions to Implement President Biden’s Executive Order on AI Announcements include draft guidance documents, a draft plan for international standards, and a new measurement program opening for public comment. April 29, 2024

https://www.nist.gov/news-events/news/2024/04/department-commerce-announces-new-actions-implement-president-bidens

lunes, 29 de abril de 2024

Benefits and challenges of integrating nursing home residents into clinical trials

https://www.news-medical.net/news/20240429/Benefits-and-challenges-of-integrating-nursing-home-residents-into-clinical-trials.aspx

FDA approves tisotumab vedotin-tftv for recurrent or metastatic cervical cancer

https://www.fda.gov/drugs/resources-information-approved-drugs/fda-approves-tisotumab-vedotin-tftv-recurrent-or-metastatic-cervical-cancer

What’s New for Biologics

https://www.fda.gov/vaccines-blood-biologics/news-events-biologics/whats-new-biologics?utm_medium=email&utm_source=govdelivery

CDER Regulatory Science Newsletter

https://www.fda.gov/media/178175/download?attachment=&utm_medium=email&utm_source=govdelivery

FDA approves first drug for WHIM syndrome, a rare disorder that can lead to recurrent, life-threatening infections

https://www.fda.gov/drugs/news-events-human-drugs/fda-approves-first-drug-whim-syndrome-rare-disorder-can-lead-recurrent-life-threatening-infections?utm_medium=email&utm_source=govdelivery

Consideration of Enforcement Policies for Tests During a Section 564 Declared Emergency Draft Guidance for Industry and Food and Drug Administration Staff MAY 2024

https://www.fda.gov/regulatory-information/search-fda-guidance-documents/consideration-enforcement-policies-tests-during-section-564-declared-emergency?utm_medium=email&utm_source=govdelivery

Enforcement Policy for Certain In Vitro Diagnostic Devices for Immediate Public Health Response in the Absence of a Declaration under Section 564 Draft Guidance for Laboratory Manufacturers and Food and Drug Administration Staff MAY 2024

https://www.fda.gov/regulatory-information/search-fda-guidance-documents/enforcement-policy-certain-in-vitro-diagnostic-devices-immediate-public-health-response-absence?utm_medium=email&utm_source=govdelivery

Mental Health Client-Level Data (MH-CLD) 2022: Data on Clients Receiving Mental Health Treatment Services Through State Mental Health Agencies

https://store.samhsa.gov/product/mental-health-client-level-data-2022/pep24-07-017?utm_source=SAMHSA&utm_campaign=25be5d20b8-EMAIL_CAMPAIGN_2024_04_29_12_59&utm_medium=email&utm_term=0_-25be5d20b8-%5BLIST_EMAIL_ID%5D

Advisory Committees Give FDA Critical Advice and the Public a Voice

https://www.fda.gov/consumers/consumer-updates/advisory-committees-give-fda-critical-advice-and-public-voice?utm_medium=email&utm_source=govdelivery

Characteristics and Health Care Utilization of Patients With Housing Insecurity in the ED

https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2818101?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz--WFR0m6Ju91JFKcYfIfLxuYaH1_FaAAYLVUxE-t-mPpD5gOjsIioh3kr9XqZb1aDVSymSUWcUNP0y71b64TtWcvpDguQ&_hsmi=304722775&utm_content=304722775&utm_source=hs_email Housing insecurity prominent in one emergency department Last spring, more than 23,000 patients came through the emergency room and were screened for housing needs at Vanderbilt University Medical Center in Nashville, Tenn. One in every 20 were homeless or experiencing housing insecurity — critical information for providers to support follow-up care. A study published Friday in JAMA Network Open details the ER’s findings: Suicide was a top concern for patients dealing with housing insecurity or homelessness, who were also more likely to be uninsured and have multiple visits to the emergency room. Readers should take a grain of salt when trying to extrapolate from studies focused on a single hospital or clinic, like this one. The authors noted that since the VUMC emergency department is frequently full, diverting ambulances to other institutions, the data may underestimate the prevalence of housing insecurity for those using emergency medical services in the area. To learn more, the authors wrote, more hospitals can implement similar screenings.

AI is becoming the exclusive province of academic medicine. A new initiative aims to change that Casey Ross By Casey Ross April 29, 2024

https://www.statnews.com/2024/04/29/health-ai-partnership-practice-network-duke-university/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-_MfrqVoVFQZqHxzILwQtKomnECMWzrh9NVVj0yxmS5m5AbO8eo1xzeISXQ9HcbIZfZD9Sm_zdECpXsscEp6zWkPCyEXA&_hsmi=304722775&utm_content=304722775&utm_source=hs_email In the small, desert town of Kingman, Ariz., there is little time for the local health clinic to support bureaucratic battles with insurers or keep up with administrative tasks. There’s also little money for artificial intelligence tools to handle some of those tasks, like richer academic hospitals with better data systems can. But that could change if the Kingman clinic becomes part of the Practice Network, a group that aims to help smaller providers implement AI tools in settings where adoption is often stymied by technical and financial challenges. Participants accepted to the program will spend a year working with experts to test AI tools and incorporate them into their software systems and work routines. And with eight rural hospital closures across the U.S. in 2023 and another 700 at risk due to financial distress, the stakes are high. Read more from STAT’s Casey Ross on what it takes to bring AI into rural clinics. https://www.statnews.com/2024/04/25/health-ai-large-language-models-clinical-documentation/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-9WBRz6Vu_Gx5LfJ52U8bVmWNOecUS4QmRTVI7tEF5B8QLlHZVziXoQU2LcNDiMKXmZ-Dd0qxfDbHjzAI0-AKpg3Z5fKw&_hsmi=304722775&utm_content=304722775&utm_source=hs_email

The Power of Quality

https://www.facs.org/quality-programs/the-power-of-quality/ Quality has been the cornerstone of the American College of Surgeons (ACS) since its founding 110 years ago. Through the Power of Quality Campaign, the ACS is on a mission to improve surgical quality and patient care across the country. We will expand the reach of ACS Quality Programs to more hospitals, enlist more surgeons in quality improvement efforts, encourage adoption of quality metrics into public policy, and help patients seek out hospitals committed to delivering the highest quality of care.

2024 National Strategy for Suicide Prevention

https://www.hhs.gov/programs/prevention-and-wellness/mental-health-substance-abuse/national-strategy-suicide-prevention/index.html?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz--tTYNJUxMCFaEWl-o8_SvS5cLbJw56s2o4DMjiv7PRzbhZ1UUATqtokQhqKvUEaxs5oqcx86iVjBXEnnenDNZwX3Nsuw&_hsmi=304722775&utm_content=304722775&utm_source=hs_email HHS releases a 10-year plan for suicide prevention The U.S. Department of Health and Human Services released a 10-year plan to address the country’s high suicide rate on Friday. Almost 50,000 people in the U.S. died by suicide in 2022. The report outlines goals to increase community-based suicide prevention measures, access to mental health care, and rigorous surveillance — all with a focus on health equity. “What’s exciting is that the plan takes a ‘whole of society’ approach,” Hannah Wesolowski, the chief advocacy officer at the National Alliance on Mental Illness, wrote in an email to STAT. The report includes a three-year plan with explicit action items for federal agencies. The Agency for Healthcare Research and Quality, for example, was directed to produce briefs on hospital and emergency department utilization for suicidal ideation, while the Department of Housing and Urban Development was tasked with providing mental health first aid trainings to 500 people who may work with those experiencing housing challenges. Those kinds of government directives were lacking in the last strategic report from HHS, issued in 2012. In 2021, the surgeon general released a call to action to fully implement 2012 goals that had still not yet been achieved. “A lot has changed in our society in that time,” Wesolowski wrote. “But now that we have the strategies outlined, we have to roll up our sleeves and do the work.” https://www.statnews.com/2024/04/26/crisis-centers-empath-units-er-alternative-for-mental-health/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-9T1ruza7qJiq050xV1eoONRLaQRmMBh_MWeeJ9GZsrSPQ5uNyK1QYRAP_20H8GTIy_eeb2Uwn44RnTzT_sh_TtUEaZBg&_hsmi=304722775&utm_content=304722775&utm_source=hs_email

There’s never a good time to drink raw milk. But now’s a really bad time as bird flu infects cows Helen Branswell By Helen Branswell April 29, 2024

https://www.statnews.com/2024/04/29/bird-flu-raw-milk-h5n1-risk-us-cattle/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-_y-FhL_7RBkV90IRMqmfUlI-6Ubyeua6JXWwr3ZMH5Q4KIRrp3_oCf3cINfQ5UaGgGAnNemcnMbaNpUIHNcoFDh6SP2Q&_hsmi=304722775&utm_content=304722775&utm_source=hs_email New federal rules aimed at limiting the spread of the H5N1 bird flu virus among dairy cattle go into effect today, but detailed guidance documents released Friday by the U.S. Department of Agriculture reveal its mandatory testing order is less stringent than initially described. While that eases concerns from farmers and veterinarians about the economic and logistical burden of testing, it leaves questions about how effective the program will be at containing additional outbreaks. The initial order last Wednesday required farms to ensure lactating dairy cows test negative before being moved across state lines. On Friday, USDA narrowed the scope, saying that farmers only have to test up to 30 animals in a given group. Read more from STAT’s Megan Molteni on whether experts think that will be enough to detect and contain more outbreaks. And as a reminder: The risk of infection from ingesting milk is believed to be very low because pasteurization should kill the virus. And while scientists generally warn against drinking raw milk, it may be even riskier to do so now, STAT’s Helen Branswell reports. Experts told her that if a raw-milk consumer inadvertently drank milk from infected cows, the results could be bad. Read more from Helen on the danger of raw milk as bird flu continues to spread among dairy cows. Cattle testing for H5N1 bird flu will be more limited than USDA initially announced Megan Molteni By Megan Molteni April 26, 2024 https://www.statnews.com/2024/04/26/h5n1-bird-flu-usda-cattle-testing-order-more-limited/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-9HB6VqJlC-jBGyb2RAtpUg3Gh2S6sKwHMagxry391o4R_opwKj5ce9w151C17MHt3fjrpGkjS62vF2ZF9El_E6Y6yu9g&_hsmi=304722775&utm_content=304722775&utm_source=hs_email

FDA Takes Action Aimed at Helping to Ensure the Safety and Effectiveness of Laboratory Developed Tests

https://www.fda.gov/news-events/press-announcements/fda-takes-action-aimed-helping-ensure-safety-and-effectiveness-laboratory-developed-tests?utm_medium=email&utm_source=govdelivery

Webinar - Final Rule: Medical Devices; Laboratory Developed Tests MAY 14, 2024

https://www.fda.gov/medical-devices/medical-devices-news-and-events/webinar-final-rule-medical-devices-laboratory-developed-tests-05142024?utm_medium=email&utm_source=govdelivery

Using AHRQ’s SOPS® Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association (Webcast)

Using AHRQ’s SOPS® Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association (Webcast): This webcast discussed Indiana Hospital Association’s experiences using the Surveys on Patient Safety Culture® (SOPS®) Hospital Survey and Workplace Safety Item Set. They shared their member organizations’ survey results, how SOPS resources were used, and their focus on initiatives to address workplace safety, including burnout. Recent research about the relationship between hospital workplace safety and patient safety culture, job satisfaction, and intent to leave was also shared.

