Posted on December 13th, 2017 by Thom Duncan
Deaths from opioid overdose have risen to epidemic levels, leading to a proliferation of many regulations and counter-measures, such as the pharmacy drug monitoring programs (PDMPs). This monograph will assess the effectiveness of these measures, review existing clinical practice guidelines,…
Posted on December 13th, 2017 by Thom Duncan
Since the CDC recommended expanded HIV testing, screening of patients for HIV will increase. In addition, with the approval by the FDA of rapid HIV tests and in-home HIV tests, screening will take place both in primary care and at-home…
Posted on December 13th, 2017 by Thom Duncan
Since the CDC recommended expanded HIV testing, screening of patients for HIV will increase. In addition, with the approval by the FDA of rapid HIV tests and in-home HIV tests, screening will take place both in primary care and at-home…
Posted on December 13th, 2017 by Thom Duncan
It is estimated that only half of those infected with Hepatitis C Virus in the US are diagnosed and perhaps a third receive treatment. The arrival of new direct-acting antiviral medications with high cure rates has spurred the creation of…
Posted on December 13th, 2017 by Thom Duncan
New guidelines outlined in the ACOG & AAP Task Force Report on Neonatal Encephalopathy (NNE) include scientific updates on specific fetal heart rate patterns, sentinel events, and newborn assessment indicators that may indicate an acute intrapartum hypoxic-ischemic injury that leads…
Posted on December 13th, 2017 by Thom Duncan
Over 90% of obstetric-related malpractice involves EFM negligence. EFM-related malpractice claims decrease in facilities that adopt, implement, and consistently use standardized EFM terms and guidelines. Universal adoption of standardized nomenclature by every practitioner skilled in EFM is a national goal….
Posted on December 13th, 2017 by Thom Duncan
The majority of obstetric triage encounters include an assessment of both mother and fetus but under certain conditions, clinical data may be unavailable. EFM triage is a skill of necessity that includes a brief and rapid assessment of fetal heart…
Posted on December 13th, 2017 by Thom Duncan
Four out of five prescriptions for psychotropic medications in the US are prescribed by primary care providers. Psychotropic medications have a relatively high rate of adverse side effects, and are an increasing source of claims for medical malpractice. Clinical practice…
Posted on December 13th, 2017 by Thom Duncan
H-CAHPS and CG-CAHPS are patient satisfaction surveys in the hospital and office settings. They are being collected, published and used by payers in determining hospital and physician reimbursement. Criticisms have been raised about the validity of the surveys and their…
Posted on December 13th, 2017 by Thom Duncan
Every physician in medical practice has at some time seen situations of patient past medical care that seemed inappropriate. In such situations physicians are immediately placed in the position of determining the immediate requirement for continuing medical care and the…