<?xml version='1.0' encoding='UTF-8'?><?xml-stylesheet href="http://www.blogger.com/styles/atom.css" type="text/css"?><entry xmlns='http://www.w3.org/2005/Atom' xmlns:georss='http://www.georss.org/georss'><id>tag:blogger.com,1999:blog-35204126.post-55652444593845390</id><published>2007-02-26T15:36:00.000-08:00</published><updated>2007-02-26T16:33:26.393-08:00</updated><title type='text'>How Two Rights Can Make a Wrong</title><content type='html'>In a February 25, 2007 NY Times article entitled "How Two Rights Can Make a Wrong," Howard Markle, MD does a fantastic job if describing the perils of prescription drugs. Added to this well-referenced article is a graphic that describes the complexity in a new way.&lt;br /&gt;&lt;ul&gt;&lt;li&gt;&lt;a href="http://www.nytimes.com/2007/02/25/weekinreview/25markel.html"&gt;Follow this link to the NY Times article (Subscription may be required)&lt;/a&gt;&lt;/li&gt;&lt;li&gt;&lt;a href="http://www.markfrisse.com/images/20070225_MARKEL_GRAPHIC.pdf"&gt;Follow this link to the NY Times graphic (copyrighted material)&lt;/a&gt;&lt;/li&gt;&lt;/ul&gt;He has a more current, 2005 number for prescription drugs - 3.6 billion (2004 was 3.38 billion). His source is the Kaiser Family Foundation. (source - &lt;a href="http://www.kff.org/rxdrugs/3057.cfm"&gt;June 2006 Prescription Fact Sheet)&lt;/a&gt;&lt;br /&gt;&lt;br /&gt;Mentioned as well is the October 18, 2006 survey of emergency departments published in JAMA by Budnitz et. al. (&lt;a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&amp;cmd=Retrieve&amp;amp;dopt=AbstractPlus&amp;list_uids=17047216&amp;amp;query_hl=1&amp;itool=pubmed_docsum"&gt;PubMed Source&lt;/a&gt;; &lt;a href="http://jama.ama-assn.org/cgi/content/abstract/296/15/1858"&gt;JAMA abstract&lt;/a&gt;). They performed active surveillance from January 1, 2004, through December 31, 2005, through the National Electronic Injury Surveillance System-Cooperative Adverse Drug Event Surveillance project. They found that over the 2-year study period, 21,298 adverse drug event cases were reported, producing weighted annual estimates of 701,547 individuals.&lt;br /&gt;&lt;br /&gt;The &lt;a href="http://www.bu.edu/slone/SloneSurvey/SloneSurvey.htm"&gt;Sloan Epidemiology Center&lt;/a&gt; is cited as a source for prescription drug use. They claim:&lt;br /&gt;&lt;ul&gt;&lt;li&gt;75% of Americans over 65 years of age took roughly four prescription drug on a daily basis&lt;/li&gt;&lt;li&gt;the average 75-year old swallowed 8 different prescription medications each day&lt;/li&gt;&lt;li&gt;82 percent of the united states population reported using at least one prescription drug, over-the-counter meds, or dietary supplement in the previous week.&lt;/li&gt;&lt;/ul&gt;A fascinating report by the Columbia University Center for Addiction and Substance Abuse entitled "&lt;a href="http://www.casacolumbia.org/supportcasa/item.asp?cID=12&amp;amp;PID=138"&gt;Under the Counter: the Diversion and Abuse of Controlled Substances in the US&lt;/a&gt;"  states that:&lt;br /&gt;&lt;ul&gt;&lt;li&gt;34% of pharmacists do not have time to check a patient's full medication history at the time of dispensing&lt;/li&gt;&lt;li&gt;28% do not regularly validate the prescriber DEA number and 10% rarely or never do so.&lt;/li&gt;&lt;li&gt;Only about  half (54%) of physicians in the survey regularly call or obtain records from patient's previous (or other treating) physicians before prescribing long-term controlled drugs.&lt;/li&gt;&lt;/ul&gt;&lt;div class="blogger-post-footer"&gt;&lt;img width='1' height='1' src='https://blogger.googleusercontent.com/tracker/35204126-55652444593845390?l=www.markfrisse.com%2Ferx%2Fblog.html' alt='' /&gt;&lt;/div&gt;</content><link rel='replies' type='application/atom+xml' href='http://www.blogger.com/feeds/35204126/55652444593845390/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='https://www.blogger.com/comment.g?blogID=35204126&amp;postID=55652444593845390' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/35204126/posts/default/55652444593845390'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/35204126/posts/default/55652444593845390'/><link rel='alternate' type='text/html' href='http://www.markfrisse.com/erx/2007/02/how-two-rights-can-make-wrong.html' title='How Two Rights Can Make a Wrong'/><author><name>Mark Frisse</name><email>noreply@blogger.com</email><gd:extendedProperty xmlns:gd='http://schemas.google.com/g/2005' name='OpenSocialUserId' value='05508159015883869589'/></author><thr:total xmlns:thr='http://purl.org/syndication/thread/1.0'>0</thr:total></entry>