Business Effectiveness & Planning - Rebecca Ward Consulting
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Patient Safety

Broken to Brilliant - Audio Book Launch

White Ribbon Day 2015

White Ribbon Day: tell the world it matters
 
Here are our top 3 tips for getting involved this 25 November:
 
1. Remember why it is important
 
Domestic violence is the gravest human rights abuse in Australia. 
 
 
2. Take the new oath
 
Be a part of the solution: take the oath

WHO Clarifies Processed Meat/Cancer Link After 'Bacon-gate'

WHO Clarifies Processed Meat/Cancer Link After 'Bacon-gate'
Zosia Chustecka:   November 02, 2015

After days of headlines proclaiming that bacon and hot dogs cause cancer following the World Health Organization's (WHO's) classifying processed meat as a human carcinogen ― in the same category as tobacco and asbestos ― the WHO released a statement in clarification. It pointed out that the latest report from the International Agency of Cancer Research (IACR), issued last week, "does not ask people to stop eating processed meats"; rather, it indicated "that reducing consumption of these products can reduce the risk of colorectal cancer.

Not Now, Not Ever - Brisbane


Physician Who Gave Unneeded Chemo Gets 45 Years in Prison


Farid Fata, MD, the oncologist who got rich administering excessive or unnecessary chemotherapy to hundreds of patients, including some who DID NOT HAVE CANCER, was sentenced to 45 years in prison today by a federal judge in Detroit, Michigan.
The sentence came after the 50-year-old Dr Fata heard the judgement of patients and family members who testified earlier this week to the excruciating physical and psychological harm he caused.

One of them was Laura Stedtefelt, who said the oncologist had overtreated her late father for lung cancer to the point of killing him, according to an account in the 

How Much Grog Is Too Much?

How Much Grog Is Too Much... or How Much Does Alcohol Cost Your Organisation? 

We work with a number of mining, construction, manufacturing and professional services companies and one question keeps coming up “how much grog is too much?” Our reply is always the same, “well… it depends.” It depends on what other drugs (medically prescribed) you are taking, how much you weigh, how long is it going to be before you operate heavy machinery, how sleep deprived you are, what are your co-morbidities, whether you are male or female etc.

Predictions for the Field of Infectious Diseases for 2015

Predictions for the Field of Infectious Diseases for 2015

John G. Bartlett, MD January 29, 2015
Predictions in this field are particularly dangerous, on the basis of a history that is dense with surprises in nearly all facets of the discipline. For example, Ebola was most everyone's choice for medical story of the year for 2014, but this infection was barely on the radar screen 1 year ago.
The influenza vaccine recommended for the current epidemic was created for the anticipated H1N1 strain, but the influenza now causing widespread disease is largely the H3N2 strain.

Surgery Cheaper Than Antibiotics for Appendicitis

Surgery Cheaper Than Antibiotics for Appendicitis

"Laparoscopic appendectomy carries lower costs per quality of life-year in unselected patient populations," said Vincent Chong, MD, from the University of California, San Francisco.

Dr Chong presented the finding here at the American College of Surgeons 2014 Clinical Congress.
Although appendectomy remains the gold standard for treating acute appendicitis, antibiotics have been used since 1945, Dr Chong said. Antibiotics can be used successfully when surgery is not possible, such as in remote locations or when the patient is frail.

Paramedics, nurses keep watch at QLD watch-houses

Media Release:
Minister for Health - The Honourable Lawrence Springborg

Paramedics, nurses keep watch at QLD watch-houses

Detainees in watch-houses will be monitored and treated by a paramedics or a nurse in a trial designed to blunt the dangers of alcohol, drugs and street violence.

Health Minister Lawrence Springborg said 17 watch-houses were included in the trial, which was part of the Government’s Queensland-wide ‘Safe Night Out’ Strategy.

Dedicated paramedic officers and registered nurses will begin staffing watch-houses on New Year’s Eve and on Friday and Saturday nights from January 2, 2015.

Top 20 Most Prescribed and Top-Selling US Drugs

Top 20 Most Prescribed, Top-Selling US Drugs

NB: Data from IMS Health. Figures reported are in $US and collected fromJuly 2013 - June 2014.

Left: The Top 20 US Drugs listed by Monthly Prescription (units) and Right: The Top 20 US drugs listed by total sales ($). Please take a look at the column totals and remember that this is only the top 20, only for 12 months and only for the USA ($82,293,753,189).
































Once again we have included some cheat sheets to view the indications and the drug groupings at a glance:

ACHSM Breakfast Forum - August 2014
















We tend to ignore things we cannot see but we do this at our peril!  For instance, antimicrobial resistance (AMR) is now recognised as a critical health issue by the World Health Organisation.  Primarily the concern of hospitals, resistant bacterial pathogens are now seen with increasing frequency in the community.

The Australian Commission on Safety and Quality in Health Care has appointedProf John Turnidgeto lead a program for national surveillance of Antimicrobial Resistance and antibiotic usage.

Busiest US EDs Have Best Outcomes

Busiest US EDs Have Best Outcomes

Study objective:Although numerous studies have demonstrated a relationship between higher volume and improved outcomes in the delivery of health services, it has not been extensively explored in the emergency department (ED) setting. Therefore, we seek to examine the association between ED hospitalization volume and mortality for common high-risk conditions.
Methods:Using data from the Nationwide Inpatient Sample, a national sample of hospital discharges, we evaluated mortality overall and for 8 different diagnoses between 2005 and 2009 (total admissions 17.

Antibiotics DON'T work...

Ah-Ah-choo!

Did you know that nearly 200 million doses of antibiotics are administered in hospitals to patients and among non-hospitalized patients, more than 130 million courses of antibiotics are prescribed by doctors each year? It is estimated that half of these latter prescriptions are unnecessary since they are being prescribed for colds, coughs and other viral infections*.


In cough and cold season please think CAREFULLY about your antibiotic use!
*NB: taken from the American College of Physicians website, Ref:

Healthcare Elective at MGSM 2014

MBA in Healthcare? 

Macquarie Graduate School of Managementwill once again offer a subject specifically designed for Healthcare Managers. MGSM recognises that industry-specific training for future healthcare leaders as critical to meeting the demands of Australia’s ageing population, as well the general increasing demand on health care services, tight government budgets and continuing global economic uncertainty.

Topics will range from the local health scene to global healthcare and cover health economics; policy and practices; funding mechanisms; medical law and ethics.

Physicians can expect criminals to target their EHR (electronic health records)

Caution in Australia with electronic health records! Lessons from the US with EHR.

Stolen EHR Charts Sell for US$50 Each on Black Market
Robert Lowes Ref:
http://www.medscape.com/viewarticle/824192?nlid=55843_2563&src=wnl_edit_medp_ca

Physicians can expect criminals to increasingly target their electronic health records (EHRs) for patient information that they can sell on the black market for $50 per chart, warns the FBI.The agency's Cyber Division issued a memo earlier this month forecasting what already has become apparent with every hacked hospital Web site and stolen physician laptop — criminals see a golden opportunity in healthcare information technology.

To Err is Human... To Arrr is Pirate



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