Content and Format of Composition Statement and Corresponding Statement of Ingredients in Labeling in NDAs and ANDAs APRIL 2024

https://www.fda.gov/regulatory-information/search-fda-guidance-documents/content-and-format-composition-statement-and-corresponding-statement-ingredients-labeling-ndas-and

How physicians interpret information about prescription drugs in scientific publications vs. promotional pieces

https://www.fda.gov/drugs/regulatory-science-action/how-physicians-interpret-information-about-prescription-drugs-scientific-publications-vs-promotional

Fiscal Year 2024 Generic Drug Science and Research Initiatives Public Workshop MAY 20 - 21, 2024

https://www.fda.gov/drugs/news-events-human-drugs/fiscal-year-2024-generic-drug-science-and-research-initiatives-public-workshop-05202024?utm_medium=email&utm_source=govdelivery

domingo, 28 de abril de 2024

Beta-blockade in V-V ECMO Authors:Aravind K. Bommiasamy, Bishoy Zakhary and Ran Ran Content type:Matters Arising 25 April 2024

https://ccforum.biomedcentral.com/

Cost Effectiveness and Resource Allocation

https://resource-allocation.biomedcentral.com/

BMC Sports Science, Medicine and Rehabilitation

https://bmcsportsscimedrehabil.biomedcentral.com/

Mortality burden of cardiovascular disease attributable to ambient PM2.5 exposure in Portugal, 2011 to 2021 Authors:Mariana O. Corda, Periklis Charalampous, Juanita A. Haagsma, Ricardo Assunção and Carla Martins Content type:Research 27 April 2024

https://bmcpublichealth.biomedcentral.com/

Development and validation of impact of early integration of palliative care and oncology(IEI PCO) questionnaire: a survey for medical oncologists and nurses Authors:Abdulrahman Abdulaziz Abdullah, Wafaa Mostafa Abd-El-Gawad, Sobhi Mostafa AboSerea, Fatma AbdelShakor Ali and Saima Ali Content type:Research 26 April 2024

https://bmcpalliatcare.biomedcentral.com/

BMC Medical Research Methodology

https://bmcmedresmethodol.biomedcentral.com/

BMC Medical Informatics and Decision Making

https://bmcmedinformdecismak.biomedcentral.com/

BMC Infectious Diseases

https://bmcinfectdis.biomedcentral.com/

BMC Health Services Research

https://bmchealthservres.biomedcentral.com/

Factors associated with help-seeking by women facing intimate partner violence in India: findings from National Family Health Survey-5 (2019–2021) Authors:Rakhi Ghoshal, Priti Patil, Isha Sinha, Anita Gadgil, Priyansh Nathani, Nethra Jain, Premkumar Ramasubramani and Nobhojit Roy Content type:Research 17 April 2024

https://bmcglobalpublichealth.biomedcentral.com/

Time-dependent complexity characterisation of activity patterns in patients with Chronic Fatigue Syndrome Authors:Paloma Rabaey, Peter Decat, Stefan Heytens, Dirk Vogelaers, An Mariman and Thomas Demeester Content type:Research 2 April 2024

https://bpsmedicine.biomedcentral.com/

The cost-efficacy of a healthy food box for managing hypertension within a native American population: a group randomized controlled trial Authors:Austin Henderson, Robert Rosenman, Amber L. Fyfe-Johnson, Tori Taniguchi, Joy Standridge, Tyra Shackleford, Clemma J. Muller, Jason G Umans and Valarie Blue Bird Jernigan Content type:Research 26 April 2024

https://archpublichealth.biomedcentral.com/

Emergency airway management in the prone position: an observational mannequin-based simulation study Authors:Wesley Rajaleelan, Eugene Tuyishime, Eric Plitman, Zoe Unger, Lakshmi Venkataraghavan and Michael Dinsmore Content type:Research 6 April 2024

https://advancesinsimulation.biomedcentral.com/

Fluoroscopically calibrated 3D-printed patient-specific instruments improve the accuracy of osteotomy during bone tumor resection adjacent to joints Authors:Chen Wang, Siyi Huang, Yue Yu, Haijie Liang, Ruifeng Wang, Xiaodong Tang and Tao Ji Content type:Research 24 April 2024

https://threedmedprint.biomedcentral.com/

Optimizing spatio-temporal correlation structures for modeling food security in Africa: a simulation-based investigation Authors:Adusei Bofa and Temesgen Zewotir Content type:Research 27 April 2024

https://bmcbioinformatics.biomedcentral.com/

Journal of Biological Engineering

https://jbioleng.biomedcentral.com/

BMC Biomedical Engineering

https://bmcbiomedeng.biomedcentral.com/

BioMedical Engineering OnLine

https://biomedical-engineering-online.biomedcentral.com/

Journal of Pharmaceutical Health Care and Sciences

https://jphcs.biomedcentral.com/

BMC Pharmacology and Toxicology

https://bmcpharmacoltoxicol.biomedcentral.com/

Systematic reanalysis of genomic data by diagnostic laboratories: a scoping review of ethical, economic, legal and (psycho)social implications. Marije A van der Geest et al. Eur J Hum Genet 2024 3 (Posted Mar 18, 2024 9AM)

https://phgkb.cdc.gov/PHGKB/specificPHGKB.action?topic=economic&query=home

Pathogenesis and transmission assessment of three swine-origin influenza A(H3N2) viruses with zoonotic risk to humans isolated in the U.S from 2017-2020

https://phgkb.cdc.gov/PHGKB/cdcPubFinder.action?Mysubmit=update

Application of machine learning for lung cancer survival prognostication-A systematic review and meta-analysis. Alexander J Didier et al. Front Artif Intell 2024 71365777

https://phgkb.cdc.gov/PHGKB/translationClip.action?action=nonGhome

The pandemic cost 7 million lives, but talks to prevent a repeat stall Sellers FS. Post, Apr 21, 2024.

https://phgkb.cdc.gov/PHGKB/amdClip.action?action=home

Stigma associated with genetic testing for rare diseases-causes and recommendations. Gareth Baynam et al. Front Genet 2024 151335768

https://phgkb.cdc.gov/PHGKB/translationClip.action?action=home

sábado, 27 de abril de 2024

Conference MDAngle: AUA 2024 Metastatic Prostate Cancer

https://www.medscape.com/viewarticle/1000486?src= AUA 2024: Awaiting New Data in the Treatment of Metastatic Prostate Cancer https://www.medscape.com/viewarticle/1000487?src=

Oregon Physician Assistants Get Name Change Jennifer Nelson April 26, 2024

https://www.medscape.com/viewarticle/oregon-physician-assistants-get-name-change-2024a100084h

FTC Chief Says Tech Advancements Risk Health Care Price Fixing By Julie Rovner and David Hilzenrath APRIL 23, 2024

https://kffhealthnews.org/news/article/ftc-lina-khan-price-fixing-noncompete-mergers/?utm_campaign=KFF-This-Week&utm_medium=email&_hsenc=p2ANqtz-85cn8YssSzWujMrJih9ku2BRl2-gcwP2o3m-NHiL2P6qVW5Z67uTOcz9AXBNRkwMsleTNs7LCG_BaLSANNZCojYCr05Q&_hsmi=304508415&utm_content=304508415&utm_source=hs_email Technological advances including the widespread use of algorithms make it easier for companies to fix prices without explicitly coordinating, Lina Khan said at a KFF event.

With Current Staffing Levels, About 1 in 5 Nursing Facilities Would Meet Fully-Implemented Minimum Staffing Standards in the Final Rule Priya Chidambaram, Alice Burns, Tricia Neuman, and Robin Rudowitz Published: Apr 22, 2024

https://www.kff.org/policy-watch/nursing-facilities-staffing-levels-standards-final-rule/?utm_campaign=KFF-This-Week&utm_medium=email&_hsenc=p2ANqtz--_UkB0o3HlIJByH4L3MkQeBO96RgiwVqOFQmByMPA3Xr3OhJYk7a4Pn6nYOISG5bvCFhP1fob2msvQdh24CrJqqtsJlQ&_hsmi=304508415&utm_content=304508415&utm_source=hs_email We looked at the most recently-available data to examine the percentage of nursing facilities that currently meet the minimum staffing requirements in the final rule. Also, check out the KFF Health News' story covering the latest developments related to the nursing home staffing mandates.

A New Use for Wegovy Opens the Door to Medicare Coverage for Millions of People with Obesity Juliette Cubanski, Tricia Neuman, Nolan Sroczynski, and Anthony Damico Published: Apr 24, 2024

https://www.kff.org/medicare/issue-brief/a-new-use-for-wegovy-opens-the-door-to-medicare-coverage-for-millions-of-people-with-obesity/?utm_campaign=KFF-This-Week&utm_medium=email&_hsenc=p2ANqtz-8Puw-q6--aErh_NrkEFWehNxEXpsvVuqqHZrbI7PKlXI9CCpmaVDWVlV46YbI7Iv9sGwe1tlwEuQRqv3RYGPlw-Uuyww&_hsmi=304508415&utm_content=304508415&utm_source=hs_email The FDA recently approved a new use for Wegovy, the anti-obesity drug, to reduce the risk of heart attack and stroke in people with cardiovascular disease who are overweight or obese - a decision that opens the door to Medicare coverage of Wegovy, which is prohibited by law from covering drugs used for obesity. In a new analysis, we examine how many Medicare beneficiaries could be eligible for the new use of Wegovy and the potential impact on Medicare spending.

