Many hospitals miscalculate their compliance with stroke care guidelines | Study links daily soda consumption to increased type 2 diabetes risk | Evidence mounts linking poor oral health to systemic illness

July 23, 2015
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Many hospitals miscalculate their compliance with stroke care guidelines
A study in the Journal of the American Heart Association found that just 29% of 141 hospitals correctly judged their promptness in administering crucial thrombolytic treatment to stroke patients. Nearly 57% of patients admitted to top-performing facilities received thrombolysis within the recommended first hour, while staff estimated the figure was 60%. Lower-performing facilities tended to estimate at least 20% of patients were treated promptly, yet none were. Reuters (7/22)
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Paging Systems Improves Patient Flow at Bayshore Family Practice
Bayshore Family Practice Center used a basic flag system to notify staff when patients were ready to be seen. However, the flag system was not effective and caused patient-flow issues. To learn how implementing a simple paging solution improved staff productivity and patient output by 50%, read the case study now.
Nursing, Health & Medical Science
Study links daily soda consumption to increased type 2 diabetes risk
Woman drinking a soda
(Spencer Platt/Getty Images)
A review in The BMJ found a daily serving of sugar-sweetened drinks increases type 2 diabetes risk by 13% over a decade, after accounting for weight. Lead author Fumiaki Imamura said that the regular consumption of refined sugar can raise insulin resistance even in normal-weight people. HealthDay News (7/21)
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Evidence mounts linking poor oral health to systemic illness
Research has given new weight to the link between oral and systemic health, with poor oral health linked to illnesses including type 2 diabetes, heart disease and cancer. Inflammation is seen as the common culprit, as chronic inflammation associated with poor oral hygiene can damage cells and DNA. "Inflammation seems to be associated with far more diseases than we've traditionally thought," says periodontology professor Francis Hughes of King's College London. The Guardian (London) (7/19)
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Dementia risk increases with PTSD and exposure to Agent Orange
Vietnam veterans who have PTSD and were exposed to Agent Orange are significantly more likely to experience dementia, according to an analysis of Department of Veterans Affairs data presented at the Alzheimer's Association International Conference this week. Researchers looked at the EHRs of 46,737 Vietnam veterans over age 55 who were not diagnosed with dementia at their baseline visit. Researchers note that the study is limited by the fact that Agent Orange exposure was self-reported and couldn't be verified. MedPage Today (free registration) (7/21)
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Trends & Technologies
Guantanamo nurse to receive ANA ethics award
A nurse who was disciplined and reinstated and now faces discharge after refusing to participate in the forced feeding of a detainee has been chosen by ANA to receive a "Year of Ethics" award. The award is being given to a lawyer for the nurse, who has declined to be publicly identified. The lawyer said the nurse was recently notified that the Pentagon will revoke his security clearance, which could lead to an early discharge. The Miami Herald (tiered subscription model) (7/22)
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BYOD policies still a challenge to health IT leaders
A Vocera Communications survey found that health IT leaders are still struggling to develop strategies that effectively address security and infrastructural concerns related to "bring your own device" policies. Only 26% of participants already have systems or plans to support secure communications within EHR systems. Developing BYOD policies for affiliated providers is not a priority for 63% of respondents this year. (7/22)
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Alzheimer's burden expected to soar
(Christopher Furlong/Getty Images)
The annual cost of treating Alzheimer's disease is expected to rise from $11.9 billion in 2020 to more than $328 billion in 2040, according to new research. As baby boomers age, 28 million of them are projected to develop Alzheimer's disease over the next 35 years, and the cost of their care will consume one-quarter of total Medicare spending, according to research presented at the Alzheimer's Association International Conference. Los Angeles Times (tiered subscription model) (7/20)
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Work-Life Balance
Texas law limits corporate wellness program liability
A new Texas law limits the liability of companies that create employee wellness programs. The law, which takes effect in September, bans civil liability unless a wellness program is discriminatory on the basis of medical condition, age, gender or income, or the legal action is based on intentional or reckless conduct. (free registration) (7/20)
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Legislative Policy & Regulatory News
Bill calls for nutrition education to promote disease prevention
The Education and Training for Health Act of 2015 under consideration in the U.S. House calls for nurse practitioners and physicians who are federal employees to get annual continuing education in nutrition to help them talk with patients about how diet affects disease risk. Registered dietitian Cameron Wells writes that practitioners need help keeping updated on the best diets for weight loss, lowering cholesterol, reducing inflammation and controlling blood sugar. U.S. News & World Report (7/21)
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Auditors: Medicare needs better screening of health care professionals
A report from the Government Accountability Office found that Medicare did not catch thousands of questionable addresses submitted by medical professionals, and allowed enrollment for dozens who faced disciplinary action by state boards. The report to Congress said using an invalid address was "an indicator of potential fraud." The New York Times (free-article access for SmartBrief readers) (7/21), The Wall Street Journal (tiered subscription model) (7/21)
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ANA News
Earn CNE credits when you participate in live pharmacology webinars for APRNs
Are you an advanced practice registered nurse (APRN) seeking continuing nursing education (CNE)? Pharmacology webinars for APRNs provide a general overview, updates and the latest use of drugs for treatment of disorders. Learn from subject matter experts about important topics such as immunizations, managing diseases, substance disorders and more. You can participate from a location that is the most convenient and comfortable for you. All you need is a computer that has the supported operating systems, browsers and Internet access. Register today and earn CNE credits to meet your CNE needs.
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