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Annals of Internal Medicine tip sheet for 1 Jan. 2013
Date:12/31/2012

ressure and low heart rate. With no response to treatment, the patients were referred for a screening for common toxins and drugs. The screening found clonidine in the patients' systems. The patients were treated for clonidine poisoning and symptoms resolved in all patients within 48 hours. After six days, all patients had been discharged from the hospital and at one year no patients had residual symptoms. An investigation found that two persons put clonidine into the starch used to make certain dishes (the kitchen staff would not notice the addition because starch and clonidine are both white, odorless powders) to gain a competitive advantage for a nearby restaurant.

Note: For an embargoed PDF, please contact Megan Hanks or Angela Collom.


4. Limited Evidence to Connect Cost of Health Care to Quality

Researchers need more evidence to determine the connection between health care quality and cost. The nation's heath care costs are rising at an unsustainable rate, making it a priority to control costs. But there is uncertainty as to whether improvements in quality will cause costs to go up or down. Researchers reviewed 61 published studies to determine the association between health care quality and cost. Of 61 included studies, 21 reported a positive or mixed-positive association between higher cost and quality; 18 reported a negative or mixed-negative association between higher cost and quality; and 22 reported no difference, an indeterminate association, or a mixed association. The limited evidence available suggests no clear relationship between cost and quality. The researchers conclude that more research is needed focusing on what types of spending are most effective in improving quality and what types of spending are wasteful. The authors of an accompanying editorial addressing efficient use of health care resources agree that more detailed and timely data is needed to make good medical, operational, and policy decision
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Contact: Angela Collom
acollom@acponline.org
215-351-2653
American College of Physicians
Source:Eurekalert

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