Forward or Backward on the Uninsured? Drew Altman Published: Apr 25, 2024

https://www.kff.org/from-drew-altman/forward-or-backward-on-the-uninsured/?utm_campaign=KFF-This-Week&utm_medium=email&_hsenc=p2ANqtz--yQx14DjUKUd82VQk6ACyMPuRJN8Nw1OqXwVhImTLlWl1mGxIDjzRDQub0lf9AvPN7zJaEJ__4YJRqp8gEKEJbUatSeQ&_hsmi=304508415&utm_content=304508415&utm_source=hs_email Forward or Backward on the Uninsured? In his latest column, KFF President and CEO Drew Altman looks back at the remarkable progress made in expanding coverage for the uninsured and what it could mean politically for today’s remaining uninsured—a population that has had little clout historically and will command even less attention now.

California Is Investing $500M in Therapy Apps for Youth. Advocates Fear It Won’t Pay Off. By Molly Castle Work UPDATED APRIL 26, 2024 ORIGINALLY PUBLISHED APRIL 26, 2024California Is Investing $500M in Therapy Apps for Youth. Advocates Fear It Won’t Pay Off. By Molly Castle Work UPDATED APRIL 26, 2024 ORIGINALLY PUBLISHED APRIL 26, 2024

https://kffhealthnews.org/news/article/california-youth-teletherapy-apps-rollout-slow/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-9SMA7I5U3SjMSu1fZqQGwso6xxQvXIixAIXXFbwH9QI5VnTDzFod3zMKz8fee5sT1iZNGgfuD_UPe0Yu7jrP5QpzTRmA&_hsmi=304527588&utm_content=304527588&utm_source=hs_email California launched two teletherapy apps as part of the governor’s $500 million foray into health technology with private companies. But the rollout has been so slow that one company has yet to make its app available on Android, and social workers worry youths who need clinical care won’t get referrals.

Mandatory Reporting Laws Meant To Protect Children Get Another Look By Kristin Jones APRIL 25, 2024

https://kffhealthnews.org/news/article/child-abuse-mandatory-reporting-laws-colorado/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-_EW4vgB9r3qGtwxFIF5IojIviWrN3xvQDpbqnN_jbvPw9tnjTKPLhd5g2ip_QqeO0vZM3aOL9LvWt662c24e5PH5L7sg&_hsmi=304527588&utm_content=304527588&utm_source=hs_email Colorado is looking at ways to weed out false reporting of child abuse and neglect as the number of reports reaches a record high.

California Legislators Debate Froot Loops and Free Condoms By Don Thompson APRIL 23, 2024

https://kffhealthnews.org/news/article/california-legislators-debate-froot-loops-free-condoms-bill-roundup/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-9d780ZFymj4UaxbaWpt59c4IFuZf_jFWsrlTQdP9eo2JeK8pfbB4LjcJRzo_j5rqc1L34PHd-qMandeTOwqdzvKo4hsw&_hsmi=304527588&utm_content=304527588&utm_source=hs_email California state lawmakers this year are continuing their progressive tilt on health policy, debating bills banning an ingredient in Froot Loops and offering free condoms for high schoolers.

Tire Toxicity Faces Fresh Scrutiny After Salmon Die-Offs By Jim Robbins APRIL 24, 2024

https://kffhealthnews.org/news/article/tire-toxicity-salmon-die-offs-research-6ppd/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz--1utqNY8NcT5AAPVxkXABYIRmBUmXSCDQSKRf_IXR4ZftWeqMz_5it8bKuaFZb_2TooMWTaaQwBww3BArwno4dnPk3NA&_hsmi=304527588&utm_content=304527588&utm_source=hs_email Tires emit huge volumes of particles and chemicals as they roll along the highway, and researchers are only beginning to understand the threat. One byproduct of tire use, 6PPD-q, is in regulators’ crosshairs after it was found to be killing fish.

Rural Jails Turn to Community Health Workers To Help the Newly Released Succeed By Lillian Mongeau Hughes APRIL 22, 2024

https://kffhealthnews.org/news/article/utah-rural-jails-community-health-workers-prevent-recidivism/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-_o9AiGQ9Ul1MglOqX3IHtiD2XIRZwJ-pa14wxc_WbAxUocR-iOdqd9_9zGfebhPl3CblNzQCdFoEI3qy9HdBguh_MRKg&_hsmi=304527588&utm_content=304527588&utm_source=hs_email To reduce recidivism, some rural counties are hiring community health workers or peer support specialists to connect people leaving custody to mental health resources, substance use treatment, medical services, and jobs.

Genetics Studies Have a Diversity Problem That Researchers Struggle To Fix By Lauren Sausser APRIL 25, 2024

https://kffhealthnews.org/news/article/genetics-research-diversity-conundrum-black-participation-south-carolina/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-_GgqLat6QVrqtafjsY0Zfophv1QwDPq4x8sRS5quuBZauGguIL9VMWe320pN_tYyR7uk3Zh3SLm1eZq9Vm34U2_l6j0A&_hsmi=304527588&utm_content=304527588&utm_source=hs_email Researchers in Charleston, South Carolina, are trying to build a DNA database of 100,000 people to better understand how genetics affects health risks. But they’re struggling to recruit enough Black participants.

FTC Chief Says Tech Advancements Risk Health Care Price Fixing By Julie Rovner and David Hilzenrath APRIL 23, 2024

https://kffhealthnews.org/news/article/ftc-lina-khan-price-fixing-noncompete-mergers/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-9Q2aG0AhfeWvs6EVmc0PrIKHTG8VKkqm8Lj7jGqdni_YxsuY7MTpH7FSjfJEKJpC_Bthko8l2oBu4dU7fw_NMIPpCIww&_hsmi=304527588&utm_content=304527588&utm_source=hs_email Technological advances including the widespread use of algorithms make it easier for companies to fix prices without explicitly coordinating, Lina Khan said at a KFF event.

Abortion — Again — At the Supreme Court EPISODE 344 APRIL 24, 2024

https://kffhealthnews.org/news/podcast/what-the-health-344-abortion-supreme-court-april-25-2024/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-85Rta_FfTAJZa_PSWzu1aupnyRIE6OuFsr961p2U8VJ5mYllguze3_-QFrj7iwyEmP9P7eIaEHWgar75YD1GWCwGSNXQ&_hsmi=304527588&utm_content=304527588&utm_source=hs_email For the second time in as many months, the Supreme Court heard arguments in an abortion case. This time, the justices are being asked to decide whether a federal law that requires emergency care in hospitals can trump Idaho’s near-total abortion ban. Meanwhile, the federal government, for the first time, will require minimum staffing standards for nursing homes. Alice Miranda Ollstein of Politico, Tami Luhby of CNN, and Joanne Kenen of Johns Hopkins University and Politico Magazine join KFF Health News’ Julie Rovner to discuss these stories and more. Plus, for “extra credit,” the panelists suggest health policy stories they read this week they think you should read, too.

Journalists Take Stock of Opioid Settlement Payouts and Concierge Care Trend APRIL 20, 2024

https://kffhealthnews.org/news/article/kff-health-news-on-the-air-this-week-april-20-2024-opioid-settlements-concierge-care/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-9OrMTwPyFm9KQlmSd7UJ2BCoj6kFLwSxTApgx0q8ntNwfiYByJPtr4ZVS-ZOmFAUEJk3aj32TpSHwNfuhXHOfqqwNKJg&_hsmi=304527588&utm_content=304527588&utm_source=hs_email KFF Health News staff made the rounds on state and local media in recent weeks to discuss stories they and their colleagues reported. Here’s a collection of their appearances.

Biden Administration Sets Higher Staffing Mandates. Most Nursing Homes Don’t Meet Them. By Jordan Rau UPDATED APRIL 24, 2024 ORIGINALLY PUBLISHED APRIL 22, 2024

https://kffhealthnews.org/news/article/nursing-home-staffing-federal-mandates-biden-cms/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-9_9HKgnLuHCkltK_BZm3vXApF4b7bkWWHbqPdUPibSVvdmaVE1A5Nlh3MmiwBAf2BgcPPB518eN5kKI-tR9MCcAJF5yQ&_hsmi=304527588&utm_content=304527588&utm_source=hs_email The staffing regulation was disparaged by the industry as unattainable. Patient advocates say it doesn’t go far enough. Labor unions welcomed the requirement.

Unsheltered People Are Losing Medicaid in Redetermination Mix-Ups By Aaron Bolton, MTPR APRIL 23, 2024

https://kffhealthnews.org/news/article/unsheltered-people-losing-medicaid-redetermination-paperwork/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz-_8xSK6xSh2XyeXY5CnqTXfYOJ90YpUTTCTg36IUqQktXYe9rwKEilxA-EG4RanJIEDGKGfbBDSPWjA5mzjxuQ6YXZ7sw&_hsmi=304527588&utm_content=304527588&utm_source=hs_email Some of the nearly 130,000 Montanans who have lost Medicaid coverage as the state reevaluates eligibility are homeless. That’s in part because Montana kicked more than 80,000 people off the program for technical reasons rather than income ineligibility. For unhoused people who were disenrolled, getting back on Medicaid can be extraordinarily difficult.

Millions Were Booted From Medicaid. The Insurers That Run It Gained Medicaid Revenue Anyway. By Phil Galewitz APRIL 26, 2024

https://kffhealthnews.org/news/article/medicaid-unwinding-insurer-revenue/?utm_campaign=KHN%20-%20Weekly%20Edition&utm_medium=email&_hsenc=p2ANqtz---410hh7rBOTshy-yWsywO44yf12m7Ft5_HT0l9wqkApRME5a9pD70ihlrb1uc7Z-fSC_0RppUcFOXqhfTgRqGA1cPVQ&_hsmi=304527588&utm_content=304527588&utm_source=hs_email Big health insurers that have contracts with state Medicaid programs find themselves making more money even as enrollment in Medicaid programs has dropped. Here’s why.

