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Organizational Trustworthiness in Health Care

Institute for Healthcare Improvement -

The Institute for Healthcare Improvement partnered with the American Board of Internal Medicine Foundation to identify key organizational-level drivers and change ideas that repair, build, and strengthen trust between health care organizations and clinicians, and between health care organizations and the communities they serve. This report describes a theory of how to repair, build, and strengthen trust, presented as a three-step approach with specific change ideas and associated measures for improvement.

IBSA Pharma Inc. Issues Voluntary Nationwide Recall of Select Lots of TIROSINT®-SOL (levothyroxine sodium) Oral Solution Due to Subpotency

FDA MedWatch -

IBSA Pharma Inc. is voluntarily recalling 27 lots of TIROSINT®-SOL (levothyroxine sodium) Oral Solution to the consumer level. This voluntary recall has been initiated because these lots may be subpotent. The company’s analyses show a slight decrease below 95.0% of its labeled amount in levothyroxin

Edgewell Personal Care Issues Voluntary Nationwide Recall of Banana Boat Hair & Scalp Sunscreen Due to the Presence of Benzene – UPDATED

FDA MedWatch -

Edgewell Personal Care Company (NYSE: EPC) today expanded its voluntary nationwide recall of three batches of Banana Boat Hair & Scalp Sunscreen Spray SPF 30 to the consumer level as outlined in the table below. One additional batch has been added to the original recall announced on July 29, 2022. A

Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults

Institute for Healthcare Improvement -

The primary aim of the IHI innovation project described in this report was to assess the use of predictive analytics, specifically machine learning, to improve patient safety through emerging and existing approaches to predict risk, such as technologies and decision support tools. Specific attention was given to how predictive analytics and machine learning can assist in monitoring patient deterioration in the home setting for adults ages 18 and older.

Impact of medical education on patient safety: finding the signal through the noise

Quality and Safety in Health Care Journal -

Medical education and patient care are inextricably linked. At this time, with the limitations of simulation training and our continued dependence on educated physicians for clinical decision-making, one domain cannot exist without the other. The involvement of medical trainees in patient care means it is vital that the impact of changes to medical training programmes on patient outcomes are assessed with well-designed studies. The study, "National improvements in resident physician-reported patient safety after limiting first-year resident physicians’ extended duration work shifts,"1 by Weaver and colleagues published in this month’s issue of BMJ Quality and Safety signals the need for a robust discussion of education policy research within the field of medicine.

Before specifically addressing the approach used by Weaver et al,1 a review of the complexities involved in studying the impact of medical education policy is warranted.2 The field of ‘education outcomes research’...

Top-down and bottom-up approaches to low-value care

Quality and Safety in Health Care Journal -

Low-value care refers to tests or treatments for which there is little evidence of benefit or more harm than benefit, which can result in poor patient outcomes such as unwarranted secondary tests or adverse events. In this context, inefficient use of scarce healthcare resources threatens the sustainability of healthcare systems and low-value care is an obvious target. About 25%–30% of all care has been estimated to be of low value in countries such as Australia, Canada, Spain, Brazil and the USA, and this estimate rises to 80% for certain procedures.1 There is increasing interest to identify areas of low-value care based on available evidence, guidelines and expert opinion,2 including initiatives such as Choosing Wisely3 and the British Medical Journal’s Too Much Medicine campaign.4 These campaigns aim to reduce or stop low-value services (i.e., de-implement) from the ‘bottom up’, at micro or...

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