Some of the failures included 36 trusts not providing areas to decontaminate instruments, three trusts failing to regularly flush unused water outlets while more than a dozen trusts failed to keep clinical areas clean.

Photo by rosefirerising via Flickr

As Hough reports, the revelations come just days after a BBC investigation found that hospital trusts have given incorrect information on their performance and quality of care.

Related

Conflicting demands on their job and being rushed or understaffed were common problems revealed by a recent survey of employees of England’s National Health System, as The Telegraph’s Rebecca Smith reports.

The NHS, according to its Web site is “the world’s largest publicly funded health service” with more than 1.7 million employees. The survey was done by the Care Quality Commission.

The CQC reports some improvements in job satisfaction, however:

Approximately half of all staff would recommend their trust as a place to work, and just under two thirds are happy with the standard of care provided by their trust. There has also been a substantial rise in the % of staff saying that they have had training in infection control.

Bill would require agencies to post public documents online: NextGov.com reports on the proposed 2010 Public Online Information Act.

Access to public records in Florida could grow – or shrink – if Legislature passes these bills: One bill would require Florida’s “Department of Health to establish an interactive online budget, stipulating it be updated each year and trace the flow of all funds appropriated to DOH in the past 20 years,” according to the Orlando Sentinel.

Comparing state FOIA laws: The Detroit Free Press looks at sunshine laws in Michigan, Florida, Ohio, Illinios, Indiana and Wisconsin.

See more Sunshine Week headlines from around the country.

AHCJ resources

• AHCJ calls on new administration to improve access to federal experts
• Major journalism groups demand agency end newsgathering constraints
• AHCJ objects to federal agencies’ handling of story embargo
• AHCJ calls for better information from hospital accreditation Web site
• Health journalists cite uneven disclosure of H1N1 deaths across country
• AHCJ’s right-to-know resources

Lathrop will help the paper identify and obtain databases of public information. He also will be responsible for producing the interfaces through which readers can use those databases.

Lathrop is co-editor of the just-released book “Open Government: Collaboration, Transparency, and Participation in Practice,” published by O’Reilly media.

Photo by Alex Kehr via Flickr

He points to an article in the Globe and Mail about the long-term effect of concussions and what Canada is doing to combat the issue, contrasted with what some places in the United States are doing to better treat and prevent concussions.

The article cites a study in the March 2009 issue of Brain that found former athletes were still suffering the effects of their head injuries more than 30 years after their last concussion.

Tompkins also notes the National Hockey League – which had 10 players out with head injuries in November – is confronting the problem by banning “blindside hits” to the head.

SPLC open records audit examines suicide expulsion policies

AHCJ resources

• AHCJ calls on new administration to improve access to federal experts
• Major journalism groups demand agency end newsgathering constraints
• AHCJ objects to federal agencies’ handling of story embargo
• AHCJ calls for better information from hospital accreditation Web site
• Health journalists cite uneven disclosure of H1N1 deaths across country
• AHCJ’s right-to-know resources

Photo by rKistian via Flickr

Reporter Matt Richtel points out that emergency drivers are often required to use technological gadgets while driving at high speeds and negotiating heavy traffic to get directions and transmit information about patients.

Data does not exist about crashes caused by police officers or medics distracted by their devices. But there are tragic anecdotes.

The New York City Fire Department says ambulance drivers are not supposed to use on-board computers while driving but “medics and E.M.T.’s in New York and elsewhere say that although they are aware of the rules, they do use their on-board computers while driving.”

Fauber, who has been covering conflicts of interest in medical research for more than a year, reports that “So much money is at stake that in January one academic doctor resigned his job at Harvard rather than give up his speaking income.”

Medical schools can restrict doctors who work for them from advocating particular drugs and can require that they inform patients of their ties to drug companies, but private physicians have no such obligations.

In previous articles, Fauber has reported on University of Wisconsin doctors who were making six-figure sums from drug and medical firms by serving as consultants or doing promotional speeches.

Critics say the talks can be biased and contribute to spiraling health care costs by promoting the use of expensive brand-name drugs over generics. The practice, according to critics, also leads to more non-approved and potentially harmful use of those drugs, so-called off-label prescribing.

The poll, part of a five-year series of studies into public attitudes toward government openness commissioned by the American Society of News Editors, “found that 70 percent believe that the federal government is either ‘very secretive’ or ’somewhat secretive.’ The largest portion of respondents, 44 percent, said it is ‘very secretive.’”

Attitudes on the openness of the federal government have changed in recent years. In the first poll conducted for National Sunshine Week in 2006, 22 percent of respondents said they believed the federal government was “very secretive.” It rose to 37 percent in 2007, 44 percent in 2008 and then dropped slightly to 40 percent in 2009 at the beginning of the Obama administration.

State and local governments fared better in the public mind: “Only 36 percent believe their local governments are very or somewhat secretive. Forty-eight percent said the same of their state governments.”

The survey was conducted from Feb. 3 to March 9 at the Scripps Survey Research Center at Ohio University under a grant from the Scripps Howard Foundation. The poll has a margin of error of about 4 percentage points.

