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An investigational drug reduces constipation among patients taking opioids for noncancer pain, according to two phase-III, industry-funded studies reported in the New England Journal of Medicine. The trials, conducted in the U.S. and Europe, together enrolled nearly 1400 adults who had been taking an oral opioid for noncancer pain for at least 4 weeks and […]
Read MoreHospitals and other healthcare organizations need to do a lot more than what they’re currently doing to guard against drug diverters and catch them before they harm patients and themselves. Federal health officials have sounded an alarm this week about a group of healthcare workers who are surely harming patients somewhere this very minute, engaging […]
Read MoreErrors slow productivity and frustrate everyone. So it’s tempting to chastise or quickly terminate employees who repeatedly make mistakes. But don’t be so quick with that trigger finger. Employees make slip-ups for different reasons—miscommunication, carelessness, lack of training, unfamiliarity with the process and more. Good management means finding out why mistakes occur. First, determine the […]
Read MoreAuthors: Clarke H et al., BMJ 2014 Feb 11; 348:g1251 A small but substantial percentage of opiate-naïve patients were still taking pain medications 90 days after major surgery. Annually, more than 200 million patients undergo major surgery worldwide. Many patients require treatment with opiates for moderate-to-severe postoperative pain; most quickly transition off of pain medications. […]
Read MoreAuthors: Paul R et al., Pediatrics 2014 May 1; 133:e1358 A quality improvement initiative resulted in sustained near-perfect adherence to guidelines. In a prospective cohort study, investigators compared adherence to Pediatric Advance Life Support (PALS) sepsis guidelines before and during a quality improvement intervention at a Boston pediatric hospital. The intervention included education, use of […]
Read MoreOnabotulinumtoxinA (Botox, Allergan Inc) continues to relieve migraine headache when given over the long term, according to a retrospective analysis of patients with chronic migraine treated for 9 treatment cycles, 12 weeks apart. “Doctors can now tell their patients that Botox is a safe and effective treatment for chronic migraine, with data now reported over […]
Read MoreA novel extended-release formulation of oxycodone and naloxone in a fixed 2:1 ratio (OXN, Purdue Pharma) may be useful as an abuse-deterrent formulation (ADF) option in the treatment of opioid-experienced patients with chronic low back pain. “Chronic low back pain is a huge public health problem,” Jerry A. Green, MD, from Purdue Pharma, LP, Stamford, […]
Read MoreAuthors: Clarke H et al., BMJ 2014 Feb 11; 348:g1251 A small but substantial percentage of opiate-naïve patients were still taking pain medications 90 days after major surgery. Annually, more than 200 million patients undergo major surgery worldwide. Many patients require treatment with opiates for moderate-to-severe postoperative pain; most quickly transition off of pain medications. […]
Read MoreErrors slow productivity and frustrate everyone. So it’s tempting to chastise or quickly terminate employees who repeatedly make mistakes. But don’t be so quick with that trigger finger. Employees make slip-ups for different reasons—miscommunication, carelessness, lack of training, unfamiliarity with the process and more. Good management means finding out why mistakes occur. First, determine the […]
Read MoreIt’s never easy for managers to confront an employee whose performance is slipping or who has begun making more mistakes. That’s why so many supervisors take a head-in-the-sand approach to slip-ups. One recent survey said only 31% of U.S. employees agreed with the statement that “My manager confronts poor performance.” Confrontation is necessary—for the employee […]
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