What doctors don't know about the drugs they prescribe : Video

Medical Journalism and communication has become sensationalistic. Potentially beneficial results are overhyped and harmful possibilities simply brushed under the rug. Positive findings are around twice as likely to be published as negative findings.

When a new drug gets tested, the results of the trials should be published for the rest of the medical world -- except much of the time, negative or inconclusive findings go unreported, leaving doctors and researchers in the dark. In this impassioned talk, Ben Goldacre explains why these unreported instances of negative data are especially misleading and dangerous.

Freeing Medical Data: Video

Technology has enabled us to collect vast amounts of medical data from myriad sources. But most of this data is locked in silos and unavailable for use by researchers. Performing a medical or genomic experiment on a human requires informed consent and careful boundaries around privacy. But what if the data that results, once scrubbed of identifying marks, was released into the wild?

At WeConsent.us, John Wilbanks thinks through the ethical and procedural steps to create an open, massive, mine-able database of data about health and genomics from many sources.

Benefits and Risks of Healthcare Social Media

Social media includes all online tools and technologies which let people communicate and publish content easily. The most popular among them are Blogs, Facebook, Twitter and YouTube. Widely used for communications and marketing, these channels are considered as important (if not more important) as mainstream media channels like newspapers and television.

The use of social media in healthcare represents an increasingly effective tool in healthcare. It can be used to communicate with consumers, inform about new wellness schemes, market healthcare products, provide basic healthcare advice, inform about latest medical devices, get instant public feedback and much more. At the same time, Healthcare social media also presents challenges, including risks to information accuracy, organizational reputation, and individual privacy.

The primary focus for most organizations' social media programs is marketing and communications. Hospitals are using social media to target health consumers. As consumers are shifting to online searches before making important healthcare decisions, hospitals are looking at creating solid social media presence and fostering long term relationships with their consumers. Internationally, Mayo Clinic has taken the lead in healthcare social media. Mayo Clinic’s Center for Social Media has a stated mission to "lead the social media revolution in healthcare, contributing to health and well being for people everywhere." Indian hospitals are not far behind. The Apollo Hospitals twitter account has more than 2000 followers. Their Facebook page makes wonderful use of the timeline feature, has 91,000 likes and is fast growing. Their YouTube channel has been active for the past 4 years.

Many organizations have also formed online support groups for patients. Patients are encouraged to share their personal experiences and this consumer generated content is an invaluable source of information for other patients. Many doctors, too, have joined such support forums and provide information on various disorders. In a country like India where 70% of healthcare services are paid for ‘out-of-pocket’, Social Media becomes all the more important for healthcare marketing. Companies selling healthcare devices have found social media influences purchasing decisions. Internationally, many pharma companies too have realized the enormous potential of social media. Almost all major drug companies now have social media presence. Companies like Pfizer, Novartis, J & J and Sanofi-Aventis have launched many innovative social media campaigns. The HR departments in many healthcare organizations are using social media sites to spot and recruit talent.

These new tools of communications come with their own risks and dangers. Like a double edged sword, all points in favor of social media usage also contribute to the dangers associated with their use. The dangers social media exposes healthcare to are internal as well as external. Flippant remarks made by nurses or doctors online can be misconstrued by general public. Cases abound where protected health information was shared online inadvertently. The danger of violations of patient privacy cannot be overstated.

Conversations cannot be controlled and negative remarks made on social media by disgruntled employees or consumers cannot be erased. Such risks can be minimized by fostering positive comments by consumers and show casing achievements and consumer centeredness via these communication channels.

Organizations need to gear up to grab the opportunity and face the challenge that is social media. They need to monitor their ‘social presence’ and keep track of consumer sentiments. Use of social media for innovative marketing and communication campaigns should be encouraged. Organizations should educate both their employees and the public on their privacy practices to encourage responsible use of their social media sites. Guidelines and specific social media policies need to be in place to promote risk free use of social media by employees. Once policy is established, employees, volunteers, contracted employees, and medical staff members should receive training and education to ensure they are aware of the policies and procedures. With proper policy and training for employees, healthcare is slowly but surely taming the social media beast that technology has helped unleash on the markets.

