Bold Voices - May 2012 - (Page 8)

AT THE BEDSIDE Medical Panel Members Often Have Conflicts of Interest n October 2011 report notes that a majority of North American medical guideline panel members have conflicts of interest (COIs), suggesting these individuals have a strong influence on clinical practice recommendations, which inform standards of patient care. The online report by The British Medical Journal says underreporting of conflicts could be high and that government-sponsored guideline panels had far fewer COIs than did non-government-sponsored panels. “Guidelines inform evidence-based practice and ultimately protect patients, so safeguarding against potential sources of bias is important,” Jennifer Neuman, lead study author and instructor of preventive medicine, Mount Sinai School of Medicine, New York, says in a related article. “The majority of guideline panel members and half of guideline panel chairs in our study received some sort of compensation from industry, indicating a risk of industry influence on guideline recommendations,” Neuman says in the article. “But, we found that government agencies were able to effectively staff their guideline panels with individuals with few conflicts of interest; therefore it is possible to convene panels with minimal COI,” she adds. Overall, a review of the panel members on the subjects of diabetes and high cholesterol showed 150 of the 288 (52 percent) had COIs, and one out of nine panelists who declared no conflict actually had one. Organizations reviewed include the American Diabetes Association, the American Heart Association and the U.S. Preventive Services Task Force. To reduce industry bias and ensure that guidelines come from transparent sources for the benefit of patients, the study supports efforts to reduce COI. “Conflict-free guideline panels are feasible and would help to improve the quality of the guideline development process,” the study notes. A Opening An Additional Hospital To Serve Our Growing Community Bethesda West Hospital - Opening January 8, 2013 Apply online at: A not-for-profit hospital, Bethesda Memorial Hospital in Boynton Beach, FL has provided quality health services in a caring manner since 1959. Today, we’re more committed than ever to improving the well-being of our patients and our professionals. Now is the perfect time to join our health system. Let’s work together to strengthen our community—starting with your career. Immediate Opportunities Available for CVICU, ER, ICU, NICU & PICU RNs Commitment Bonuses for ICU & CVICU RNs Our Many Accolades Include: 2011 American Heart Association Fit-Friendly Hospital 2011 American Heart Association Gold Award for Stroke Care Recognized in U.S. News & World Report’s “America’s Best Hospitals” 2011 Kids’ Crown Award for the Best Maternity Hospital in Palm Beach County - South Florida Parenting Magazine For information on all of our available opportunities, please visit our Web site, For any additional questions, contact Duarte Mendonca, Nurse Recruiter at or call 561.737.7733, ext. 84371. Bethesda Memorial Hospital is a fully-accredited, not-for-profit community hospital and equal opportunity employer. Smoke-free, drug-free workplace. 8 MAY 2012

Table of Contents for the Digital Edition of Bold Voices - May 2012

Front/Digital Edition Viewing Guide
Another Angle
AACN Boards and Contact Information
Your NTI Checklist
AACN, Case Western Reserve University Announce Innovative DNP, PhD Collaboration
Patients at End of ICU Rounds Receive Less Face Time
Medical Panel Members Have Conflicts of Interest
Adverse Events Unreported
Penn Nursing Study: Nurse Burnout a Worldwide Problem
Low-Cost Changes to Nurses' Work Environment Also Benefit Patients
Hospital Workers Reluctant to Report Medical Errors
Flame of Excellence Awards
Circle of Excellence Awards
UTI Prevention Lower Priority Than Other HAIs
Children at Higher Risk for Infection in Intensive Care
Cameras, Feedback: Effective Tools to Enforce Hand Washing
In Our Journals
More Coronary Events Associated With Dabigatran
Certification Capsules
Publishing-related Events at NTI
Stay Connected at NTI
From the President

Bold Voices - May 2012