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conciliation medication

F Daney de Marcillac, L Lecointre, A Guillaume, N Sananes, G Fritz, B Viville, E Boudier, I Nisand, A Gaudineau, B Langer, C Y Akladios
BACKGROUND: High risk of morbidly adherent placenta increased during past years. Their management is controversial. Cesarean hysterectomy, considered the gold standard treatment by American Society, is associated with high risk of maternal morbimortality. Conservative management has been sought to reduce maternal morbidity associated with caesarean hysterectomy while maintaining fertility. It consists of leaving the placenta in place but long-term monitoring. Our main objective was to determine advantage/disadvantage of conservative management on patient with an antenatal diagnosis of placenta accreta, increta or percreta...
April 23, 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Y Kerbage, P Collinet, C Rubod, B Merlot, M Cosson
OBJECTIVE: Analysis of litigation in gynecological surgery in the French university hospital of Lille. METHODS: It is a longitudinal and retrospective study. We collected all cases of complaints between November 1997 and August 2015 concerning the department of gynecological surgery, university hospital of Lille. Medical data were obtained using electronic medical record and hospital's legal unit gave data about the complaints. RESULTS: Forty cases were identified during the reporting period...
April 2016: Gynécologie, Obstétrique & Fertilité
Anne-solène Monfort, Nadia Zerrouki, Baptiste Almecija, Dennis Christensen, André Rieutord, Frédéric-J Mercier, Sandrina Roy
Since 2011, medication histories (MH) are performed at patient's admission in orthopaedic and visceral surgery wards, 40% patients have their surgery planned. During the anaesthesia's consultation, the anaesthetist reported usual treatments on a consultation report (CRI) which is also the preoperative prescription. The objective of this study was to evaluate if MH done prior to anaesthesia's consultation improve treatments report on the CR. A comparative prospective study was conducted over 3 months, including all patients for planned surgery...
December 2015: Journal de Pharmacie de Belgique
Mark Toynbee, Adam Aj Al-Diwani, Joe Clacey, Matthew R Broome
An impasse in negotiations between the Department of Health (DoH) and the British Medical Association in November this year led to an overwhelming vote for industrial action (IA) by junior doctors. At the time of writing, a last minute concession by DoH led to a deferment of IA to allow further negotiations mediated by the Advisory, Conciliation and Arbitration Service. However, IA by junior doctors remains a possibility if these negotiations stall again. Would the proposed action be ethically justifiable? Furthermore, is IA by doctors ever ethically defendable? Building on previous work, we explore important ethical considerations for doctors considering IA...
March 2016: Journal of Medical Ethics
Claudine Bergoignan-Esper
In 2002, a new law significantly modified the legal treatment of medical accidents in France, encouraging dialogue and conciliation rather than litigation. Specific structures were created to settle disputes without recourse to the judiciary system. A mechanismfor national solidarity was also created in order to indemnfy some victims. More than ten years later the number of court cases has diminished but vigilance is still required, notably because of the increasingly large sums awarded to victims of medical accidents...
April 2014: Bulletin de L'Académie Nationale de Médecine
Scott P Carroll
Biotic invaders and similar anthropogenic novelties such as domesticates, transgenics, and cancers can alter ecology and evolution in environmental, agricultural, natural resource, public health, and medical systems. The resulting biological changes may either hinder or serve management objectives. For example, biological control and eradication programs are often defeated by unanticipated resistance evolution and by irreversibility of invader impacts. Moreover, eradication may be ill-advised when nonnatives introduce beneficial functions...
March 2011: Evolutionary Applications
G Bontemps, C Daver, C Ecoffey
Day surgery is often considered as a marker of the necessity of reorganizing the hospital to take care globally and so better meet the expectations of improvement of the management of patients. But the actual deployment of day surgery can also act as a real revelation of the stakes of conciliation between the regulations, which supervise professional practices and organization, and the functioning of hospitals. Between the regulations supervising hospitals and professional practices and the place of the recommendations, between the general legal framework of the medical activity and specific legal framework (decree of anesthesia of 1994) and the Evidence-Based Medicine, the pretext of the improvement of the patient flow in day surgery, recommended by several institutions (Sfar, ANAP, HAS), questions about the legal obligation of the passage of all the patients in the postanesthesia care unit (PACU)...
