Drug Topics - November 10, 2008 - (Page H4)

HSE / Cover Story ANTICOAGULANT SAFETY of Oct. 1, the hospital implemented ordering guidelines in its stroke unit. The hospital’s plan also provides monitoring guidelines, which include watching patients’ weight and dietary needs. The monitoring procedures meet several steps of the implementation goal. “There were a lot of challenges in creating the plan that best suited our patients’ needs,” Caliendo said. “One of the biggest challenges was the size of our institution.” Originally, the hospital wanted consensus among the members of the steering committee that created its action plan. The committee members, however, recognized that a set standard for using the medication would be difﬁcult, in light of the diverse nature of patient needs. “No matter what kind of system you have, there’s always room for improvement.” — Adam Parcher, director of performance improvement and care management, Northwest Hospital and Medical Center in Seatle Educating staff It was about six years ago that Hamot Medical Center ﬁrst recognized the need to address adverse patient reactions to H4 DRUG TOPICS N OV. 10, 2008 W W W.D R U GTO P I C S .C O M GETTY IMAGES / DIGITAL VISION / JOCHEN SANDS Another step the hospital took was to eliminate dangerous doses, Caliendo said. Determining that heparin is rarely used in 10,000 ml doses, the hospital eliminated the vials. “We’ve seen a good number of patients admitted to the hospital with bleeds because of these medications,” Caliendo said. “This is a growing safety concern.” heparin, warfarin, and other common anticoagulants. When the hospital’s pharmacy and therapeutic committee didn’t see enough of a decrease in adverse reactions, its members decided more education was necessary. The hospital then began requiring its medical staff to attend in-service training on order sets and the handling and prescription of anticoagulants, said Thomas Thompson, RPh, Hamot’s vice president of pharmacy service. The educational program was designed by the hospital’s chief of medicine, a http://WWW.DRUGTOPICS.COM

Table of Contents Feed for the Digital Edition of Drug Topics - November 10, 2008

Drug Topics - November 10, 2008 Contents Up Front Up Front in Depth Letters Rx Care Government Community Practice First Responders Clinical Practice Self-Care FDA Safety Page Weighing the Complications of Obesity New Products Viewpoint

