The Experts below are selected from a list of 4170 Experts worldwide ranked by ideXlab platform
Viswanathan Krishnan - One of the best experts on this subject based on the ideXlab platform.
-
alleviating drug shortages the role of Mandated Reporting induced operational transparency
Management Science, 2021Co-Authors: Junghee Lee, Hyun Seok Lee, Hyoduk Shin, Viswanathan KrishnanAbstract:The ongoing shortage of pharmaceutical drugs critically threatens public health. With increasing industry consolidation, operational disruptions at a firm can lead to a nationwide shortage of life-...
-
alleviating drug shortages the role of Mandated Reporting induced operational transparency
Social Science Research Network, 2020Co-Authors: Junghee Lee, Hyun Seok Lee, Hyoduk Shin, Viswanathan KrishnanAbstract:The ongoing shortage of pharmaceutical drugs critically threatens public health. With increasing industry consolidation, operational disruptions at a firm can lead to a nationwide shortage of life-saving drugs. In 2012, the U.S. Food and Drug Administration Mandated all manufacturers to report any manufacturing interruption that can potentially cause shortages. The goal of the mandate was to mitigate drug shortages by enhancing operational transparency in the pharmaceutical industry. Subsequently, other countries such as Canada have also begun mandating Reporting of interruptions to alleviate drug shortages. We leverage the policy changes in the U.S. and Canada to understand the impact of Mandated Reporting-induced operational transparency on alleviating the extent of drug shortages. Using the data on time-to-recovery for individual drug shortage incident and annual-days-of-shortage for each drug, we find that the new policy alleviates drug shortages, but its effectiveness is contingent upon the prevailing level of competition in the product category. While the intervention is not as impactful under a monopoly, the mandate is most effective under a duopoly and its impact wanes as competition intensifies. In the absence of the mandate-induced transparency, competition does not necessarily alleviate shortages, but with the regulation, competition can relieve drug shortages. Our results potentially offer healthcare providers and policymakers the impetus to alleviate drug shortages by mandating interruption Reporting and improving operational transparency.
James Cone - One of the best experts on this subject based on the ideXlab platform.
-
sharps related injuries in california healthcare facilities pilot study results from the sharps injury surveillance registry
Infection Control and Hospital Epidemiology, 2003Co-Authors: Marion Gillen, Martha Davis, Jennifer Mcnary, Alisa Boyd, Julieann Lewis, Chris Curran, Carol A Young, Mary Schuller, James ConeAbstract:BACKGROUND AND OBJECTIVES: In 1998, the California Department of Health Services invited all healthcare facilities in California (n = 2,532) to participate in a statewide, voluntary sharps injury surveillance project. The objectives were to determine whether a low-cost sharps registry could be established and maintained, and to evaluate the circumstances surrounding sharps injuries in California. RESULTS: Approximately 450 facilities responded and reported a total of 1,940 sharps-related injuries from January 1998 through January 2000. Injuries occurred in a variety of healthcare workers (80 different job titles). Nurses sustained the highest number of injuries (n = 658). In hospital settings (n = 1,780), approximately 20% of the injuries were associated with drawing venous blood, injections, or assisting with a procedure such as suturing. As expected, injuries were caused by tasks conventionally related to specific job classifications. The overall results approximate those reported by the Centers for Disease Control and Prevention's National Surveillance System for Health Care Workers and the University of Virginia's Exposure Prevention Information Network. CONCLUSION: These data further support findings from previous studies documenting the complex and persistent nature of sharps-related injuries in healthcare workers. In the future, Mandated Reporting using standardized forms and consistent application of decision rules would facilitate a more thorough analysis of injury events.