Also See:

· Pharma and Healthcare Social Media Wiki: http://bit.ly/hcsmwiki

· Online Database of Healthcare Social Media Policies: http://bit.ly/hcsmpolicy

· Privacy Policies for Social Media: http://journal.ahima.org/2010/01/06/social-media-policies/

Top 10 Health Technology Hazards For 2013

The evolution of healthcare information technology systems such as electronic health records (EHRs) has definitely helped improve quality and efficiency in healthcare. At the same time, there’s a growing level of complexity and opportunity for error. With increasing use of technology in healthcare, healthcare providers need to be wary of the associated risks with its use.

Now in its sixth year, ECRI Institute publishes an annual list of top hazards of technology in healthcare. The Top 10 Health Technology Hazards list is updated each year based upon the prevalence and severity of incidents reported to ECRI Institute by healthcare facilities nationwide; information found in the Institute’s medical device problem reporting databases; and the judgment, analysis, and expertise of the organization’s multidisciplinary staff. Here are the group’s estimation of the most probable hazards which might crop up in 2013 because of use of technology in healthcare.

1.  Alarm hazards

2.  Medication administration errors using infusion pump

3.  Unnecessary radiation exposures and radiation burns during diagnostic radiology procedures

4.  Patient/data mismatches in EHRs and other health IT (HIT) systems

5.  Interoperability failures with medical devices and health IT systems

6. Air embolism hazards

7. Inattention to the needs of pediatric patients when using “adult” technologies

8. Inadequate reprocessing of endoscopic devices and surgical instruments

9. Caregiver distractions from smartphones and other mobile devices

10. Surgical fires

You can download the original report by registering here.

Here are the lists of Top hazards for 2010. for 2011 and for 2012

Photo credit: @Jacobsons on Flickr (CC BY-NC-SA 2.0)

Ten Most Innovative Companies In Healthcare 2012

Fast Company routinely publishes their list of 'Most Innovative Companies'. You can find their earlier list here. Here's  their list of most innovative companies in healthcare for 2012.

1) National Marrow Donor Program

Their use of technology shortens the 'Bone marrow transplant' time by using an online hub that helps keep donors and recipients on track during the steps before transplantation. They have also added new matching algorithms to improve search accuracy. NMDP makes extensive use of social media to search for new donors.

2)  Narayana Hrudayalaya Hospitals

India's pride, this is one institution which has beautifully married public and private healthcare enterprise, among it's many other innovations in healthcare services delivery.

3) Walgreens

They are a $70 billion company and the largest drug store chain in the U.S. They offer some amazing online deals in healthcare products.

4)  Castlight Health

Like a price compare in Healthcare services allowing you to bargain, Castlight Health provides transparency into cost and quality, so individuals can make informed decisions about health care.

5) Assistivewear
Found in 2000, they are a truly innovative firm working on assistive technology software for Mac OS X and iOS. Their inclusion is for developing a Virtual on-screen keyboard for users who cannot use a physical one.

6) IBM

They are a fixture in any such list of 'most innovative companies'. This time, they feature on the list for their hugely popular 'Watson supercomputer'. Watson is expected to soon bring its massive artificial intelligence algorithms to help improve healthcare and clinical medicine.

7) Össur

A niche player in orthopedic devices, they are in the list for building the "smart" knee, the first motorized, personalized prosthesis.

8) Heritage Provider Network 

A preventive healthcare services company, they are in the list for funding a data-mining competition to reduce unnecessary hospital visits. 

9) Esri

 A mapping software (G.I.S) company, they have brought in the concept of commercial use of 'Geo-medicine', where they use mapping software to help in diagnosis, management and prevention of diseases (many of which have an environmental trigger).

10) 3M
A large product manufacturing company, they have about 55,000 products in the market, many of them in the healthcare and electronics. Their inclusion is because of their cardiology grade Littmann® Electronic Stethoscope.