December 2014: Annales Françaises D'anesthèsie et de Rèanimation
E Cosson, P Valensi, L Carbillon
The International Association of Diabetes and Pregnancy Study Group (IADPSG) has proposed that blood glucose levels for the diagnosis of gestational diabetes mellitus (GDM) be the values associated with a 1.75-fold increase in the risk of neonatal complications in the Hyperglycaemia and Adverse Pregnancy Outcomes (HAPO) study. However, this recommendation was not adopted by the US National Institutes of Health (NIH) panel as it would have been responsible for a huge increase in the prevalence of GDM with no clear evidence of a reduction of events at such blood glucose values...
June 2015: Diabetes & Metabolism
Ian Freckelton
Overcharging by health practitioners is a difficult issue with few guidelines available for practitioners or patients. For the most part it has not been the subject of disciplinary censure and has been dealt with by conciliation processes. However, during 2013 the Singapore High Court twice addressed the commerciality of the health-practitioner-patient relationship, acknowledging that this is a fundamental attribute of the contemporary dynamic between providers and recipients of health services. In Lim Mey Lee Susan v Singapore Medical Council [2013] SGHC 122, it concluded that the obligation to refrain from overcharging is an inherent ethical responsibility of practitioners and affirmed the suspension for three years of a surgeon with Australian training and tertiary connections for what it classified as grossly excessive charging...
March 2014: Journal of Law and Medicine
Anne Isvy-Joubert, Saskia Ingen-Housz-Oro, Renaud Vincent, Cynthia Haddad, Laurence Valeyrie-Allanore, Olivier Chosidow, Jean-Michel Race, Pierre Wolkenstein
BACKGROUND: Administrative bodies for compensating medical accidents were created in France in 2002. OBJECTIVES: To evaluate the knowledge patients with severe cutaneous adverse reactions (SCARs) have of procedures and to compare the rate of compensation for SCARs for France and for our referral center. METHODS: A questionnaire was sent to 247 patients of our SCARs referral center and 225 patients with Stevens-Johnson syndrome and toxic epidermal necrolysis from the patient association AMALYSTE...
2014: Dermatology: International Journal for Clinical and Investigative Dermatology
Jochen P Windfuhr
BACKGROUND: Septoplasty, tonsillectomy (with and without adenoidectomy) and cervical lymph node excision are amongst the most common 50 inpatient operations in Germany. Intracapsular tonsillectomies (i.e. tonsillotomies) are increasingly performed. The aim of this study was to evaluate technical traps and pitfalls as well as alleged medical malpractice associated with tonsillectomy (TE), adenoidectomy (AE), tonsillotomy (TT), septoplasty (SP) and cervical lymph node excision (LN). METHODS: A questionnaire was sent to the Regional Medical Conciliation Boards, Medical Services of the Health Insurance Companies (MDK) and Regional Institutes of Forensic Medicine in Germany to collect anonymized cases of complications following TE, TT, AE, LN and SP...
December 13, 2013: GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery
F Becerril Moreno, E Bustamante Munguira, J A García Verdejo, E Bartual Lobato, M Ros Martínez, P Merino de Cós
OBJECTIVE: To explain the implementation process of conciliation of medication as one measure included in the risk management program at an Intensive Care department. METHOD: A multidisciplinary team was put together to work on a risk management program. Work meetings were held from January to December of 2011. The development of the risk management program was done in sequential stages; identification of potential risks; analysis and assessment, management, set-up, implementation, follow-up, and reassessment...
November 2013: Farmacia Hospitalaria
Eva Rocío Alfaro-Lara, María Dolores Vega-Coca, Mercedes Galván-Banqueri, María Dolores Nieto-Martín, Concepción Pérez-Guerrero, Bernardo Santos-Ramos
OBJECTIVE: To carry out a bibliographic review in order to identify the different methodologies used along the reconciliation process of drug therapy applicable to polypathological patients. DESIGN: We performed a literature review. Data sources The bibliographic review (February 2012) included the following databases: Pubmed, EMBASE, CINAHL, PsycINFO and Spanish Medical Index (IME). The different methodologies, identified on those databases, to measure the conciliation process in polypathological patients, or otherwise elderly patients or polypharmacy, were studied...
