Slawson Dc

Disseminating drug prescribing information: the cox-2 inhibitors withdrawals.

This case study examined the recent withdrawal of valdecoxib to determine the timeliness of updates in commonly used information sources used by healthcare professionals. The method included assembling a purposive sample of 15 drug reference and warning systems that were then systematically monitored for several months after the withdrawal of valdecoxib to determine the time to update this information. These information sources were classified and described qualitatively. A time to diffusion curve was plotted and the average number of days to report the drug withdrawal or update reference databases was calculated. Only 2 of 15 information systems reported the drug withdrawal on the actual date of the FDA announcement. Institutional electronic textbooks took an average of 109.8 days (+/-14 days) to report the withdrawal. In addition, one pharma-sponsored dissemination source (Peerview Press) had not updated their information as of this publication.

Information Mastery: Practical Evidence-Based Family Medicine

Remember Marcus Welby? He symbolized the ideal family doctor—knowledgeable even about rare conditions, caring and compassionate, making multiple house calls with his little black bag, and devoting his complete attention and the best resources for the care of a single patient.

Information Mastery - Changing the Paradigm of Patient Care with Patient-Oriented Evidence That Matters (POEM)

first at an answer of what the problem is, then what caused the problem then a solution (treatment) is selected from a menu of options. Though the patient presents with a problem, the approach to solving the problem was entirely driven by the education and training of the clinician. In earlier times, diagnoses and treatment were often lacking, and the role of the clinician became one of educator or comforter rather than healer.