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In this issue: Tiotropium for uncontrolled asthma, sibutramine pulled from market, incidence and mortality data from WHI, FDA Actions.
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Following a chart review that indicated few (24%) medical ICU (MICU) patients received consultation for physical therapy (PT) or occupational therapy (OT) a percentage almost 50% lower than at two other academic medical centers in the same city as well as a higher prevalence of deep sedation, the authors elected to initiate a QI project designed to reduce the use of deep sedation and improve patients' functional ability.
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Desai and colleagues carried out a comprehensive review of published studies on long-term complications among survivors of critical illness in an attempt to find common characteristics and themes that might be used in developing strategies for preventing or mitigating them.
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Acetaminophen (known as paracetamol outside the United States) is the most commonly used analgesic in the world, usually considered to be safe and benign.
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Quality assessments can be a good strategy for finding compliance problems that otherwise would fly under the radar. These not-for-cause audits require some staffing resources, but if handled efficiently they uncover problematic trends and bad habits before an issue becomes serious.
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One of the chief problems with adverse event reports is these often cast a net so wide that many disease symptoms are swept up with the reports. This particularly is an issue with oncology clinical trials.
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Academic researchers spend a large chunk of their time on paperwork. Regulatory and institutional burdens could seem overwhelming.
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