A Milestone in Facilitating the Development of Safe and Effective Biosimilars

https://www.fda.gov/news-events/fda-voices/milestone-facilitating-development-safe-and-effective-biosimilars?utm_medium=email&utm_source=govdelivery

What’s New for Biologics

https://www.fda.gov/vaccines-blood-biologics/news-events-biologics/whats-new-biologics?utm_medium=email&utm_source=govdelivery

viernes, 26 de abril de 2024

Did California's pediatric COVID-19 vaccination program reduce reported cases and hospitalizations?

https://www.news-medical.net/news/20240426/Did-Californias-pediatric-COVID-19-vaccination-program-reduce-reported-cases-and-hospitalizations.aspx

WHO data reveals extensive antibiotic overuse during COVID-19 pandemic

https://www.news-medical.net/news/20240426/WHO-data-reveals-extensive-antibiotic-overuse-during-COVID-19-pandemic.aspx

WHO and Government of France host high-level meeting to combat meningitis

https://www.news-medical.net/news/20240426/WHO-and-Government-of-France-host-high-level-meeting-to-combat-meningitis.aspx

AI in healthcare shows promise in trials but needs real-world testing to ensure effectiveness

https://www.news-medical.net/news/20240425/AI-in-healthcare-shows-promise-in-trials-but-needs-real-world-testing-to-ensure-effectiveness.aspx

First Nations Patients Often Leave ED Before Completing Care Carolyn Crist April 26, 2024

https://www.medscape.com/viewarticle/first-nations-patients-often-leave-ed-before-completing-care-2024a100086z?src=

‘I felt like I was dying’: How women with postpartum depression fall through the cracks of U.S. health care By Katharine Gammon

https://www.statnews.com/2023/06/26/i-felt-like-i-was-dying-how-women-with-postpartum-depression-fall-through-the-cracks-of-u-s-health-care/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-_N99j8NrC3DbpYk-ZbAhkLzx10y3kIFU62uvRgw41P8USfmoirAV1NnmlsceOss5ulHW4GXQ28nYEOuC7DP1G1Ib-6Qg&_hsmi=304405281&utm_content=304405281&utm_source=hs_email How the U.S. could take mental health care out of the E.R. If you’re having a heart attack, a hospital emergency room is a great place to be. But if you’re having a mental health emergency? “You’ve got to sit in this room, maybe they won’t give you water, maybe you’re not wearing clothes. It’s loud, it’s bright, there’s a lot of noise, there’s other sick people freaking out, and it’s just too much,” said one patient who lives in Cambridge, Mass. And standard hospital protocols often make patients feel like they lack agency, he added. The E.R. has become America’s default front door to psychiatric crisis care, despite rarely being designed or equipped to serve that role. But conditions across the country may be ripe for change. Advocates see the launch of 988 — like 911 but for mental health emergencies — as an opportunity to spotlight the massive unmet mental health need and build a system of care around it. Read more from STAT contributor Grace Rubenstein on the early initiatives to build these systems, in the sixth and final story in a series on the U.S. mental health system. Mental health crisis centers and EmPATH units: offering care that busy ERs can’t By Grace Rubenstein https://www.statnews.com/2024/04/26/crisis-centers-empath-units-er-alternative-for-mental-health/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-_lyTWayrpBQvHajnmhRzHuyZGlOtni70h9-I-4dEDQBHDUZP72Fm0f2lVi6qxzh6uuxQHTwNvGv_a-tTV_eGWzwEe4TA&_hsmi=304405281&utm_content=304405281&utm_source=hs_email

2024 National Strategy for Suicide Prevention

https://www.hhs.gov/programs/prevention-and-wellness/mental-health-substance-abuse/national-strategy-suicide-prevention/index.html

Early tests of H5N1 prevalence in milk suggest U.S. bird flu outbreak in cows is widespread Megan Molteni By Megan Molteni April 25, 2024

https://www.statnews.com/2024/04/25/h5n1-bird-flu-cows-outbreak-likely-widespread/?utm_campaign=breaking_news&utm_medium=email&_hsenc=p2ANqtz-9JISpOwdATJ4N23TbOxe6gaAKOWwfBWrddP4k2OKYG4FyVzXBJ_ZTtxGKLvtJfBEmL06sG0lz-u5DkmH_LTA5V6XXzIw&_hsmi=304349503&utm_content=304349503&utm_source=hs_email

Public Comment on Draft Research Plan: Use of Coronary Artery Calcium Scoring and Ankle Brachial Index for Enhanced Cardiovascular Disease Risk Assessment

https://www.uspreventiveservicestaskforce.org/uspstf/public-comments-and-nominations/opportunity-for-public-comment

In world first, Nigeria introduces new 5-in-1 vaccine against meningitis

https://www.who.int/news/item/12-04-2024-in-world-first--nigeria-introduces-new-5-in-1-vaccine-against-meningitis?utm_campaign=+60336940&utm_content=&utm_medium=email&utm_source=govdelivery&utm_term= To combat deadly meningitis outbreaks, Nigeria launched an effort to vaccinate one million people with a vaccine called Men5CV, which protects against five groups of the meningitis pathogen Neisseria meningitidis. The WHO recommended the vaccine for campaigns in the country, a part of “Africa’s meningitis belt,” based partly on positive interim results from a trial run by the NIAID-supported Infectious Diseases Clinical Research Consortium (IDCRC).

FDA’s Revised Draft Guidance on Biological Product Promotion Provides Additional Recommendations/Clarifications By Sarah Wicks & Dara Katcher Levy —

https://www.thefdalawblog.com/2024/04/fdas-revised-draft-guidance-on-biological-product-promotion-provides-additional-recommendations-clarifications/?utm_source=rss&utm_medium=rss&utm_campaign=fdas-revised-draft-guidance-on-biological-product-promotion-provides-additional-recommendations-clarifications On April 24, 2024, the FDA issued a revised draft guidance, Promotional Labeling and Advertising Considerations for Prescription Biological Reference Products, Biosimilar Products, and Interchangeable Biosimilar Products – Questions and Answers, (the “Revised Draft Guidance”) which replaces the Agency’s initial draft guidance issued in February 2020 (the “Initial Draft Guidance”). https://www.fda.gov/media/134862/download

Suicide Prevention in an Emergency Department Population: ED-SAFE April 24, 2024

https://psnet.ahrq.gov/innovation/suicide-prevention-emergency-department-population-ed-safe Brown University and Butler Hospital created the Emergency Department Safety Assessment and Follow-Up Evaluation (ED-SAFE) innovation to reduce suicidal behavior among patients who present to the ED with suicidal ideation. Following implementation of the ED-SAFE innovation, there was a significant difference in suicide attempts.

In Conversation with...Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges Katie Boston-Leary, PhD, MBA, MHA, RN, NEA-BC, CCT | April 24, 2024

https://psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce Editor’s note: Katie Boston-Leary, PhD, MBA, MHA, RN, NEA-BC, CCT, is the Director of Nursing Programs at the American Nurses Association and Adjunct Professor at the University of Maryland School of Nursing and the Frances Payne Bolton School of Nursing at Case Western Reserve University. We spoke to her about patient safety amid nursing workforce challenges.

Patient Safety Amid Nursing Workforce Challenges Katie Boston-Leary, PhD, MBA, MHA, RN, NEA-BC, Merton Lee, PharmD, PhD, Sarah E. Mossburg, RN, PhD | April 24, 2024

Patient Safety Amid Nursing Workforce Challenges Katie Boston-Leary, PhD, MBA, MHA, RN, NEA-BC, Merton Lee, PharmD, PhD, Sarah E. Mossburg, RN, PhD | April 24, 2024 https://psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges This Perspective essay and interview focuses on changes in the nursing workforce over recent years, including nursing shortages. #Patientsafety challenges may arise from these workforce challenges, but those challenges can also be mitigated.

Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture. David K. Barnes, MD, FACEP, Sahej Deep Singh Randhawa, MD, and Ellen P. Fitzpatrick, MD | April 24, 2024

Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower Leg Fracture. David K. Barnes, MD, FACEP, Sahej Deep Singh Randhawa, MD, and Ellen P. Fitzpatrick, MD | April 24, 2024 https://psnet.ahrq.gov/web-mm/under-pressure-delayed-diagnosis-compartment-syndrome-after-lower-leg-fracture This pair of WebM&M Case highlight the immediate and long-term consequences of delayed recognition of compartment syndrome, despite patients presenting with symptoms such as severe pain, numbness, and swelling in the affected limbs. The commentary discusses the importance of a multifactor assessment when compartment syndrome is suspected, effective processes for trainees and non-physician staff to escalate concerns to attending physicians when compartment syndrome is suspected and improving post-discharge follow-up practices to identify patients requiring further evaluation.

Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents? Ron Ordona, DNP, FNP-BC, GS-C, WCC and Deb Bakerjian, PhD, APRN, FAANP, FGSA, FAAN | April 24, 2024

Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents? Ron Ordona, DNP, FNP-BC, GS-C, WCC and Deb Bakerjian, PhD, APRN, FAANP, FGSA, FAAN | April 24, 2024 https://psnet.ahrq.gov/web-mm/managing-care-challenges-group-home-setting-staffing-adequate-unplanned-incidents In this WebM&M Case, an elderly patient residing in a group care home, requiring assistance with all activities and having a history of autism-spectrum disorder, experiences fecal leakage issues despite daily medication. During a weekend shift with reduced staffing, a certified nursing assistant (CNA) discovers the patient soiled in bed, necessitating a shower. While attempting to assist the patient, another bowel accident occurs, leading to a fall and head injury when the CNA calls for help. With limited staff available, the patient is eventually taken to the hospital for suturing and further evaluation, where it's determined she requires a higher level of care due to hazardous conditions in the bathroom. The commentary discusses the challenges in providing adequate care in group home settings, especially during weekends with reduced staffing levels.

Verbal Orders and Medication Overrides: A Dangerous Combination Catherine Mueller, PharmD, CPPS, Paul MacDowell, PharmD, BCPS, and James A. Bourgeois, OD, MD | April 24, 2024

Verbal Orders and Medication Overrides: A Dangerous Combination Catherine Mueller, PharmD, CPPS, Paul MacDowell, PharmD, BCPS, and James A. Bourgeois, OD, MD | April 24, 2024 https://psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination In this WebM&M Case, a 26-year-old man presented to the emergency department (ED) with abdominal pain, displaying tachycardia and extreme agitation. Despite negative findings on physical examination and laboratory tests, his aggressive behavior escalated, necessitating physical and chemical restraint for the safety of both himself and ED staff. The ED physician verbally ordered 10 mg of intramuscular haloperidol, but the primary nurse overrode the automated dispensing unit and mistakenly pulled a vial of midazolam 10 mg instead of haloperidol. Flumazenil was subsequently administered to reverse benzodiazepine toxicity, and the patient recovered without further complications. The commentary discusses best practices to promote safe medication administration in the context of verbal orders and medication overrides.

Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery Christian Bohringer, MBBS, Manuel Fierro, MD, and Sandhya Venugopal, MD | April 24, 2024Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery Christian Bohringer, MBBS, Manuel Fierro, MD, and Sandhya Venugopal, MD | April 24, 2024

Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery Christian Bohringer, MBBS, Manuel Fierro, MD, and Sandhya Venugopal, MD | April 24, 2024 https://psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery In this WebM&M Spotlight Case with CE/MOC, a 77-year-old man was admitted for coronary artery bypass graft surgery with aortic valve replacement. The operation went smoothly but the patient went into atrial fibrillation with hypotension during removal of the venous cannula. The patient was shocked at 10 Joules but did not convert to sinus rhythm; the surgeon requested 20 Joules synchronized cardioversion, after which the patient went into ventricular fibrillation and was immediately and successfully defibrillated with 20 Joules. While the patient was being transferred to his gurney, the operating room team noticed that electrocardiogram cable that enables synchronized cardioversion was only connected into the anesthesia monitor and was never connected to the patient’ defibrillator. The commentary discusses the risks of unsynchronized shocks or unsynchronized pacing, the role of standardized processes to ensure that operating room equipment is prepared and set-up correctly, and the importance of operating room team preparation to urgently address life threatening complications.

Peptides, proteins, and the risks of cardiac arrythmias: A CDER study suggests that the human Thorough QT study is not needed for products comprised of naturally occurring amino acids

https://www.fda.gov/drugs/regulatory-science-action/peptides-proteins-and-risks-cardiac-arrythmias-cder-study-suggests-human-thorough-qt-study-not

CDRH New - April 26, 2024

https://content.govdelivery.com/accounts/USFDA/bulletins/398de52?reqfrom=share

jueves, 25 de abril de 2024

Workforce and Patient Safety. April 24, 2024

https://psnet.ahrq.gov/issue/workforce-and-patient-safety

Global Medical Supply Chain Security. April 24, 2024

https://psnet.ahrq.gov/issue/global-medical-supply-chain-security

DOD Should Improve Its Process for Clinical Adverse Actions against Providers. April 24, 2024

https://psnet.ahrq.gov/issue/dod-should-improve-its-process-clinical-adverse-actions-against-providers

Why do nurses miss nursing care? A qualitative meta-synthesis. April 24, 2024

https://psnet.ahrq.gov/issue/why-do-nurses-miss-nursing-care-qualitative-meta-synthesis

Unveiling the hidden struggle of healthcare students as second victims through a systematic review. April 24, 2024

https://psnet.ahrq.gov/issue/unveiling-hidden-struggle-healthcare-students-second-victims-through-systematic-review

The use of positive deviance approach to improve health service delivery and quality of care: a scoping review. April 24, 2024

https://psnet.ahrq.gov/issue/use-positive-deviance-approach-improve-health-service-delivery-and-quality-care-scoping

Impact of short-notice accreditation assessments on hospitals' patient safety and quality culture--a scoping review. April 24, 2024

https://psnet.ahrq.gov/issue/impact-short-notice-accreditation-assessments-hospitals-patient-safety-and-quality-culture

The National Healthcare Safety Network's digital quality measures: CDC's automated measures for surveillance of patient safety. April 24, 2024

https://psnet.ahrq.gov/issue/national-healthcare-safety-networks-digital-quality-measures-cdcs-automated-measures

The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. April 24, 2024

https://psnet.ahrq.gov/issue/impact-adding-2-way-video-monitoring-system-falls-and-costs-high-risk-inpatients

Oncologist perceptions of racial disparity, racial anxiety, and unconscious bias in clinical interactions, treatment, and outcomes. April 24, 2024

https://psnet.ahrq.gov/issue/oncologist-perceptions-racial-disparity-racial-anxiety-and-unconscious-bias-clinical

Medication management strategies by community-dwelling older adults: a multisite qualitative analysis. April 24, 2024

https://psnet.ahrq.gov/issue/medication-management-strategies-community-dwelling-older-adults-multisite-qualitative

Enhancing implementation of the I-PASS handoff tool using a provider handoff task force at a Comprehensive Cancer Center. April 24, 2024

https://psnet.ahrq.gov/issue/enhancing-implementation-i-pass-handoff-tool-using-provider-handoff-task-force-comprehensive

Pay-for-performance and patient safety in acute care: a systematic review. April 24, 2024

https://psnet.ahrq.gov/issue/pay-performance-and-patient-safety-acute-care-systematic-review Pay-for-performance and patient safety in acute care: a systematic review. Slawomirski L, Hensher M, Campbell JL, et al. Health Policy. 2024;143:105051. Pay-for-performance (P4P) policies and programs (such as the Hospital-Acquired Condition [HAC] Reduction Program) intend to incentivize high-quality care and reduce medical errors. This systematic review including 53 articles explored the impact of P4P on the incidence of adverse events in acute care settings. The researchers found that half of the included studies did not identify improvements in adverse event rates after P4P, and that studies reporting improvements were of poor methodological quality.

Comparing hospital leadership and front-line workers' perceptions of patient safety culture: an unbalanced panel study. April 24, 2024

https://psnet.ahrq.gov/issue/comparing-hospital-leadership-and-front-line-workers-perceptions-patient-safety-culture Comparing hospital leadership and front-line workers' perceptions of patient safety culture: an unbalanced panel study. Forbes J, Arrieta A. BMJ Lead. 2024;Epub Apr 3. Front-line workers (e.g., nurses and physicians) and leaders frequently perceive the safety culture in their organization differently. This study uses data from AHRQ’s Hospital Survey on Patient Safety Culture (HSOPS) V.1.0 from 2008 - 2017 to compare leadership and front-line workers' perceptions of patient safety culture. With responses from 1,810 hospitals and more than 800,000 individuals identified as leaders or front-line workers, results show that leadership has a consistently more positive perception of patient safety culture, particularly on items related to managers.

Diagnostic error in mental health: a review. April 24, 2024

https://psnet.ahrq.gov/issue/diagnostic-error-mental-health-review Diagnostic error in mental health: a review. Bradford A, Meyer AND, Khan S, et al. BMJ Qual Saf. 2024;Epub Apr 4. Diagnostic errors in mental health disorders have not yet received the same attention as diagnostic errors in other care settings. This article describes diagnostic pitfalls for common mental health disorders including schizophrenia, anxiety, attention deficit hyperactivity (ADHD), autism spectrum, mood, and bipolar disorders. The authors urge parallel development of interventions to reduce misdiagnosis and estimating error rates.

Are Direct-to-Consumer Microbiome Tests Clinically Useful? Marilynn Larkin April 24, 2024

https://www.medscape.com/viewarticle/are-direct-consumer-microbiome-tests-clinically-useful-2024a10007yy

Federal Trade Commission Bans Noncompete Agreements, Urges More Protections for Healthcare Workers Steph Weber April 24, 2024

https://www.medscape.com/viewarticle/federal-trade-commission-bans-noncompete-agreements-urges-2024a10007y0

OMB Completes its Review of the Final LDT Rule—A Final Rule Coming Anytime Now By Allyson B. Mullen & Jeffrey N. Gibbs —

https://www.thefdalawblog.com/2024/04/omb-completes-its-review-of-the-final-ldt-rule-a-final-rule-coming-anytime-now/?utm_source=rss&utm_medium=rss&utm_campaign=omb-completes-its-review-of-the-final-ldt-rule-a-final-rule-coming-anytime-now

What are the Implications of the Dobbs Ruling for Racial Disparities? Latoya Hill, Samantha Artiga, Usha Ranji, Ivette Gomez, and Nambi Ndugga Published: Apr 24, 2024

https://www.kff.org/womens-health-policy/issue-brief/what-are-the-implications-of-the-dobbs-ruling-for-racial-disparities/?utm_campaign=KFF-Womens-Health-Policy&utm_medium=email&_hsenc=p2ANqtz-8aneiMh93yjzK0-73gt6W9PGV0u6AILE6X_r1uXD6Ca-7M9TsfVlxzJ5eVyyLiyjwYK0VHiIT8Y-f47JJygut_-n7LAQ&_hsmi=303999901&utm_content=303999901&utm_source=hs_email

A Practical Guide for Implementing the Digital Healthcare Equity Framework

https://digital.ahrq.gov/health-it-tools-and-resources/digital-healthcare-equity/digital-healthcare-equity-framework-and-guide Use of digital healthcare technologies – for clinicians and patients – is growing. To ensure these solutions benefit all patient groups, creators and users must be intentional about equity. To address this, the Agency for Healthcare Research and Quality (AHRQ) developed evidence- and consensus-based resources to help organizations intentionally consider equity in the development and use of digital healthcare technologies and solutions. The Practical Implementation Guide provides digital healthcare developers and vendors, healthcare systems, clinical providers, and payers an interactive checklist of steps and real-world examples for how to advance equity across all phases of the Digital Healthcare Lifecycle. Regardless of the size of an organization or the complexity of the solution this expert Guide can help. If you are interested in learning more about these resources, including the Evidence- and Consensus-Based Digital Healthcare Equity Framework which included an environmental scan, engagement of the technical expert panel (TEP), and reviews by internal and external advisors, visit the AHRQ Digital Healthcare Equity Framework project profile. DHEF Cover 2024 Access the guide

Correlation between NGS panel-based mutation results and clinical information in colorectal cancer patients. Bo Cheng et al. Heliyon 2024 10(7) e29299

https://phgkb.cdc.gov/PHGKB/translationClip.action?action=home

Uptake of Risk-Reducing Measures, Cascade Testing, and Related Challenges Among Carriers of Breast Cancer-Associated Germline Pathogenic Variants in Mexico. Fernanda Mesa-Chavez et al. JCO Glob Oncol 2024 10e2300417

https://phgkb.cdc.gov/PHGKB/phgHome.action?action=update

Listening to the Voice of the Patient: Using Multiple Feedback Methods to Complement CAHPS Survey Data

Listening to the Voice of the Patient: Using Multiple Feedback Methods to Complement CAHPS Survey Data: The webinar will discuss how patient experience professionals use multiple feedback methods to fully capture the patient voice. Speakers will describe how additional feedback methods complement CAHPS data, and how this integration of data sources informs their efforts to identify improvement areas and potential solutions. REMINDER: Register for May 8 Webcast — Listening to the Voice of the Patient: Using Multiple Feedback Methods to Complement CAHPS Survey Data Date: Wed., May 8, 2024 Time: 1-2 p.m. ET

Regulatory Education for Industry (REdI) Annual Conference 2024: Innovation in Medical Product Development MAY 29 - 30, 2024

https://www.fda.gov/drugs/news-events-human-drugs/regulatory-education-industry-redi-annual-conference-2024-innovation-medical-product-development?utm_medium=email&utm_source=govdelivery

FDA Approves New Treatment for Uncomplicated Urinary Tract Infections

https://www.fda.gov/news-events/press-announcements/fda-approves-new-treatment-uncomplicated-urinary-tract-infections?utm_medium=email&utm_source=govdelivery

OTP Town Hall: CMC Readiness for Gene Therapy BLAs JUNE 4, 2024

https://www.fda.gov/news-events/otp-town-hall-cmc-readiness-gene-therapy-blas-06042024?utm_medium=email&utm_source=govdelivery The FDA’s Center for Biologics Evaluation and Research (CBER) Office of Therapeutic Products (OTP) is hosting its next virtual town hall on Tuesday, June 4, 2024, to answer stakeholder questions regarding the chemistry, manufacturing, and controls (CMC) information submitted with biologics license applications (BLAs) for gene therapy products. Experts from OTP’s Office of Gene Therapy CMC will be on hand to answer questions.

