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New guideline aims to reduce fractures in seniors living in long-term care facilities

A new guideline that aims to prevent fractures in residents of long-term care facilities is targeted at frail seniors and their families as well as health care workers. The guideline, published in CMAJ (Canadian Medical Association Journal), was developed with input from residents of long-term care facilities and their families, as well as researchers and [...]

Tamper-resistant opioids will not solve opioid addiction problem

Tamper-resistant formulations of drugs will not solve the problems of opioid addiction and overdose, argues a commentary in CMAJ (Canadian Medical Association Journal). Governments in Canada and the United States are promoting tamper-resistant drugs, which are more difficult to crush, snort or inject, to prevent addiction and other harms. Opioid users may tamper with prescribed [...]

Despite guidelines, too many medical tests are performed before low-risk procedures

Despite guideline recommendations to limit medical tests before low-risk surgeries, electrocardiograms (ECGs) and chest x-rays are still performed frequently, found a study in CMAJ (Canadian Medical Association Journal). Evidence indicates that for patients undergoing low-risk surgery, routine testing does not improve outcomes and can actually lead to surgical delays, patient anxiety and other issues. The [...]

Frailer older patients at higher risk of readmission or death after discharge from hospital

Frailer older patients are at higher risk of readmission to hospital or death within 30 days after discharge from a general internal medicine ward, but health care professionals can assess who is at risk using the Clinical Frailty Scale, according to a study in CMAJ (Canadian Medical Association Journal) Readmission within 30 days after hospital [...]

Better documentation of adverse drug reactions needed for new Bill C-17 to improve drug safety

Documentation of adverse drug reactions must improve for the new law in Canada – Vanessa’s Law, or Bill C-17 – to be effective, argues a commentary in CMAJ (Canadian Medical Association Journal). Bill C-17, passed in November 2014, gives the Canadian government stronger powers to recall drugs that have adverse reactions and thereby increase drug [...]