Little Progress Made In Patient Safety In Spite Of Institute Of Medicine Call To Action

Despite increased emphasis on patient safety, little progress has been made in making hospitals safer, says Johns Hopkins critical care specialist Peter Pronovost, M.D., Ph.D., in an article in the Dec. 24 issue of the Journal of the American Medical Association.

He identifies physician autonomy and a lack of standardization of safety protocols as the culprits.

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SCAAR Registry Provides Reassurance On Drug Eluting Stent Safety

A new study analysed the outcomes of 47,967 patients entered into the Swedish Coronary Angiography and Angioplasty Registry (SCAAR) between 2003 and 2006.

Commenting on the results, interventional cardiology specialist, Professor Franz Eberli from the University Hospital Zurich (Switzerland) and official spokesperson for the European Society of Cardiology, said: “To appreciate the significance of this paper you need to bear in mind the huge impact that data from the previous analysis of the SCAAR registry had when it was presented at the ESC in Barcelona in 2006, and published in the New England Journal of Medicine in 2007. The initial paper, which showed that patients receiving drug eluting stents (DES) in Sweden between 2003 and 2004 had increased late mortality over those receiving bare metal stents (BMS), created a huge fire storm. The immediate impact was a decrease in the use of DES and a lot of scrutiny on safety, and the move for safety, cost effectiveness and durability of stents to be considered over efficacy,” said Professor Eberli.

“This latest paper, looking at the same patient cohort, with the results extended to include all patients in Sweden receiving a stent between 2003 and 2006, (for whom there is more than one year of follow-up) found no increased risk of death between the two groups. The conclusions are similar to many of the trials and registries already published in this area, and significant principally because they refute the previous findings of the SCAAR registry. The latest SCAAR data provides a lot of reassurance on the safety of DES,” he said, adding that the study was probably the largest registry yet on stents with the longest follow-up.

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Sun And TeraMedica Help Improve Patient Safety And Quality Of Care

Microsystems, Inc. (NASDAQ: SUNW) and TeraMedica announced a joint solution that enables caregivers to securely share patient-centric digital content, including medical images, electronically over the network. TeraMedica’s Evercore solution, running on the Sun Java Composite Application Platform Suite, allows physicians to attach medical images such as X-rays and MRI scans, as well as other clinical digital content, to a patient’s existing electronic health record (EHR) and then easily access them from the desktop.

By providing caregivers with timely access to relevant patient information, the joint solution can ultimately help improve patient safety and care, increase efficiency and reduce costs. Customers currently using or testing the Evercore on Sun solution include the Mayo Clinic, ProHealth Care and the Froedtert & Medical College of Wisconsin.

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