February 2014: Atencion Primaria
A A Ranade, D A Joshi, G K Phadke, P P Patil, R B Kasbekar, T G Apte, R R Dasare, S D Mengde, P M Parikh, G S Bhattacharyya, G L Lopes
Paclitaxel (Taxol), one of the most commonly used chemotherapeutic agents, is poorly soluble in water and requires cremophor, which often causes infusion reactions, as a solvent. Nanoxel, a nanoparticle formulation of the taxane, has been approved by the Indian regulatory authority. In the present article, we aim to describe the experience with the use of Nanoxel in India and its clinical and economic implications. We present three retrospective series in a common practice environment and an economic model...
September 2013: Annals of Oncology: Official Journal of the European Society for Medical Oncology
Maria Salinas, Maite López-Garrigós, Rosa Lillo, Mercedes Gutiérrez, Javier Lugo, Carlos Leiva-Salinas
BACKGROUND: The eradication of errors regarding patients' identification is one of the main goals for safety improvement. As clinical laboratory intervenes in 70% of clinical decisions, laboratory safety is crucial in patient safety. We studied the number of Laboratory Information System (LIS) demographic data errors registered in our laboratory during one year. METHODS: The laboratory attends a variety of inpatients and outpatients. The demographic data of outpatients is registered in the LIS, when they present to the laboratory front desk...
November 2013: Clinical Biochemistry
J P Windfuhr
Septoplasty, tonsillectomy (with and without adenoidectomy) and cervical lymph node excision are amongst the most common 50 inpatient operations in Germany. Intracapsular tonsillectomies (i.e., tonsillotomies) are increasingly performed. The aim of this study was to evaluate alleged medical malpractice, technical traps and pitfalls associated with tonsillectomy (TE), adenoidectomy (AE), tonsillotomy (TT), septoplasty (SP) and cervical lymph node excision (LN).A questionnaire was sent to the Regional Medical Conciliation Boards, Medical Services of the Health Insurance Companies (MDK) and Regional Institutes of Forensic Medicine in Germany to collect anonymized cases of complications or medico legal implications following TE, TT, AE, LN and SP...
April 2013: Laryngo- Rhino- Otologie
Halidou Tinto, Ramadhani A Noor, Charles L Wanga, Innocent Valea, Maimouna Ndour Mbaye, Umberto D'Alessandro, Raffaella M Ravinetto
A Good Clinical Practices (GCPs) course, based on the combination of theoretical modules with a practical training in real-life conditions, was held in 2010 in Burkina Faso. It was attended by 15 trainees from nine African, Asian, and Latin American countries. There were some discrepancies between the average good results at the end of the theoretical phase and the GCP application during the first days of the practical phase, underlying the difficulties of translating theoretical knowledge into good practices...
April 2013: American Journal of Tropical Medicine and Hygiene
Salvador Casares-Queralt, Angel Arévalo-Vargas
The physician-patient relationship has been modified with the participation of other professionals that work on health services, the family and the community; as well as by scientific and technical developmental and the empowering of the citizens. The objective of the medical arbitration is to assure the patient general rights and to the professional of health. The model utilized for arbitration in our country is a reconciliation kind and the mediator quality is a warranty for the conciliation, the recommendation or the emission of an opinion judgment...
January 2013: Revista Médica del Instituto Mexicano del Seguro Social
N Bilanakis
The process of involuntary psychiatric examination and/or hospitalization is a rare experience for the average modern man. As part of it, the citizen shall be subjected to a restriction of his freedom and forced hospitalization without himself having sought neither of the above situations.The rarity of this experience, assisted by the severity of the threat to individual freedom and dignity that leads to, impose the existence of a clear legal framework which will describe the permissive or non-implementation of procedures, the pious keeping on behalf of the stakeholders of these legal provisions and the operation of a reliable system of registration and control of these processes...
July 2012: Psychiatrikē, Psychiatriki
Hillel D Braude
Clinical reasoning has been defined as a form of cognition applied to evaluating and managing a patient's medical problem. As a kind of cognition, a product of the human psyche, it is logical to expect that clinical reasoning should be best understood through methods derived from psychology, neuropsychology and the cognitive sciences. However, the application of scientific methods to evaluating clinical reasoning is unable to analyse clinical reasoning in terms of first-person experience and consciousness. By reducing clinical reasoning to its cognitive components the cognitivist approach tends to ignore the larger context in which clinical reasoning occurs...
October 2012: Journal of Evaluation in Clinical Practice
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