Practice Management
New research revealed at the recent Annual Meeting of the American College of Emergency Physicians shows that intravenous cetirizine is noninferior to IV diphenhydramine in the treatment of acute urticaria, with a better safety profile. The researchers randomized 262 adult patients with acute urticaria who presented to 1 of 19 EDs or urgent care centers from March 2017 to April 2018 to receive either 50 mg IV diphenhydramine or 10 mg IV cetirizine. Primary endpoint …
Read More
With the Centers for Disease Control and Prevention again promoting U.S. Antibiotic Awareness Week (November 18–24) to patients and clinicians alike, new data underscore the deadly consequences of failing to heed accepted prescribing guidelines. The CDC’s 2019 Antibiotic Resistance Threats Report reveals that roughly 35,000 American die every year due to drug-resistant infections, whereas in years past the estimate was approximately 23,000 fatalities.  Total number of antibiotic-resistant infections is over 2.8 million. As the CDC …
Read More
Physicians’ perspectives on prescribing opioid pain medications continue to be wildly contradictory, even in the midst of a national crisis, if the results of a recent Harris Poll commissioned by Quest Diagnostics is any indication. Nearly three quarters (72%) said they trust their patients to take controlled substances as prescribed, even though 51% of test results for patients who had been prescribed an opioid or other controlled medication showed signs of drug misuse—and 24% showed …
Read More
Just last week, we told you that Tennessee-based Fast Pace Urgent Care was making an effort to bring behavioral health services to underserved rural communities across the South. Now comes word that another regional operator is following suit. Zoom+Care is going to start offering same-day mental health appointments, either in-person or virtually, through two of its Bellevue, WA locations. In announcing the initiative, Zoom+Care reasoned that people in crisis often have to wait days or …
Read More
The Centers for Medicare & Medicaid Services has finalized a rule intended to ease cumbersome—and time-consuming—billing and coding requirements and increase reimbursements for services clinicians are already providing (such as those related to certain chronic illnesses). At the heart of the new system is an overhaul of the Evaluation and Management structure, which was designed and implemented in the mid-1990s, before the explosion of urgent care, widespread use of electronic health records, and secure data …
Read More
Amazon is investing more resources into Amazon Care, its in-house primary care program in Seattle. The company announced it’s buying Health Navigator, which provides technology and other services to digital health companies. While the financial details of the deal are undisclosed, last year Amazon plunked down $753 million to buy the online pharmacy company PillPack. The message is that they’re betting heavily that they can realize substantial cost savings by facilitating primary care for employees …
Read More
You know the numbers—some 23,000 American die every year from drug-resistant infections, painting a clear but ugly picture of the effects of inappropriate use of antibiotics. You probably also know, fundamentally, that reducing the number of prescriptions written will help reduce that risk. The question of how to do so is a bit more challenging, especially now that cold and flu season is upon us and driving herds of antibiotic-seeking patients to your facility. Aware …
Read More
Two-thirds of pregnant women in the United States are leaving themselves at risk for influenza, tetanus, diphtheria, and acellular pertussis by declining to get the necessary vaccinations, according to data from the Centers for Disease Control and Prevention. Obviously, that also puts their unborn children at risk, ratcheting up the urgency to help them understand that both the flu shot and the Tdap vaccines are not only safe but necessary for their own protection. It’s …
Read More
Unfortunately, many patients become unknowing conduits to illicit use of prescription drugs, consequent addiction, and sometimes even death. They receive an appropriate prescription for, say, an opioid pain medication that they take responsibly for as long as necessary. Then they put the remaining pills back in the medicine cabinet, where anyone in the house can get hold of them and take them recreationally or to feed an addiction. The U.S. Drug Enforcement Administration created the …
Read More
It’s widely believed that the number of flu deaths is much higher than data would lead us to believe each year, due to the fact that cause of death is often attributed to complications from flu. One of the main culprits is community-acquired pneumonia. So, for the first time in more than 10 years, the Infectious Diseases Society of America has updated its guidelines on treating CAP. The take-home message is that adults who test …
Read More