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Alleviating Confusion and Preventing Fraud

INTRODUCTION Now that the Medicare Part D program has begun, attention is being focused on maintaining the integrity of this complex program. Because the Medicare Modernization Act (MMA) of 2003 represents the largest expansion of Medicare since the program’s inception approximately 40 years ago, it is inevitable that not everyone involved with Medicare Part D [...]

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Ephedrine and Epinephrine

Problem: The accidental administration of concentrated epinephrine is quite common. Many errors can be traced to confusion in expressing the concentration of epinephrine as a ratio strength rather than a metric weight per volume. However, confusion between epinephrine and ephedrine can also lead to errors.

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Congress Has Full Plate of Drug Legislation

She upcoming battle over legislation involving pharmaceuticals in the new 2007 Congress began on November 13, 2006, the Monday on which Congress resumed sessions after the mid-term elections for the start of the short lame-duck session. That day, GlaxoSmithKline ran a full-page advertisement in CQ Today, the daily online bible of Capitol Hill’s Congressional Quarterly.

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Are We There Yet?

No . . . I’m not referring to the famous road trip refrain. In the May 2006 issue of P&T, Dr. David Nash’s editorial alerted P&T readers to the existence of the Canadian Coordinating Office for Health Technology Assessment (CCOHTA), a neat organization that evaluates medical technol-ogy. He wrote:

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Endogenous, Independent Double-Checks

Case 1 (An Endogenous Error) An endogenous error arises solely from within an individual, from a random and unpredictable cognitive event such as miscalculating a dose or prescribing a drug at a dose appropriate for the next medication being contemplated.

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How You Doin’?

I ike it or not, part of our national lexicon includes the phrase “How you doin’,” often attributed to denizens of our beloved city of the founding fathers, namely, Philadelphia. I thought about how we’re doin’ when I had an opportunity to review the annual report of the Agency for Healthcare Research and Quality (AHRQ) [...]

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Not Again!

I am confident that readers of P&T struggle with the critical issue of medication adherence on a regular basis. I am also sure that most of us are frustrated by our feeble attempts to improve low rates of patient compliance, especially with medications needed for chronic conditions. I am always on the lookout for help [...]

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