AHCJ resources

• AHCJ calls on new administration to improve access to federal experts
• Major journalism groups demand agency end newsgathering constraints
• AHCJ objects to federal agencies’ handling of story embargo
• AHCJ calls for better information from hospital accreditation Web site
• Health journalists cite uneven disclosure of H1N1 deaths across country
• AHCJ’s right-to-know resources

• Alsy Acevedo, reporter, El Sentinel-Orlando Sentinel Communications; Orlando, Fla.
• Robin Adams, senior reporter, The Ledger; Lakeland, Fla.
• Ada Alvarez, independent journalist; North Miami, Fla.
• Antigone Barton, independent journalist; Lantana, Fla.
• Manu Bhandari, student, University of Missouri; Columbia, Mo.
• David Boddiger, independent journalist; Chicago
• Suzanne Bohan, science reporter, Contra Costa Times/Bay Area News Group; Richmond, Calif.
• April Choi, student, University of Missouri; Columbia, Mo.
• Megan Clancy, staff writer, California State University, Long Beach; Dana Point, Calif.
• Sonya Collins, student, University of Georgia, Grady College of Journalism; Athens, Ga.
• Claudia Collucci, student, University of Michigan; Ann Arbor, Mich.
• Monya De, student, University of California, Los Angeles; Santa Monica, Calif.
• Hannah Douglas, student, Truman State University; Springfield, Ill.
• Carrie Feibel, health/science reporter, KUHF Houston Public Radio News; Houston
• Antonio Flores-Lobos, editor, Las Noticias; Kingston, N.Y.
• Sylvia Forbes, independent journalist; Fayette, Mo.
• Kathleen Frey, student, University of Georgia; Athens, Ga.
• Denise Fulton, executive editor, IMNG/Elsevier; Kensington, Md.
• Landon Hall, health reporter, The Orange County Register; Santa Ana, Calif.
• Charles Hallman, reporter, Minnesota Spokesman-Recorder; Minneapolis, Minn.
• Smith W. Hartley, editor-in-chief, Healthcare Journal of Baton Rouge; Baton Rouge, La.
• James Hataway, student, University of Georgia; Athens, Ga.
• Markian Hawryluk, reporter, Bend Bulletin; Bend, Ore.
• Duke Helfand, editor/staff writer, Los Angeles Times; Los Angeles
• Jessica Hook, student, University of Oregon; Eugene, Ore.
• Devin Katayama, student, Columbia College-Chicago; Chicago
• Toni Lapp, founder/editor, Spectrumconnection.net; Kansas City, Mo.
• Noam Levey, Washington health policy reporter, Los Angeles Times/Tribune Washington Bureau; Washington, D.C.
• Russell Luce, student, Truman State University; Kirksville, Mo.
• Jessica Machetta, broadcast journalist, Learfield Communications, Inc.; Jefferson City, Mo.
• Chasity Mayes, student, Missouri State  University; Springfield, Mo.
• Mason McCoy, student, Truman State University; Kirksville, Mo.
• Sarah Moore, student, Truman State University; Fenton, Mo.
• Adi Narayan, independent journalist; Brooklyn, N.Y.
• Victor Perez, director, Radio Kuva Inc.; Gainesville, Fla.
• Ernesto Portillo Jr., editor, La Estrella de Tucson; Tucson, Ariz.
• Belinda Puetz, editor-in-chief, Journal for Nurses in Staff Development; Cantonment, Fla.
• Dave Raiford, asst. managing editor, HealthLeaders-Interstudy; Nashville, Tenn.
• Farida Romero, associate producer/reporter, Radio Bilingue; Berkeley, Calif.
• Ryan Sabalow, health reporter, Redding Record Searchlight; Redding, Calif.
• Sananda Sahoo, student, University of Missouri; Washington, D.C.
• Stephanie Schupska, graduate student, University of Georgia; Athens, Ga.
• Gale Scott, independent journalist; Cranbury, N.J.
• Julie Sneider, independent journalist; Waukesha, Wis.
• Jean Virgile Tasse Themes, graduate student, Columbia University-Chicago; Chicago
• Conjivaram Vidya Shankar, independent journalist; Chennai, India
• Kelly Von Lunen, editor/health reporter, VFW Magazine; Kansas City, Mo.
• Stacy Weiner, health writer, Dell Perot; Fairfax, Va.
• Daniel Weintraub, editor, HealthyCal.org; Sacramento, Calif.
• Linda Wilson, independent journalist; McHenry, Ill.
• Fernaudo Zapari, editor, El Mexicano Newspaper; Fort Wayne, Ind.
• Erica Zucco, student, University of Missouri; Columbia, Mo.

If you haven’t joined yet, see what member benefits you’re missing out on: Access to more than 50 journals and databases, tip sheets and articles from your colleagues on how they’ve reported stories, conferences, workshops, online training, reporting guides and more. Join AHCJ today to get a wealth of support and tools to help you.

Tanner points to President Obama’s recent medical checkup, during which he had a prostate cancer screening and a virtual colonoscopy - neither of which is normally recommended for patients his age.

Increasingly, experts are questioning whether doctors are practicing “defensive medicine” - ordering tests and treatments to be sure they have covered all the bases even if they are not indicated. Other factors, such as a fee-for-service system and patients who insist on testing and treatments, also come into play.

This week alone, a New England Journal of Medicine study suggested that too many patients are getting angiograms — invasive imaging tests for heart disease — who don’t really need them; and specialists convened by the National Institutes of Health said doctors are too often demanding repeat cesarean deliveries for pregnant women after a first C-section.

Last week, the American Cancer Society cast more doubt on routine PSA tests for prostate cancer. And a few months ago, other groups recommended against routine mammograms for women in their 40s, and for fewer Pap tests looking for cervical cancer.

The focus on overtesting and overtreatment comes the same week CBS News sent out a press release announcing that Early Show anchor Harry Smith underwent a colonoscopy on live television, reported on by Katie Couric. The press release proclaims:

Following Couric’s on-air colonoscopy in 2000, University of Michigan researchers documented a 20% increase in the number of colonoscopies performed across the country, dubbing it “The Couric Effect.”

(Hat tip to Gary Schwitzer)