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THE
INSTITUTE OF MEDICINE study released on Tuesday
serves as a reminder to the medical community and patients that
errors and delays in diagnosis remain a leading cause of harm and
care-related costs in medicine. Technology is already available
today that can transform the way medicine is practiced in busy
primary care offices, emergency rooms, clinics, and elsewhere.
“We like to think about physicians diagnosing patients similar to
how pilots fly a plane,” said Dr. Art Papier, a practicing
physician, medical school professor at the University of
Rochester and chief executive officer of VisualDx. “Imagine being
a passenger on a flight from JFK to Heathrow with the pilot using
their memory instead of cockpit instruments. Would you want to
stay on that plane? Probably not. Many doctors practice medicine
this same way by memorizing the route instead of relying on
technology tools as they work. The IOM report is a call to action
for physicians to augment their thinking with reliable systems.
This report will help us move from flying by memory to modern
guided flight in medicine using the latest technology.”
Learn more about how VisualDx is tackling the issue of diagnostic
error:

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WHAT ARE
THE BEST APPS for clinicians? What types of
apps are available for clinical reference, patient engagement,
and monitoring and/or communicating with patients? How can you be
sure which apps to trust? Our new webinar by Dr. Mathew Devine
from the University of Rochester, will share some of the best
apps available and how to make the most of them in your daily
workflow.
October 1, 2015 at 12:30pm ET

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A
21-YEAR-OLD man went to urgent care after
discovering several small ulcers on the shaft of his penis. There
was also some pus discharge from his urethra. He had just started
sleeping with a new girlfriend, and they had unprotected sex. He
was very anxious because he had never seen anything like this
before, and it had appeared in just a few days.
Can you
diagnose the patient? Use the Differential
Builder in VisualDx to help you. HINT: Start with the “Adult
Skin - Male Anogenital” clinical scenario, then add other key
findings.
Look for
the answer on our Facebook page on Tuesday,
September 29. Follow us on Facebook for a new quiz every Monday!
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SEXUALLY
TRANSMITTED DISEASE (STDs) affect people of all ages,
yet these infections, particularly chlamydia and gonorrhea, occur
primarily in people under 24 years of age.1 As college
students head to school this fall, new technologies are making it
easier for consumers to find out if they have an STD and obtain
prompt treatment, preventing further transmission as well as
serious health complications.
In July, Planned Parenthood released a smartphone app in California
that allows people 17 years of age and older to order confidential
at-home STD testing kits for genital gonorrhea and chlamydia.2
Using the free app, called Planned Parenthood Direct, consumers can
order a discreetly packaged test. After collecting a urine sample,
individuals can return it using a pre-addressed and prepaid
envelope and receive confidential results via the app. The $149 fee
covers mailing as well as lab and analysis costs. If the individual
tests positive for either or both of these STDs, Planned Parenthood
provides treatment options via secure messages on the app.
Resources
for Health Professionals
In June, the CDC released updated STD treatment guidelines
including alternative treatment regimens for Neisseria gonorrhoeae.3
The CDC continues to recommend that medical providers offer
expedited partner therapy (EPT), the clinical practice of providing
medications to an infected patient’s partner without examining them
in a clinical setting, to patients with chlamydia or gonorrhea
infection. EPT has been shown to be very effective at reducing
reinfection rates. EPT is legal in most states, but providers
should check www.cdc.gov/std/ept to obtain
updated information from their state.
To view images and read more about the differential diagnoses for
these STDs, visit VisualDx:
Gonorrhea, primary infection
Chlamydial infections
References:
1. Centers for Disease Control and Prevention. Reported STDs in the
United States: : 2013 national data for chlamydia, gonorrhea, and
syphilis. http://info.visualdx.com/e/11412/wsroom-docs-std-trends-508-pdf/3k995z/601785845.
Published December 2014. Accessed August 31, 2015.
2. Planned Parenthood. Planned parenthood’s new mobile app brings
confidential and convenient STD testing and treatment to your
doorstep. http://info.visualdx.com/e/11412/and-treatment-to-your-doorstep/3k9962/601785845.
Published June 16, 2005. Accessed August 31, 2015.
3. Centers for Disease Control and Prevention. Sexually transmitted
diseases treatment guidelines, 2015. http://info.visualdx.com/e/11412/-preview-mmwrhtml-rr6403a1-htm/3k9964/601785845.
Published June 5, 2015. Accessed August 31, 2015.
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We will be demonstrating VisualDx at
the following events. We can't wait to see you there!
- Diagnostic Errors Meeting - September 27-29,
Washington, DC
- Midwest MLA - October 3-4, Louisville, KY
- Cerner - October 11-14, Kansas City, MO
- Pacific Northwest Chapter MLA - October
18-19, Seattle, WA
- Mid-Atlantic Chapter MLA - October 18-19,
Asheville, NC
- North Atlantic Health Sciences Libraries
(NAHSL) - October 18-19, Providence, RI
- American Society for Healthcare Risk
Management (ASHRM) - October 18, Indianapolis, IN
- Upstate NY and Ontario MLA (UNYOC) - October
21-22, Buffalo, NY
- American College of Emergency Physicians
(ACEP) - October 26-28, Boston, MA
- NY State College / New England College Health
Association Annual Meeting - October 28-29, Albany, NY
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