-
sharps injury recordkeeping activities and safety product use in california health care facilities pilot study results from the sharps injury control program
American Journal of Infection Control, 2002Co-Authors: Marion Gillen, Martha Davis, Jennifer Mcnary, Alisa Boyd, Julieann Lewis, Chris Curran, Carol A Young, Mary Schuller, James ConeAbstract:Abstract Background: In 1999, licensed health care facilities in California (N = 2532) were invited to participate in a survey about occupational bloodborne pathogens exposure surveillance activities, recordkeeping methods, and use of safety-enhanced sharps devices. Results: A total of 1274 facilities responded to the survey from January 1999 through August 1999 (response rate=50%). Sharps-related injuries were recorded for multiple departments on various forms in diverse manners. Only 66% of hospitals, 37% of home health agencies, and 33% of skilled nursing facilities reported sharps injuries on a Mandated sharps injury log. More than 70% of facilities stated that they used some type of safety device or needleless system, but this figure varied by type of device and facility type. Eighty-four percent of general acute care hospitals, 28% of home health agencies and skilled nursing facilities each had evaluated at least 1 safety-enhanced device. Almost 90% of all facilities expressed a need for educational materials on topics such as device selection and evaluation. Conclusions: Standardization of surveillance and recordkeeping activities does not exist across facility types. Standards and regulations demand complex recordkeeping activities. Increased funding for distribution of educational materials and on-site training should accompany changes in Mandated Reporting activities when appropriate. Increased testing and evaluation of devices across facility types are necessary to ensure that safety-enhanced devices are protective of health care workers and patients. (Am J Infect Control 2002;30:269-76.)
Junghee Lee - One of the best experts on this subject based on the ideXlab platform.
-
alleviating drug shortages the role of Mandated Reporting induced operational transparency
Management Science, 2021Co-Authors: Junghee Lee, Hyun Seok Lee, Hyoduk Shin, Viswanathan KrishnanAbstract:The ongoing shortage of pharmaceutical drugs critically threatens public health. With increasing industry consolidation, operational disruptions at a firm can lead to a nationwide shortage of life-...
-
alleviating drug shortages the role of Mandated Reporting induced operational transparency
Social Science Research Network, 2020Co-Authors: Junghee Lee, Hyun Seok Lee, Hyoduk Shin, Viswanathan KrishnanAbstract:The ongoing shortage of pharmaceutical drugs critically threatens public health. With increasing industry consolidation, operational disruptions at a firm can lead to a nationwide shortage of life-saving drugs. In 2012, the U.S. Food and Drug Administration Mandated all manufacturers to report any manufacturing interruption that can potentially cause shortages. The goal of the mandate was to mitigate drug shortages by enhancing operational transparency in the pharmaceutical industry. Subsequently, other countries such as Canada have also begun mandating Reporting of interruptions to alleviate drug shortages. We leverage the policy changes in the U.S. and Canada to understand the impact of Mandated Reporting-induced operational transparency on alleviating the extent of drug shortages. Using the data on time-to-recovery for individual drug shortage incident and annual-days-of-shortage for each drug, we find that the new policy alleviates drug shortages, but its effectiveness is contingent upon the prevailing level of competition in the product category. While the intervention is not as impactful under a monopoly, the mandate is most effective under a duopoly and its impact wanes as competition intensifies. In the absence of the mandate-induced transparency, competition does not necessarily alleviate shortages, but with the regulation, competition can relieve drug shortages. Our results potentially offer healthcare providers and policymakers the impetus to alleviate drug shortages by mandating interruption Reporting and improving operational transparency.
Walter H Henricks - One of the best experts on this subject based on the ideXlab platform.
-
integrating data from legacy systems using object linking and embedding technology development of a Reporting system for heavy metal poisoning results
Journal of the American Medical Informatics Association, 2000Co-Authors: Kavous Roumina, Adam Fadlalla, Walter H HenricksAbstract:Integrating data that reside in different systems remains an often laborious process, requiring either manual steps or complicated programming. This paper describes a method for state-Mandated Reporting of childhood blood lead testing results that makes use of object linking and embedding technology and readily available software products to pull together information from different legacy systems. A terminal session emulator employs object linking and embedding automation to extract host data, and Visual Basic routines specify the user interface and database manipulation. This system has significantly increased the efficiency and accuracy with which blood lead testing reports are provided to the local state health department. The system provides a model for a relatively easy solution for laboratories and other groups that need a way to integrate standard data sets that are distributed across legacy systems. n J Am Med Inform Assoc. 2000;7:357-360.
