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As many as 25 million people in North America are affected in varying degrees by the inability to completely control urination or bowel movements, with higher occurrences for women and the elderly. Despite what many people believe, bladder weakness is a symptom, not an illness.

Hospital pharmacists involved in Medicare reimbursement will have to think twice when purchasing drugs for their pharmacy departments. CMS has announced a separate, and a reportedly more accurate payment structure for single source and biologic drugs.

After more than two years of collaborative effort, national quality measures for breast and colon cancer treatment are now in place. The American College of Surgeons Commission on Cancer, working with two other professional organizations, recently received endorsement from the National Quality Forum for the first nationally recognized hospital-based performance measures for breast and colorectal cancer.

In proposed legislation that could save millions of taxpayer dollars in drug costs, the U.S. Senate is considering extending current 340B program discounts to include inpatients.

Your smart infusion pumps-are they winners or also-rans? One of the first head-to-head technology comparisons by third-party consultants has some answers. Cardinal's Alaris system got top marks from leaders in pharmacy, nursing, information technology (IT), and other hospital departments. Out of a possible 100 points, Alaris got 89.8 for product technology, vendor service, product performance, business impact, and percentage of positive user comments. B. Braun's Outlook system came in second with 88.3, followed by Hospira's Plum A+/ MedNet at 85.9. Baxter's COLLEAGUE system ended a distant fourth at 61.2. Sigma missed the race entirely.

ASHP has released ResiTrak, a Web-based tool expected to enhance the mentoring of pharmacy residents enrolled in their residency learning system while facilitating the administrative process for preceptors and program directors.

The move toward all-electronic health records is gathering momentum and support. Just over 38% of U.S. hospitals now use EHRs, according to a recent survey conducted by ASHP, up 31% in 2007. In hospitals that use EHRs, 94% of pharmacies have access to patient records.

An interim action that the Joint Commission initially viewed as a relief to hospitals regarding the timeline for pharmacists' review of emergency department medication orders was suspended after 14 weeks because the accrediting organization realized it had instead created a huge burden.

In an effort to keep pace with advances in the management of infectious complications in immunosuppressed cancer patients who are hospitalized, the National Comprehensive Cancer Network has released updated guidelines for the prevention and treatment of cancer-related infections.

New guidelines for the treatment of acute ischemic stroke continue to endorse the use of intravenous tissue-type plasminogen activator while now including recommendations for palliative care.

Doctors are hopeful that a new treatment using patients' own cells to treat prostate cancer will be approved by the FDA, although the approval has been delayed. Patient cells may trigger immune response that will fight cancer cells.

Responding to hospital customers' demand for environmentally friendly products, the major intravenous container manufacturers are going "green." Hospira Inc., Baxter Healthcare, and B. Braun Medical are shipping more and more containers made from PVC (polyvinyl chloride)- and DEHP (di-2-ethylhexyl phthalate)-free materials.

To get your feedback on what’s happening in pharmacy, Drug Topics has set up a blog for its publisher, Joe Laborsky, R.Ph. The first blog, about drug errors, is a response to the recent ABC “20/20” show on the subject.

In light of recently published data regarding the cardiovascular risks of rosiglitazone (Avandia, GlaxoSmithKline), the American Diabetes Association is strongly encouraging patients to consult their physician if they are currently taking the drug.

The General Merchandise Distributors Council (GMDC) has undertaken a major rebranding initiative. The association has become the Global Market Development Center, to more accurately articulate its role in serving globally focused wholesalers, retailers, and suppliers.

Rite Aid Corp. announced that FTC has accepted the proposed consent agreement relating to Rite Aid's acquisition of the Brooks and Eckerd drugstore chains from The Jean Coutu Group Inc.

PBMs earn top honors

Walgreens Health Initiatives (WHI), a Walgreens company, was the highest rated PBM nationally in overall member satisfaction among the 18 major PBMs evaluated in the 2007 WilsonRx PBM Member Satisfaction Survey. WHI was top rated in several measures of satisfaction, including: overall coverage of retail prescriptions, information provided about medications, and overall coverage of branded and generic medications.

Primary care physicians are more willing than endocrinologists to prescribe Exubera (insulin recombinant human, Pfizer), and half of managed care pharmacy directors indicated they will not cover the inhaled insulin on their formulary on the basis of improved compliance alone.

The vast majority of pharmacists that responded to an on-line poll concluded that the "20/20" television expos? on drug errors had no impact on the way they practice pharmacy.