Drug Topics - November 10, 2008

Drug Topics - November 10, 2008 - (Page cvt1) Drug Topics - November 10, 2008 - (Page cvt2) Drug Topics - November 10, 2008 - Drug Topics - November 10, 2008 (Page Cover1) Drug Topics - November 10, 2008 - Drug Topics - November 10, 2008 (Page Cover2) Drug Topics - November 10, 2008 - Drug Topics - November 10, 2008 (Page 1) Drug Topics - November 10, 2008 - Contents (Page 2) Drug Topics - November 10, 2008 - Contents (Page 3) Drug Topics - November 10, 2008 - Contents (Page 4) Drug Topics - November 10, 2008 - Contents (Page 5) Drug Topics - November 10, 2008 - Contents (Page 6) Drug Topics - November 10, 2008 - Contents (Page 7) Drug Topics - November 10, 2008 - Up Front (Page 8) Drug Topics - November 10, 2008 - Up Front (Page 9) Drug Topics - November 10, 2008 - Up Front (Page 10) Drug Topics - November 10, 2008 - Up Front (Page 11) Drug Topics - November 10, 2008 - Up Front in Depth (Page 12) Drug Topics - November 10, 2008 - Up Front in Depth (Page H1) Drug Topics - November 10, 2008 - Up Front in Depth (Page H2) Drug Topics - November 10, 2008 - Up Front in Depth (Page H3) Drug Topics - November 10, 2008 - Up Front in Depth (Page H4) Drug Topics - November 10, 2008 - Up Front in Depth (Page H5) Drug Topics - November 10, 2008 - Up Front in Depth (Page H6) Drug Topics - November 10, 2008 - Up Front in Depth (Page H7) Drug Topics - November 10, 2008 - Up Front in Depth (Page H8) Drug Topics - November 10, 2008 - Up Front in Depth (Page H9) Drug Topics - November 10, 2008 - Up Front in Depth (Page H10) Drug Topics - November 10, 2008 - Up Front in Depth (Page H11) Drug Topics - November 10, 2008 - Up Front in Depth (Page H12) Drug Topics - November 10, 2008 - Letters (Page 13) Drug Topics - November 10, 2008 - Rx Care (Page 14) Drug Topics - November 10, 2008 - Rx Care (Page 15) Drug Topics - November 10, 2008 - Rx Care (Page 16) Drug Topics - November 10, 2008 - Rx Care (Page 17) Drug Topics - November 10, 2008 - Rx Care (Page 17a) Drug Topics - November 10, 2008 - Rx Care (Page 17b) Drug Topics - November 10, 2008 - Government (Page 18) Drug Topics - November 10, 2008 - Government (Page 19) Drug Topics - November 10, 2008 - Government (Page 20) Drug Topics - November 10, 2008 - Community Practice (Page 21) Drug Topics - November 10, 2008 - First Responders (Page 22) Drug Topics - November 10, 2008 - First Responders (Page 23) Drug Topics - November 10, 2008 - First Responders (Page 24) Drug Topics - November 10, 2008 - First Responders (Page 25) Drug Topics - November 10, 2008 - First Responders (Page 26) Drug Topics - November 10, 2008 - First Responders (Page 27) Drug Topics - November 10, 2008 - First Responders (Page 28) Drug Topics - November 10, 2008 - First Responders (Page 29) Drug Topics - November 10, 2008 - First Responders (Page 30) Drug Topics - November 10, 2008 - First Responders (Page 31) Drug Topics - November 10, 2008 - Clinical Practice (Page 32) Drug Topics - November 10, 2008 - Clinical Practice (Page 33) Drug Topics - November 10, 2008 - Clinical Practice (Page 34) Drug Topics - November 10, 2008 - Clinical Practice (Page 35) Drug Topics - November 10, 2008 - Self-Care (Page 36) Drug Topics - November 10, 2008 - Self-Care (Page 37) Drug Topics - November 10, 2008 - Self-Care (Page 38) Drug Topics - November 10, 2008 - FDA Safety Page (Page 39) Drug Topics - November 10, 2008 - Weighing the Complications of Obesity (Page 40) Drug Topics - November 10, 2008 - Weighing the Complications of Obesity (Page 41) Drug Topics - November 10, 2008 - Weighing the Complications of Obesity (Page 42) Drug Topics - November 10, 2008 - Weighing the Complications of Obesity (Page 43) Drug Topics - November 10, 2008 - Weighing the Complications of Obesity (Page 44) Drug Topics - November 10, 2008 - Weighing the Complications of Obesity (Page 45) Drug Topics - November 10, 2008 - Weighing the Complications of Obesity (Page 46) Drug Topics - November 10, 2008 - Weighing the Complications of Obesity (Page 47) Drug Topics - November 10, 2008 - Weighing the Complications of Obesity (Page 48) Drug Topics - November 10, 2008 - Weighing the Complications of Obesity (Page 49) Drug Topics - November 10, 2008 - New Products (Page 50) Drug Topics - November 