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Embargoed news from Annals of Internal Medicine

A new article suggests changes to compassionate release guidelines to address medical-related flaws, including the development of standardized guidelines and the assignment of advocates to help navigate the system. The authors propose palliative care for critically-ill prisoners awaiting decision on compassionate release or approval.

SourceAmerican College of Physicians·JournalAnnals of Internal Medicine·DateMay 31, 2011

CHEO Research Institute develops secure protocol for data disclosure

The CHEO Research Institute has developed a secure protocol to protect patient identity while facilitating the sharing of health data for public health purposes. The new system enables providers to report diseases to authorities without fear of retribution, promoting accurate disease control and outbreak detection.

SourceChildren's Hospital of Eastern Ontario Research Institute·JournalJournal of the American Medical Informatics Association·DateMay 17, 2011

Michigan's collaborative quality improvement program cuts costs, improves patient care

A collaborative quality improvement program between Blue Cross Blue Shield of Michigan and the University of Michigan Health System has improved safety and quality in several clinical areas, resulting in significant cost savings. The program achieved measurable drops in surgical complications, with a reduction of $20 million annually.

Computerized systems reduce psychiatric drug errors

Researchers at Johns Hopkins Medicine found that coupling electronic prescription drug ordering systems with computerized adverse event reporting dramatically reduced medication errors in a psychiatric unit from 27.89 to 3.43 per 1,000 patient days over four years. The system's integration of decision support and safety net tools furth...

SourceJohns Hopkins Medicine·JournalJournal of Psychiatric Practice·DateMar 21, 2011

Getting organized: Berkeley Lab study shows how breast cell communities organize into breast tissue

Researchers discovered that human mammary epithelial cells possess lineage-specific intrinsic abilities to self-organize into domains of lineage specificity, maintaining healthy bi-layered branching organization. The study provides insights into the coordination of stem cell differentiation and tissue architecture maintenance.

SourceDOE/Lawrence Berkeley National Laboratory·JournalProceedings of the National Academy of Sciences·DateMar 11, 2011

E-health must align with health care reform

A study in Canadian Medical Association Journal highlights the need for an e-health policy to guide the implementation of health information technologies. The policy should align with major strategic priorities, such as patient safety and chronic disease management, to promote electronic health record adoption and data exchange.

SourceCanadian Medical Association Journal·JournalCanadian Medical Association Journal·DateFeb 22, 2011

Montrealers are feeding fish Prozac

Research by Dr. Sébastien Sauvé and André Lajeunesse found that antidepressants accumulate in fish tissues, affecting brain activity and potentially causing long-term harm to the Saint Lawrence River's ecosystem. The study's findings highlight the need for further research into the impact of chemical pollution on aquatic organisms.

SourceUniversity of Montreal·JournalChemosphere·DateJan 21, 2011

Why we need better drug monitoring

A commentary highlights the shortcomings of Canada's current drug surveillance system, citing the off-label use of recombinant activated factor 7 (rFVIIa) as a case in point. The authors emphasize the need for improved collaboration between payers, insurers, and manufacturers to ensure safe monitoring of high-risk drugs.

SourceCanadian Medical Association Journal·JournalCanadian Medical Association Journal·DateJan 10, 2011

Detecting esophageal cancer with light

Researchers developed a device using angle-resolved low coherence interferometry to detect pre-cancerous cells in the esophagus lining. The technology holds promise for earlier detection and targeted biopsies, potentially improving treatment outcomes for esophageal cancer.

SourceDuke University·JournalGASTROENTEROLOGY·DateJan 4, 2011

Smarter systems help busy doctors remember

A new system using electronic health records significantly improves primary care physicians' performance and the health of patients with chronic conditions. The program boosts preventive care in vaccinations and cancer and osteoporosis screenings, increasing rates by up to 10 percentage points.

SourceNorthwestern University·JournalMedical Care·DateDec 21, 2010

Medical robotics to improve heart surgery

Researchers are developing a robotic system that combines real-time magnetic resonance imaging (MRI) with a highly flexible robotic device to perform cardiothoracic surgeries on beating hearts. This minimally invasive approach aims to increase precision and reduce trauma, leading to faster recovery times.

UTMB researchers find medical educational changes dramatically improves academic achievements

A comprehensive medical education reform significantly improves failure rates of the Step 1 licensing exam and increases graduation rates among underrepresented minority medical students. The integrated curriculum shows a nearly 70% decrease in failure rates and a 94% decrease in failure rates for African American students.

Phone-in doctoring fails to improve patient outcomes

A telephone call-in program designed to improve doctor-patient communication for heart failure patients failed to show improved patient outcomes, according to a Yale University study. The six-month study tested a telemonitoring system that allowed patients to send daily information about their condition to their doctor.

SourceYale University·JournalNew England Journal of Medicine·DateNov 16, 2010