Blog

* Blog posts are the views of their author(s) and are not necessarily the views of Best Care Always


What works in COVID-19? Non-pharmaceutical interventions.

Gareth S Kantor In mid-February, reports from China1 suggested that the anti-malaria drug chloroquine might be an effective treatment for COVID-19 disease. A subsequent French clinical trial2 of the related drug hydroxychloroquine, which is used primarily to treat patients with the autoimmune disease lupus, has set off a global rush to stockpile both these drugs, fueled in part by Donald Trump’s comment that this is “a real chance to be one of the biggest game changers in the history of medicine”3. The chloroquine and hydroxychloroquine clinical trials were...

Outcomes measurement is “spurious”?

John Kane-Berman in Politicsweb (October 6, 2019) objects to Health Market Inquiry (HMI) recommendations that there be mandatory outcomes reporting in the private health sector, quoting an (un-named) general practitioner who says reporting outcomes is “spurious”. A second un-named health professional, a “specialist”, puts forward a number of specific objections: Specialists (i.e. roughly 50% of doctors), would be prejudiced, having the worst outcomes only because of the need to “rectify” everyone else’s “failed care” . A “rich demanding patient...

Value-based compensation, the provider-payer split, and payment reform – an alternative view

SA health care is in the throes of fierce debate about massive proposed structural and payment changes. Don Berwick, founder of the Institute for Healthcare Improvement, knows a thing or two about funding it. During the Obama administration, he presided for a time over the biggest health care payer in the world – the Center for Medicare and Medicaid Services (CMS) - 2018 spend $582 billion. Value-based compensation (VBC) and the provider-payer split are health care reform essentials in many...

I Save That Line

The US-based Association for Vascular Access (AVIA) started a campaign in 2006 to bring principles of vascular access device management to the bedside. The campaign used the acronym ISAVE: I Implement insertion care and maintenance bundles S Scrupulous hand hygiene A Always disinfect every needle-less connector V Vein Preservation E Ensure Patency   AVIA now have a 1-page, freely downloadable guide for patients and families, using the same acronym: The Association encourages sharing and distribution of this resource in facilities, on social media platforms, with patients and families, provided it is not amended without their...

From Cape Town to the world; the continuing journey to patient safety

  Red Cross Children's Hospital I graduated from Wits Medical School 40 years ago and completed my paediatric training at the Red Cross Children’s hospital and at UCT.  As I celebrate the anniversary of my graduation I would also like to reflect on what I knew then about patient safety as opposed to what we know now. (more…)


* Blog posts are the views of their author(s) and are not necessarily the views of Best Care Always