India begins serious efforts to ensure patient safety- Rejoice if you are in US Obama is going to penalize hospitals with high one-month readmission rates for transitioned patients

MUMBAI: A mop left inside a patient’s stomach after a surgery, an expired drug administered to an ailing person or a hospital-acquired

infection-medical errors are a nightmare for both doctors and patients. Such incidents, which are usually swept under the carpet, will now be recorded and reported to an independent body in India. This will be done in an attempt to streamline and improve the Indian healthcare system.

Indian Confederation for Healthcare Accreditation (ICHA), a non-profit organisation consisting of various associations, would spell out clear-cut healthcare standards, train employees of hospitals, nursing homes and clinics in spotting medical errors and adverse reactions as well as encourage them to report the same in order to create a database

ICHA is organizing the first Patient Safety Conference in India on November 27-29 at Delhi. India is still trying to increase the number  Adverse Event Reporting related to cliical trials and post makret surveillance. Indian community doctors and helath expert swamped with treating more ethan  hundered patients every day ( yes I mean more than Hundered, average Indian physician attemps to more than 100 patients in Indian community hospital and governments run medical colleges), has no time to report Adverse Event and Drug Safety concerns on time and effectively. This is despite the formation of a National Drug Safety and Pharmacovigilance Programe supported by severl regional centres.

In United States one in five patients discharged from the hospital experiences an adverse event within three weeks. Two-thirds of those outcomes are drug-related, with many of them potentially avoidable, according to a recent report issued by an expert panel of internists, hospitalists and emergency physicians.

The Transitions of Care Consensus Policy Statement published jointly in August in the Journal of Hospital Medicine and the Journal of General Internal Medicine by the American College of Physicians, the Society of Hospital Medicine, the Society of General Internal Medicine, the American Geriatrics Society, the American College of Emergency Physicians and the Society for Academic Emergency Medicine.

The panel said hospitals and outpatient physicians should be held accountable for properly transitioning patients, coordinating care, involving family in decision-making and communicating key information in a timely fashion. The group also called for national standards and performance metrics.

It proposed that the following elements about patients should always be communicated as quickly as possible:

  • Principal diagnosis and problem list.
  • Medication list, including over-the-counter items.
  • Medical home or transferring physician or institution and contact information.
  • Patient’s cognitive status.
  • Test results and pending test results.

The recommendations come on the heels of increased scrutiny of how well doctors and hospitals prevent readmissions. President Obama has proposed bundling payments for hospitalization and care delivered within 30 days after discharge, penalizing hospitals with high one-month readmission rates. The administration says the move would save $8.4 billion and give hospitals more financial incentive to reduce the 20% 30-day readmission rate among Medicare patients.

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Errors in DNA database

The exciting news of google or its benefactor investing in genomics companya and google founders earlier enthusiasm to offer its billion dollar power for genomics indutsry, has produced a mixed responses. I agree with Hsiens post that we should welcome the move

I guess its worthwhile to know why its better if google does so , The UK’s national DNA database, which houses 4.1 million records pertaining to evidence of crimes collected by police, has been found to have upwards of 100,000 incorrect records. 

According to theregister.co.uk, the complex relationship between the country’s police force, its National DNA Database Unit and the forensic service along with a lack of checks and balances has left its DNA database with the large amount of corrupted records, causing 26,200 load problems alone

“There’s in the order of 100,000 unreconciled records now,” claims The Register’s source.

Realated posts

GeneticsandHealth

ScienceDirect

NEWS

DNA file on 100,000 innocent children

next generation literature awareness tool

Another science website that seems to be as taking its cues from web2.0 anthology.

Faculty of 1000 Biology is the next generation literature awareness tool. It is a revolutionary new online research service that will comprehensively and systematically highlight and review the most interesting papers published in the biological sciences, based on the recommendations of a faculty of well over 1000 selected leading researchers.

Faculty of 1000 Biology will be run by scientists for scientists, and will provide a rapidly updated consensus map of the important papers and trends across biology.

In the Faculty of 1000 Biology, the entire field of biology is divided into 16 Faculties (subjects), each of which will be run by two to four Heads of Faculty.

Each Faculty is subdivided into 3-12 Sections, each run by two or three Section Heads and comprising between 10 and 50 Faculty Members. Faculty of 1000 Biology aims to invite the best scientists internationally in each field and to involve both experienced and younger investigators.

All in all an excellent website with lots of information which is peer reviewed

Online Data sharing for scientists

Brent Edwards director of the Starkey Hearing Research Center in Berkeley, California, who blogs on innovation in science is writing his blog about an article on Nature magazine on online data sharing. Brent comments about the potential of new online data sharing sites such as Swivel and IBM’s Many Eyes . Accoding to the Nature reprt some scientists are already using these new tools to share sequence and microarray data. The potential value from scientists openly sharing their data is huge, possibly akin to the value provided by open-source software development.

Once data are uploaded to these sites (which are still being tested), people can reanalyse the numbers, mix them with other data and visualize them in different ways. Swivel focuses on letting users combine data sets, with some basic ways to present the results such as scatter graphs and bar charts. Many Eyes allows users to generate more complicated graphs such as network diagrams, which depict nodes and connections within networks, and treemaps, which display data as groups of nested rectangles

Despite the availability of many software solutions at the dispoal of scientists many of them still write their own code for bioinformatics and statistical analysis, perhaps the next frontier that might help the comunity could be the development of Firefox like software, that offers some basic functions free of cost, additional function can be bought or acquired free of cost as add ons form researchers, such a move would benefit researchers and students alike,

There are sure many more data sharing website like http://www.gotomyfiles.com, http://www.xdrive.com, http://www.ibackup.com, but these are more of a data storage sites, and these does not offer the level of document collaboration features required by a life science researcher

Then there is few other sites like microsofts foldershare and others that offer features such as remote PC access gotomyPC VNC and webex are a few exmaple of this stable. some of these also allows to by pass even a firewall such as foldershare and can pose serious security risks to data and pc if handled improperly

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