October 1, 2014 |
Two new studies add to a mountain of evidence that the U.S. Food and Drug Administration has done a poor job of making sure medical devices are safe. The studies, in the current issue of JAMA Internal Medicine, are accompanied by commentaries that point out that the agency recognizes the need for change and is in the midst of improving the device approval system. But critics say the FDA has an inherent conflict because of its dual role of protecting public health and encouraging medical innovation.
September 28, 2014 |
A Delaware hospital system cut the use of heart-monitoring technology by 70 percent without compromising patient safety by changing the electronic ordering system to reflect cardiac-care guidelines. The study by the Christiana Care Health System in Wilmington, published Monday in JAMA Internal Medicine, safely reduced the daily number of patients monitored with cardiac telemetry from 357 to 109, a hefty saving of $13,200 a day. "It is remarkable to achieve such a substantial reduction in the use of this resource without significantly increased adverse outcomes," University of California-San Francisco physician Nader Najafi wrote in an accompanying commentary.
August 21, 2014 |
Joel J. Nobel, 79, of Gladwyne, a physician who pioneered the patient-safety movement and, in a colleague's words, "made hospitals safer for everybody," died Wednesday, Aug. 13, at his home from complications of cancer and diabetes. Dr. Nobel was a resident surgeon at Presbyterian Hospital in 1968 when a 4-year-old patient died because a hospital defibrillator malfunctioned. Dr. Nobel had alerted administrators several times that week that the device was not working. That tragedy changed him, and society.
August 8, 2012 |
Buried in the road to cost reduction for the federal government, in Section 227 of the House Subcommittee on Appropriations Bill for Fiscal Year 2013, is a plan to defund the Agency for Healthcare Research and Quality (AHRQ). If this bomb goes off undetected, the nation will lose its greatest source for funding research on health-care quality, effectiveness, and patient safety. AHRQ funds the studies and systematic reviews that objectively evaluate how well clinical procedures, quality approaches, and consumer satisfaction work.
March 7, 2012 |
HARRISBURG - A panel credited with reducing medical errors at Pennsylvania hospitals says its own health is endangered - by Gov. Corbett's plan to fold it into the state Department of Health. The board of the Patient Safety Authority adopted a resolution Tuesday saying such a move would destroy its autonomy. The privately funded authority, which collects and studies hospital data, has gained a national reputation for improving patient safety. "We felt strongly we should resist this movement," said the authority's acting chairman, Stanton Smullens, chief medical officer at Jefferson Health System in Philadelphia.
February 15, 2012 |
Medicare's first public effort to pinpoint hospitals with high complication rates has identified many prestigious teaching hospitals in Pennsylvania and around the nation, raising concerns at these places but also bolstering objections that the government's measures are skewed. Temple University Hospital, Hahnemann University Hospital, Thomas Jefferson University Hospitals, and the Hospital of the University of Pennsylvania were among those places having far more serious complications than the average hospital, according to the Medicare program.
November 27, 2011
"It shows that there's a bigger problem at hand, and if they can't work to resolve these relatively small yet meaningful issues, what's going to happen if we get into a situation like Europe is in? And we're kind of headed there. " - Robert Pavlik, chief market strategist with Banyan Partners L.L.C., on the congressional supercommittee's failure to reach a deficit-cutting deal. "Markets are looking for clarity, and you didn't get that from the supercommittee. There's no reason to believe the economy is going to get stronger.
November 23, 2011 |
The attorney who collapsed during Monday's sentencing hearing for former Synthes Inc. executive Richard Bohner was released from Thomas Jefferson University Hospital and was working Tuesday in his Washington office. Whether attorney Brent Gurney and his legal colleagues can persuade U.S. District Judge Legrome D. Davis, sitting in Philadelphia, to sentence Bohner, 56, of Malvern, to less prison time than his former Synthes colleagues will be settled at a yet-to-be rescheduled hearing.
May 11, 2011 |
HARRISBURG - Pennsylvania House Republicans yesterday beat back a series of proposed changes to a bill that would tighten supervision of abortion clinics by holding them to the same regulations that apply to freestanding ambulatory surgical centers. "This shouldn't be about whether you are pro-life or pro-choice," said the prime sponsor, Rep. Matt Baker, R-Tioga. "This is about patient safety. " Supporters said drastic changes are warranted in the wake of a scandal involving the West Philadelphia abortion clinic run by Kermit Gosnell in which a grand jury reported filthy and unsafe conditions.
December 12, 2010 |
The nation is facing an unprecedented drug shortage. From cancer treatments to surgical sedatives to standard emergency-room remedies, the pharmaceutical supply cabinet is increasingly bare of the drugs of choice, according to doctors, advocacy groups, and the FDA. Industry consolidation, random and unpredictable manufacturing problems, and simple economics, they say, have conspired to narrow the pipeline that delivers needed drugs to the point...