FDA CBER Webinar: Considerations for the Development of CAR T Cell Products MARCH 7, 2024

https://www.fda.gov/news-events/otp-events-meetings-and-workshops/fda-cber-webinar-considerations-development-car-t-cell-products-03072024?utm_medium=email&utm_source=govdelivery View the recording for the FDA CBER Webinar on Considerations for the Development of CAR T Cell Products.

Promotional Labeling and Advertising Considerations for Prescription Biological Reference and Biosimilar Products Questions and Answers Guidance for Industry APRIL 2024

https://www.fda.gov/regulatory-information/search-fda-guidance-documents/promotional-labeling-and-advertising-considerations-prescription-biological-reference-and-biosimilar

CDRH New - April 25, 2024

https://content.govdelivery.com/accounts/USFDA/bulletins/398a17f?reqfrom=share

miércoles, 24 de abril de 2024

Evaluating an Electronic Consultation Platform to Support Pediatric Primary Care Providers in Caring for Transgender and Nonbinary Adolescents

https://pubmed.ncbi.nlm.nih.gov/37624647/

Development of a comprehensive survey to assess key socioecological determinants of health

Development of a comprehensive survey to assess key socioecological determinants of health https://pubmed.ncbi.nlm.nih.gov/38158309/

Treatments for ADHD in Children and Adolescents: A Systematic Review

https://pubmed.ncbi.nlm.nih.gov/38523592/

Care Partner Engagement in Secure Messaging Between Patients With Diabetes and Their Clinicians: Cohort Study

https://pubmed.ncbi.nlm.nih.gov/38335020/

Identifying and classifying diagnostic errors in acute care across hospitals: Early lessons from the Utility of Predictive Systems in Diagnostic Errors (UPSIDE) study

https://pubmed.ncbi.nlm.nih.gov/37211760/

Delirium Due to Potentially Avoidable Hospitalizations Among Older Adults

https://pubmed.ncbi.nlm.nih.gov/37940689/

The consequences of firm scope and scale on patient access to healthcare

https://pubmed.ncbi.nlm.nih.gov/37751289/

A multi-center validation of the electronic health record admission source and discharge location fields against the clinical notes for identifying inpatients with long-term care facility exposure

https://pubmed.ncbi.nlm.nih.gov/38634555/

Treat-and-Release Emergency Department Utilization and Costs for Traumatic and Nontraumatic Dental Conditions, 2019 and 2020

https://hcup-us.ahrq.gov/reports/statbriefs/sb305-dental-conditions-2019-2020.jsp

Engaging Family Caregivers With Structured Communication for Safe Care Transitions

Engaging Family Caregivers With Structured Communication for Safe Care Transitions: The Agency for Healthcare Research and Quality (AHRQ) Making Healthcare Safer (MHS) reports consolidate information for healthcare providers, health system administrators, researchers, and government agencies about practices that can improve patient safety across the healthcare system—from hospitals to primary care practices, long-term care facilities, and other healthcare settings.

Patient Safety Practices Focused on Sepsis Prediction and Recognition

Patient Safety Practices Focused on Sepsis Prediction and Recognition: The Agency for Healthcare Research and Quality (AHRQ) Making Healthcare Safer (MHS) reports consolidate information for healthcare providers, health system administrators, researchers, and government agencies about practices that can improve patient safety across the healthcare system — from hospitals to primary care practices, long-term care facilities, and other healthcare settings.

Prevention in Adults of Transmission of Infection With Multidrug-Resistant Organisms

Prevention in Adults of Transmission of Infection With Multidrug-Resistant Organisms: The Agency for Healthcare Research and Quality (AHRQ) Making Healthcare Safer (MHS) reports consolidate information for healthcare providers, health system administrators, researchers, and government agencies about practices that can improve patient safety across the healthcare system—from hospitals to primary care practices, long-term care facilities, and other healthcare settings.

Failure To Rescue – Rapid Response Systems

Failure To Rescue – Rapid Response Systems: The Agency for Healthcare Research and Quality (AHRQ) Making Healthcare Safer (MHS) reports consolidate information for healthcare providers, health system administrators, researchers, and government agencies about practices that can improve patient safety across the healthcare system—from hospitals to primary care practices, long-term care facilities, and other healthcare settings. In spring 2023, AHRQ launched its fourth iteration of the MHS Report (MHS IV).

Making Healthcare Safer IV

Making Healthcare Safer IV: AHRQ’s fourth iteration of Making Healthcare Safer intends to address this issue by publishing evidence-based reviews of patient safety practices and topics as they are completed. This intentional release of updated reviews will aid healthcare organization leaders in prioritizing implementation of evidence-based practices in a timelier way. The report also will help researchers identify where more research is needed in a timelier way and assist policymakers in understanding which patient safety practices have the supporting evidence for promotion.

National Action Alliance for Patient and Workforce Safety

National Action Alliance for Patient and Workforce Safety

Analyzing Big Datasets to Improve Healthcare Quality, Equity

Analyzing Big Datasets to Improve Healthcare Quality, Equity: Grantee Profile

Workplace Safety Supplemental Item Set for Hospital SOPS

Workplace Safety Supplemental Item Set for Hospital SOPS: The SOPS® Workplace Safety Supplemental Items for the Hospital Survey were developed and pilot tested for use with the core SOPS Hospital Survey to help hospitals assess the extent to which their organization’s culture supports workplace safety for providers and staff.

Hospital Survey on Patient Safety Culture

Hospital Survey on Patient Safety Culture: The Hospital SOPS asks providers and staff for their opinions about the culture of patient safety in their hospitals.

Using AHRQ’s SOPS® Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association (Webcast)

Using AHRQ’s SOPS® Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association (Webcast): This webcast discussed Indiana Hospital Association’s experiences using the Surveys on Patient Safety Culture® (SOPS®) Hospital Survey and Workplace Safety Item Set. They shared their member organizations’ survey results, how SOPS resources were used, and their focus on initiatives to address workplace safety, including burnout. Recent research about the relationship between hospital workplace safety and patient safety culture, job satisfaction, and intent to leave was also shared. May 23, 3:30 to 4:30 p.m. ET: Using AHRQ’s Surveys on Patient Safety Culture® Hospital Survey and Workplace Safety Item Set will highlight how the Indiana Hospital Association used AHRQ’s Surveys on Patient Safety Culture® (SOPS®) Hospital Survey and Workplace Safety Supplemental Item Set to assess patient safety culture and workplace safety.

Listening to the Voice of the Patient: Using Multiple Feedback Methods to Complement CAHPS Survey Data

Listening to the Voice of the Patient: Using Multiple Feedback Methods to Complement CAHPS Survey Data: The webinar will discuss how patient experience professionals use multiple feedback methods to fully capture the patient voice. Speakers will describe how additional feedback methods complement CAHPS data, and how this integration of data sources informs their efforts to identify improvement areas and potential solutions. May 8, 1 to 2 p.m. ET: Listening to the Voice of the Patient: Using Multiple Feedback Methods to Complement CAHPS Survey Data will highlight how patient experience professionals use multiple patient feedback methods to complement AHRQ’s Consumer Assessment of Healthcare Providers and Systems (CAHPS®) data.

Webinar Series: Strengthening Primary Care Research

Webinar Series: Strengthening Primary Care Research: This series of webinars focuses on how to strengthen AHRQ’s primary research. For recordings of the presentations and slides, reference the webinars. May 2, noon to 1:15 p.m. ET: Research Methods for Studying the Primary Care Workforce will feature three AHRQ grantees who developed methodologies to understand the optimal structure and composition of primary care teams and measure the impacts of adding nurse practitioners into primary care.v

Unmasking bias in artificial intelligence: a systematic review of bias detection and mitigation strategies in electronic health record-based models. April 17, 2024

https://psnet.ahrq.gov/issue/unmasking-bias-artificial-intelligence-systematic-review-bias-detection-and-mitigation

Impact of repeated reimbursement penalties on hospital total quality scores. April 17, 2024

https://psnet.ahrq.gov/issue/impact-repeated-reimbursement-penalties-hospital-total-quality-scores

Welcome to the Online HCUP Central Distributor

https://cdors.ahrq.gov/

HEALTHCARE COST AND UTILIZATION PROJECT (HCUP)

https://hcup-us.ahrq.gov/

Procedure Classes Refined for ICD-10-PCS, v2024.1 

https://hcup-us.ahrq.gov/toolssoftware/procedureicd10/procedure_icd10.jsp The Procedure Classes Refined for the ICD-10-PCS is one in a family of databases and software tools developed as part of the Healthcare Cost and Utilization Project (HCUP), a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality (AHRQ). HCUP databases, tools, and software inform decision making at the national, State, and community levels.

Surgery Flags Software for Services and Procedures, v2023.1

https://hcup-us.ahrq.gov/toolssoftware/surgeryflags_svcproc/surgeryflagssvc_proc.jsp The Surgery Flags Software for Services and Procedures is one in a family of databases and software tools developed as part of the Healthcare Cost and Utilization Project (HCUP), a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality (AHRQ). HCUP databases, tools, and software inform decision making at the national, State, and community levels.

Clinical Classifications Software for Services and Procedures, v2023.1

https://hcup-us.ahrq.gov/toolssoftware/ccs_svcsproc/ccssvcproc.jsp The Clinical Classifications Software for Services and Procedures (CCS-Services and Procedures) is one in a family of databases and software tools developed as part of the Healthcare Cost and Utilization Project (HCUP), a Federal-State-Industry partnership sponsored by the Agency for Healthcare Research and Quality. HCUP databases, tools, and software inform decision making at the national, State, and community levels.