10, 2008 - New Products (Page 51) Drug Topics - November 10, 2008 - New Products (Page 52) Drug Topics - November 10, 2008 - New Products (Page 53) Drug Topics - November 10, 2008 - New Products (Page 54) Drug Topics - November 10, 2008 - New Products (Page 55) Drug Topics - November 10, 2008 - Viewpoint (Page 56) Drug Topics - November 10, 2008 - Viewpoint (Page Cover3) Drug Topics - November 10, 2008 - Viewpoint (Page Cover4) http://digital.modernmedicine.com/nxtbooks/advanstar/dt_200911http://digital.modernmedicine.com/nxtbooks/advanstar/dt_200910http://digital.modernmedicine.com/nxtbooks/advanstar/dt_200909http://digital.modernmedicine.com/nxtbooks/advanstar/dt_200908http://digital.modernmedicine.com/nxtbooks/advanstar/dt_200907http://digital.modernmedicine.com/nxtbooks/advanstar/dt_200906http://digital.modernmedicine.com/nxtbooks/advanstar/dt_200905http://www.nxtbook.com/nxtbooks/advanstar/dt_200904http://www.nxtbook.com/nxtbooks/advanstar/dt_200903http://www.nxtbook.com/nxtbooks/advanstar/dt_200902http://www.nxtbook.com/nxtbooks/advanstar/dt_200901_v2http://www.nxtbook.com/nxtbooks/advanstar/dt_200901http://www.nxtbook.com/nxtbooks/advanstar/dt122908http://www.nxtbook.com/nxtbooks/advanstar/dt122208http://www.nxtbook.com/nxtbooks/advanstar/dt121508http://www.nxtbook.com/nxtbooks/advanstar/dt111008_v2http://www.nxtbook.com/nxtbooks/advanstar/dt120808http://www.nxtbook.com/nxtbooks/advanstar/dt120108http://www.nxtbook.com/nxtbooks/advanstar/dt112408http://www.nxtbook.com/nxtbooks/advanstar/dt111708http://www.nxtbook.com/nxtbooks/advanstar/dt111008http://www.nxtbook.com/nxtbooks/advanstar/dt110308http://www.nxtbook.com/nxtbooks/advanstar/dt102708http://www.nxtbook.com/nxtbooks/advanstar/dt102008http://www.nxtbook.com/nxtbooks/advanstar/dt101308http://www.nxtbook.com/nxtbooks/advanstar/dt100608http://www.nxtbook.com/nxtbooks/advanstar/dt092908http://www.nxtbook.com/nxtbooks/advanstar/dt092208http://www.nxtbook.com/nxtbooks/advanstar/dt090808http://www.nxtbook.com/nxtbooks/advanstar/dt090108http://www.nxtbook.com/nxtbooks/advanstar/dt082508http://www.nxtbook.com/nxtbooks/advanstar/dt081808http://www.nxtbook.com/nxtbooks/advanstar/dt081108http://www.nxtbook.com/nxtbooks/advanstar/dt080408http://www.nxtbook.com/nxtbooks/advanstar/dt072808http://www.nxtbook.com/nxtbooks/advanstar/dt072108http://www.nxtbook.com/nxtbooks/advanstar/dt070708http://www.nxtbook.com/nxtbooks/advanstar/dt063008http://www.nxtbook.com/nxtbooks/advanstar/dt062308http://www.nxtbook.com/nxtbooks/advanstar/dt061608http://www.nxtbook.com/nxtbooks/advanstar/dt060908http://www.nxtbook.com/nxtbooks/advanstar/dt060208http://www.nxtbook.com/nxtbooks/advanstar/dt052608http://www.nxtbook.com/nxtbooks/advanstar/dt051908http://www.nxtbook.com/nxtbooks/advanstar/dt051208http://www.nxtbook.com/nxtbooks/advanstar/dt042808http://www.nxtbook.com/nxtbooks/advanstar/dt042108http://www.nxtbook.com/nxtbooks/advanstar/dt041408http://www.nxtbook.com/nxtbooks/advanstar/dt040708http://www.nxtbook.com/nxtbooks/advanstar/dt033108http://www.nxtbook.com/nxtbooks/advanstar/dt032408http://www.nxtbook.com/nxtbooks/advanstar/dt031708http://www.nxtbook.com/nxtbooks/advanstar/dt031008http://www.nxtbook.com/nxtbooks/advanstar/dt030308http://www.nxtbook.com/nxtbooks/advanstar/dt022508http://www.nxtbook.com/nxtbooks/advanstar/dt021808http://www.nxtbook.com/nxtbooks/advanstar/dt021108http://www.nxtbook.com/nxtbooks/advanstar/dt020408http://www.nxtbook.com/nxtbooks/advanstar/dt012808http://www.nxtbook.com/nxtbooks/advanstar/dt012108http://www.nxtbook.com/nxtbooks/advanstar/dt011408http://www.nxtbook.com/nxtbooks/advanstar/dt010708http://www.nxtbook.com/nxtbooks/advanstar/dt121707http://www.nxtbook.com/nxtbooks/advanstar/dt121007http://www.nxtbook.com/nxtbooks/advanstar/dt120307http://www.nxtbook.com/nxtbooks/advanstar/dt112607http://www.nxtbook.com/nxtbooks/advanstar/dt111907http://www.nxtbook.com/nxtbooks/advanstar/dt111207http://www.nxtbook.com/nxtbooks/advanstar/dt110507http://www.nxtbook.com/nxtbooks/advanstar/dt102907http://www.nxtbook.com/nxtbooks/advanstar/dt102207http://www.nxtbook.com/nxtbooks/advanstar/dt101507http://www.nxtbook.com/nxtbooks/advanstar/dt100807http://www.nxtbookMEDIA.com

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