-
Integrating data from legacy systems using object linking and embedding technology: development of a Reporting system for heavy metal poisoning results.
Journal of the American Medical Informatics Association : JAMIA, 2000Co-Authors: Shang-che Lin, Kavous Roumina, Adam Fadlalla, Walter H HenricksAbstract:Integrating data that reside in different systems remains an often laborious process, requiring either manual steps or complicated programming. This paper describes a method for state-Mandated Reporting of childhood blood lead testing results that makes use of object linking and embedding technology and readily available software products to pull together information from different legacy systems. A terminal session emulator employs object linking and embedding automation to extract host data, and Visual Basic routines specify the user interface and database manipulation. This system has significantly increased the efficiency and accuracy with which blood lead testing reports are provided to the local state health department. The system provides a model for a relatively easy solution for laboratories and other groups that need a way to integrate standard data sets that are distributed across legacy systems.
Marion Gillen - One of the best experts on this subject based on the ideXlab platform.
-
sharps related injuries in california healthcare facilities pilot study results from the sharps injury surveillance registry
Infection Control and Hospital Epidemiology, 2003Co-Authors: Marion Gillen, Martha Davis, Jennifer Mcnary, Alisa Boyd, Julieann Lewis, Chris Curran, Carol A Young, Mary Schuller, James ConeAbstract:BACKGROUND AND OBJECTIVES: In 1998, the California Department of Health Services invited all healthcare facilities in California (n = 2,532) to participate in a statewide, voluntary sharps injury surveillance project. The objectives were to determine whether a low-cost sharps registry could be established and maintained, and to evaluate the circumstances surrounding sharps injuries in California. RESULTS: Approximately 450 facilities responded and reported a total of 1,940 sharps-related injuries from January 1998 through January 2000. Injuries occurred in a variety of healthcare workers (80 different job titles). Nurses sustained the highest number of injuries (n = 658). In hospital settings (n = 1,780), approximately 20% of the injuries were associated with drawing venous blood, injections, or assisting with a procedure such as suturing. As expected, injuries were caused by tasks conventionally related to specific job classifications. The overall results approximate those reported by the Centers for Disease Control and Prevention's National Surveillance System for Health Care Workers and the University of Virginia's Exposure Prevention Information Network. CONCLUSION: These data further support findings from previous studies documenting the complex and persistent nature of sharps-related injuries in healthcare workers. In the future, Mandated Reporting using standardized forms and consistent application of decision rules would facilitate a more thorough analysis of injury events.
-
sharps injury recordkeeping activities and safety product use in california health care facilities pilot study results from the sharps injury control program
American Journal of Infection Control, 2002Co-Authors: Marion Gillen, Martha Davis, Jennifer Mcnary, Alisa Boyd, Julieann Lewis, Chris Curran, Carol A Young, Mary Schuller, James ConeAbstract:Abstract Background: In 1999, licensed health care facilities in California (N = 2532) were invited to participate in a survey about occupational bloodborne pathogens exposure surveillance activities, recordkeeping methods, and use of safety-enhanced sharps devices. Results: A total of 1274 facilities responded to the survey from January 1999 through August 1999 (response rate=50%). Sharps-related injuries were recorded for multiple departments on various forms in diverse manners. Only 66% of hospitals, 37% of home health agencies, and 33% of skilled nursing facilities reported sharps injuries on a Mandated sharps injury log. More than 70% of facilities stated that they used some type of safety device or needleless system, but this figure varied by type of device and facility type. Eighty-four percent of general acute care hospitals, 28% of home health agencies and skilled nursing facilities each had evaluated at least 1 safety-enhanced device. Almost 90% of all facilities expressed a need for educational materials on topics such as device selection and evaluation. Conclusions: Standardization of surveillance and recordkeeping activities does not exist across facility types. Standards and regulations demand complex recordkeeping activities. Increased funding for distribution of educational materials and on-site training should accompany changes in Mandated Reporting activities when appropriate. Increased testing and evaluation of devices across facility types are necessary to ensure that safety-enhanced devices are protective of health care workers and patients. (Am J Infect Control 2002;30:269-76.)