Healthcare Delivery of Clinical Preventive Services for People with Disabilities

Healthcare Delivery of Clinical Preventive Services for People with Disabilities: The purpose of this systematic review was to document and summarize reported barriers and facilitators to the receipt of selected clinical preventive services among people with disabilities, and to identify and synthesize the literature on the effectiveness of interventions to improve the receipt of selected clinical preventive services among people with disabilities.

OSIS Workshop: CDER Inspections of Good Laboratory Practice and Bioavailability/Bioequivalence Study Sites JUNE 13, 2024

https://www.fda.gov/drugs/news-events-human-drugs/osis-workshop-cder-inspections-good-laboratory-practice-and-bioavailabilitybioequivalence-study

martes, 23 de abril de 2024

Clinical Pharmacology Guidances Advancing Drug Development and Regulatory Assessment | Role and Opportunities MAY 8 - 9, 2024

https://www.fda.gov/drugs/news-events-human-drugs/clinical-pharmacology-guidances-advancing-drug-development-and-regulatory-assessment-role-and?utm_medium=email&utm_source=govdelivery

Research explores how moms' obesity reprograms babies

https://www.news-medical.net/news/20240423/Researchers-Earn-2423-Million-Grant-To-Study-Generational-Cycle-Of-Maternal-Obesity-Liver-Disease.aspx

Study discovers hidden mechanism behind rapid COVID variants

https://www.news-medical.net/news/20240423/Study-discovers-hidden-mechanism-behind-rapid-COVID-variants.aspx

Female physicians may offer improved patient outcomes

https://www.news-medical.net/news/20240423/Female-physicians-may-offer-improved-patient-outcomes.aspx

New models improve heart disease risk prediction, especially for women

https://www.news-medical.net/news/20240423/New-models-improve-heart-disease-risk-prediction-especially-for-women.aspx

Rising costs fuel quit-smoking surge in England amid health advice dip

https://www.news-medical.net/news/20240423/Rising-costs-fuel-quit-smoking-surge-in-England-amid-health-advice-dip.aspx

Comparison of Hospital Mortality and Readmission Rates by Physician and Patient Sex

https://www.acpjournals.org/doi/10.7326/M23-3163?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-_30aDXNEtLbavuVKRV5OvjYdCyE6spguYnGsepq4vWt98xfe0vNhmQFU8nczLTcPccPKyW1ElTLbe_toHTZrL3PJfk3w&_hsmi=303866047&utm_content=303866047&utm_source=hs_email Female physicians deliver better results, especially for female patients A large new study published yesterday in Annals of Internal Medicine found that in a cohort of close to 800,000 Medicare patients, those who were treated by a female physician had lower mortality and readmission rates. While previous research has shown that patients see better outcomes with female physicians, here the improvement was especially significant for female patients, STAT’s Nalis Merelli tells us. “Generally speaking, miscommunication, misunderstanding, and bias are more likely to occur when those in the majority become advocates for the minority,” Atsushi Miyawaki, the study’s corresponding author, said in an email to STAT — like when a male physician treats a female patient. Male patients had similar mortality and readmission rates regardless of their physician’s gender, something that Miyawaki said should be subject to further investigation.

Trump surrogates hint at how he could reshape U.S. health care policy Sarah Owermohle By Sarah Owermohle April 23, 2024

https://www.statnews.com/2024/04/23/trump-health-care-policy/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-9XZnjOFw2yGEUbwAGBjD6HSHLtL9KvnPAL50u6Rk68kyKnn2PS6hsSN6qWYIm5mCJqPRkYiPCiM35adaej8QhyAXG7pA&_hsmi=303866047&utm_content=303866047&utm_source=hs_email

Shoring up the foundations of pathogen surveillance The Lancet Microbe

https://www.thelancet.com/journals/lanmic/issue/vol5no4/PIIS2666-5247(24)X0005-1

Reflections on Travel to Europe – Part Three

https://www.fda.gov/news-events/fda-voices/reflections-travel-europe-part-three?utm_medium=email&utm_source=govdelivery

National Center for Excellence in Primary Care Research

National Center for Excellence in Primary Care Research: AHRQ’s research to advance primary care infrastructure, delivery and outcomes. The National Center for Excellence in Primary Care Research (NCEPCR) is the intellectual home for primary care research at AHRQ. The NCEPCR is focused on the Nation's primary care system, providing evidence, practical tools, and other resources for researchers and evaluators, clinicians and clinical teams, quality improvement experts, and healthcare decision makers to improve the quality and safety of care. The NCEPCR is committed to listening to and learning from all members of the primary care community, including patients and families.

Webinar Series: Strengthening Primary Care Research May 2 Webinar

Webinar Series: Strengthening Primary Care Research: This series of webinars focuses on how to strengthen AHRQ’s primary research. For recordings of the presentations and slides, reference the webinars.

Advancing equity in medical device performance The Lancet Global Health

https://www.thelancet.com/journals/langlo/issue/vol12no5/PIIS2214-109X(24)X0005-4

With Current Staffing Levels, About 1 in 5 Nursing Facilities Would Meet Fully-Implemented Minimum Staffing Standards in the Final Rule Priya Chidambaram, Alice Burns, Tricia Neuman, and Robin Rudowitz Published: Apr 22, 2024

https://www.kff.org/policy-watch/nursing-facilities-staffing-levels-standards-final-rule/?utm_campaign=KFF-Medicaid&utm_medium=email&_hsenc=p2ANqtz--sJ4B-DWeeBeYSXstJh6zUhsXv1YtrRQcW4LRIaRrS34g6oQMb_bIRCYHf7bEKjsXy_B9kpYVWQJOBWnIgLrDvMXP2WQ&_hsmi=303858651&utm_content=303858651&utm_source=hs_email

Senators to DEA: Consider Treaty Obligations In Marijuana Rescheduling April 23, 2024 By Larry K. Houck —

https://www.thefdalawblog.com/2024/04/senators-to-dea-consider-treaty-obligations-in-marijuana-rescheduling/?utm_source=rss&utm_medium=rss&utm_campaign=senators-to-dea-consider-treaty-obligations-in-marijuana-rescheduling

2024 Compounding Quality Center of Excellence Annual Conference AUGUST 21 - 23, 2024 Learning and Collaborating: Driving Toward the Future of Quality

https://www.fda.gov/drugs/news-events-human-drugs/2024-compounding-quality-center-excellence-annual-conference-08212024

lunes, 22 de abril de 2024

Hospitals largely keep quiet on maternal care since Dobbs, STAT survey finds Olivia Goldhill By Olivia Goldhill April 22, 2024

https://www.statnews.com/2024/04/22/dobbs-decision-hospital-policy-changes-abortion-services/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz--oszl7Cdbg8NSL6yasKCQalN0pQfT1eWvBN_GfpCYKQxbrWMnBIRLr7Ik8G-DOmoWxw_kGA7f2t2PLiqbdwqVyhC0Cag&_hsmi=303669506&utm_content=303669506&utm_source=hs_email

Cost-effectiveness analysis of a multiplex lateral flow rapid diagnostic test for acute non-malarial febrile illness in rural Cambodia and Bangladesh

https://www.thelancet.com/journals/lansea/article/PIIS2772-3682(24)00039-8/fulltext?dgcid=hubspot_update_feature_updatealerts_lansea&utm_campaign=update-lansea&utm_medium=email&_hsenc=p2ANqtz-9dI2J8B72n_k3xGE8dfbDLbuajYJUOyhHzl7gvju8Bdz9h4MllUufwBhNxgExin83ABWTWlbrWMOOMMFz9MoRHf6I6sg&_hsmi=303656928&utm_content=303430634&utm_source=hs_email

Nurturing leaders for the future The Lancet Regional Health – Southeast Asia

https://www.thelancet.com/journals/lansea/issue/vol23nonull/PIIS2772-3682(24)X0004-9

Tuesday, 30 April UCL-Lancet Lecture 2024: Professor Linda Villarosa Under the Skin: Understanding the Toll of Race and Inequality on the Health of People.

https://www.eventbrite.co.uk/e/ucl-lancet-lecture-2024-professor-linda-villarosa-tickets-819149136117?aff=oddtdtcreator&utm_campaign=update-lanam&utm_medium=email&_hsenc=p2ANqtz-8bc2S0PtTKNg2V-rmS4C-XOPmWV6K579omH8tIDFB-G5fD-lUp4S5-vWIRlOkqeshejXoL3_TtWL40rvtEGRxS5NXxzg&_hsmi=303660449&utm_content=303431572&utm_source=hs_email

Corruption: possibly the biggest threat to health care The Lancet Regional Health – Americas

https://www.thelancet.com/journals/lanam/issue/vol32nonull/PIIS2667-193X(24)X0003-4

Reflections on Travel to Europe – Part Two

https://www.fda.gov/news-events/fda-voices/reflections-travel-europe-part-two?utm_medium=email&utm_source=govdelivery

Big data boosts wearable tech: New study enhances physical activity tracking

https://www.news-medical.net/news/20240421/Big-data-boosts-wearable-tech-New-study-enhances-physical-activity-tracking.aspx

Climate change predicted to spike cardiovascular deaths in China

https://www.news-medical.net/news/20240421/Climate-change-predicted-to-spike-cardiovascular-deaths-in-China.aspx

Public health efforts urged to reduce sodium in packaged foods

https://www.news-medical.net/news/20240422/Public-health-efforts-urged-to-reduce-sodium-in-packaged-foods.aspx

Using AHRQ’s SOPS® Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association (Webcast)

Using AHRQ’s SOPS® Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association (Webcast): This webcast discussed Indiana Hospital Association’s experiences using the Surveys on Patient Safety Culture® (SOPS®) Hospital Survey and Workplace Safety Item Set. They shared their member organizations’ survey results, how SOPS resources were used, and their focus on initiatives to address workplace safety, including burnout. Recent research about the relationship between hospital workplace safety and patient safety culture, job satisfaction, and intent to leave was also shared.

Join us for the National Center on Substance Abuse and Child Welfare’s (NCSACW) upcoming webinar! Peer Support: A Path to Hope and Family Recovery Thursday, May 2, 2024, 1 – 2 p.m. ET

https://cffutures.zoom.us/webinar/register/WN_kvphAEWeRcqo7FzmkbhbTA?utm_source=SAMHSA&utm_campaign=ae0dea18ab-EMAIL_CAMPAIGN_2024_04_17_12_19&utm_medium=email&utm_term=0_-ae0dea18ab-%5BLIST_EMAIL_ID%5D#/registration Join this webinar to learn how peer support specialists instill hope and illuminate a pathway to recovery for families affected by substance use and involved with child welfare services. Peer support specialists will offer details on what makes these powerful programs work and what you can do to start one in your community. Peer support programs play an integral role in an effective system of care for families. Goals of peer support programs include to: 1) expedite access to substance use services and treatment, 2) reduce obstacles to recovery, 3) support families to meet the requirements of their treatment and child welfare case plans, and 4) help families remain together. Attendees will learn how to implement the new Four-Module Toolkit for Peer and Recovery Support Programs for Families Affected by Substance Use and Involved with Child Welfare Services and Understand the benefits of peer support specialist programs to engage families in substance use and other services. Identify considerations to design a peer support specialist program. Identify strategies to hire and retain peer support specialists. Presenters: Hanh Dao, Dawnia R. Flonnoy, Semaj Newton, and Chelsea Schoetzow NCSACW is a national resource center providing information, expert consultation, training, and technical assistance to child welfare, dependency court, and substance use treatment professionals to improve the safety, permanency, well-being, and recovery outcomes for children, parents, and families.

Precision Medicine—Are We There Yet? A Narrative Review of Precision Medicine’s Applicability in Primary Care W Evans et al, JPM, April 15, 2024 (Posted Apr 15, 2024 2PM)

https://phgkb.cdc.gov/PHGKB/specificPHGKB.action?topic=pgx&query=home

Family cascade screening for equitable identification of familial hypercholesterolemia: study protocol for a hybrid effectiveness-implementation type III randomized controlled trial (Posted Apr 19, 2024 10AM)

https://phgkb.cdc.gov/PHGKB/specificPHGKB.action?topic=Implementation&query=home

Impact of Race, Socioeconomic Status, and Geography on Healthcare Outcomes for Children With Sickle Cell Disease in the United States: A Scoping Review (Posted Apr 19, 2024 10AM)

https://phgkb.cdc.gov/PHGKB/specificPHGKB.action?topic=equity&query=home

Many roads to a gene-environment interaction. Kenneth E Westerman et al. Am J Hum Genet 2024 4 (4) 626-635 (Posted Apr 10, 2024 8AM)

https://phgkb.cdc.gov/PHGKB/specificPHGKB.action?topic=environmental&query=home

Systematic reanalysis of genomic data by diagnostic laboratories: a scoping review of ethical, economic, legal and (psycho)social implications. Marije A van der Geest et al. Eur J Hum Genet 2024 3 (Posted Mar 18, 2024 9AM)

https://phgkb.cdc.gov/PHGKB/specificPHGKB.action?topic=economic&query=home

Development and Validation of an 18-Gene Urine Test for High-Grade Prostate Cancer

https://jamanetwork.com/journals/jamaoncology/fullarticle/2817657 From the article: "Can a new 18-gene urinary test for high-grade prostate cancer (ie, grade group [GG] 2 or greater) improve prostate-specific antigen (PSA) screening outcomes relative to existing biomarker tests? Findings: In this diagnostic study including 761 men in the development cohort and 743 men in the validation cohort, novel cancer-specific and high-grade cancer-specific genes were identified from RNA sequencing data and optimally modeled in a development cohort, yielding an 18-gene test for high-grade prostate cancer. Applying a testing approach with 95% sensitivity for high-grade prostate cancer to an external validation population, use of the 18-gene test would have reduced the number of unnecessary biopsies performed relative to current guideline-endorsed tests. Meaning: The new 18-gene prostate cancer test may reduce more burdensome additional testing (eg, imaging and biopsy) while maintaining highly sensitive detection of high-grade cancer in patients undergoing PSA screening. "

Microbiome-based therapeutics Published: April 8, 2024

https://www.thelancet.com/series/Microbiome-based-therapeutics The gut microbiome plays an important part in a number of gastrointestinal conditions, including Clostridioides difficile infection and inflammatory bowel disease. Interest in modulating the gut microbiome, through prebiotics, probiotics, and natural or artificial microbiota therapeutics, has increased markedly in the past decade. Although the field has developed rapidly, it has faced reproducibility issues and encountered safety and regulatory hurdles. This two-part Series explores the development and promise of artificial microbiome therapeutics, and the current and future perspectives for microbiota therapies for treating inflammatory bowel disease.

Genome-first evaluation with exome sequence and clinical data uncovers underdiagnosed genetic disorders in a large healthcare system

https://www.cell.com/cell-reports-medicine/fulltext/S2666-3791(24)00187-3 From the abstract: "Population-based genomic screening may help diagnose individuals with disease-risk variants. Here, we perform a genome-first evaluation for nine disorders in 29,039 participants with linked exome sequences and electronic health records (EHRs). We identify 614 individuals with 303 pathogenic/likely pathogenic or predicted loss-of-function (P/LP/LoF) variants, yielding 644 observations; 487 observations (76%) lack a corresponding clinical diagnosis in the EHR."

Utilization and Outcomes of Multigene Panel Testing in Patients With Pancreatic Ductal Adenocarcinoma. Derk C F Klatte et al. JCO Oncol Pract 2024 OP2300447

https://phgkb.cdc.gov/PHGKB/phgHome.action?action=update

“Heigh-ho” Taiho! The PTO Says LYTGOBI Patent is Ineligible for PTE Because of Untimely Application . . . And a Corrected NDA Approval Letter is No Saving Grace By Kurt R. Karst —

https://www.thefdalawblog.com/2024/04/heigh-ho-taiho-the-pto-says-lytgobi-patent-is-ineligible-for-pte-because-of-untimely-application-and-a-corrected-nda-approval-letter-is-no-saving-grace/?utm_source=rss&utm_medium=rss&utm_campaign=heigh-ho-taiho-the-pto-says-lytgobi-patent-is-ineligible-for-pte-because-of-untimely-application-and-a-corrected-nda-approval-letter-is-no-saving-grace

domingo, 21 de abril de 2024

Bad behavior in healthcare: an insidious threat to patients, staff, and organizations. April 17, 2024

https://psnet.ahrq.gov/issue/bad-behavior-healthcare-insidious-threat-patients-staff-and-organizations

Why talking is not cheap: adverse events and informal communication. April 17, 2024

https://psnet.ahrq.gov/issue/why-talking-not-cheap-adverse-events-and-informal-communication

An integrative systematic review of promoting patient safety within prehospital emergency medical services by paramedics: a role theory perspective. April 17, 2024

https://psnet.ahrq.gov/issue/integrative-systematic-review-promoting-patient-safety-within-prehospital-emergency-medical

Inattentional blindness in medicine. April 17, 2024

https://psnet.ahrq.gov/issue/inattentional-blindness-medicine

AHRQ EPC Program Grand Rounds - Making Healthcare Safer. April 17, 2024

Agency for Healthcare Research and Quality Evidence-based Practice Center and the Scientific Resource Center. April 29, 2024, 12:00-2:00 PM (eastern) https://psnet.ahrq.gov/issue/ahrq-epc-program-grand-rounds-making-healthcare-safer

Discharge from Mental Health Care: Making it Safe and Patient-centred. April 17, 2024

https://psnet.ahrq.gov/issue/discharge-mental-health-care-making-it-safe-and-patient-centred

Guardians of grafts: reducing medication errors in transplant recipients. April 17, 2024

https://psnet.ahrq.gov/issue/guardians-grafts-reducing-medication-errors-transplant-recipients

Hospice Handoffs May Lower Odds of Medicare Denials Lara Salahi April 19, 2024

https://www.medscape.com/viewarticle/hospice-handoffs-may-lower-odds-medicare-denials-2024a10007mm?src=

Abortions in First 12 Weeks Should Be Fully Legalised in Germany, Commission Says Friederike Heine April 15, 2024

https://www.medscape.com/s/viewarticle/abortions-first-12-weeks-should-be-fully-legalised-germany-2024a1000742?ecd=mkm_ret_240421_mscpmrk-OUS_ExcNews_etid6453683&uac=148436CN&impID=6453683

Clinical reasoning of a generative artificial intelligence model compared with physicians. April 17, 2024

https://psnet.ahrq.gov/issue/clinical-reasoning-generative-artificial-intelligence-model-compared-physicians

Associations between organizational communication and patients' experience of prolonged emotional impact following medical errors. April 17, 2024

https://psnet.ahrq.gov/issue/associations-between-organizational-communication-and-patients-experience-prolonged-emotional

An electronic trigger to detect telemedicine-related diagnostic errors. April 17, 2024

https://psnet.ahrq.gov/issue/electronic-trigger-detect-telemedicine-related-diagnostic-errors

"Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States. April 17, 2024

https://psnet.ahrq.gov/issue/black-women-should-not-die-giving-life-lived-experiences-black-women-diagnosed-severe "Black Women Should Not Die Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United States. Post W, Thomas AD, Sutton KM. Birth. 2024;Epub Apr 2. Structural racism and discrimination can impede safe maternal care. This qualitative study among Black women highlighted how their severe maternal morbidity (SMM) experiences relate to manifestations of racism through communication failures and stereotyping, differential treatment, and medical errors/near misses.

Unmasking bias in artificial intelligence: a systematic review of bias detection and mitigation strategies in electronic health record-based models. April 17, 2024

https://psnet.ahrq.gov/issue/unmasking-bias-artificial-intelligence-systematic-review-bias-detection-and-mitigation Unmasking bias in artificial intelligence: a systematic review of bias detection and mitigation strategies in electronic health record-based models. Chen F, Wang L, Hong J, et al. J Am Med Inform Assoc. 2024. When biased data are used for research, the results may reflect the same biases if appropriate precautions are not taken. In this systematic review, researchers describe possible types of bias (e.g., implicit, selection) that can result from research with artificial intelligence (AI) using electronic health record (EHR) data. Along with recommendations to reduce introducing bias into the data model, the authors stress the importance of standardized reporting of model development and real-world testing.

Impact of repeated reimbursement penalties on hospital total quality scores. April 17, 2024

https://psnet.ahrq.gov/issue/impact-repeated-reimbursement-penalties-hospital-total-quality-scores Impact of repeated reimbursement penalties on hospital total quality scores. Brewer A, Hughes MC, Patel KN. J Patient Saf. 2024;20(3):198-201. The Hospital-Acquired Condition (HAC) Reduction Program (HACRP) assesses penalties on hospitals with high rates of HAC. This study explores the impact of repeated HACRP penalties on hospital improvement and variation by hospital characteristics. When considering all hospitals, repeated HACRP penalties resulted in improved HAC scores. Hospitals with disproportionate shares of Medicare and Medicaid patients showed less improvement; the researchers note that the differential improvement may be due to resource limitations at hospitals serving vulnerable populations (i.e., Medicare and Medicaid patients).