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Prikvačeni tweet
The doctors had a dilemma: How could they refer children to their own hospital for heart surgery when they thought patients might have a better chance of survival elsewhere? Secret recordings captured their discussions, and became part of my reporting.https://www.nytimes.com/interactive/2019/05/30/us/children-heart-surgery-cardiac.html …
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Media law experts blast administration for threatening reporter with cease and desist letter, calling the move "unconstitutional." By
@MollyBeckhttps://www.jsonline.com/story/news/politics/2020/02/04/gov-tony-evers-administration-threatened-prosecution-journalist/2855362001/ …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Best headline ever: Fireflies Have a Mating Problem: The Lights Are Always Onhttps://www.nytimes.com/2020/02/03/climate/fireflies-mating-light-pollution.html …
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Ellen Gabler proslijedio/la je Tweet
What is the election needle? And why will we have four of them tonight? Here's a closer look at our election forecaster before the Iowa caucuses.https://www.nytimes.com/2020/02/03/upshot/needle-iowa-caucuses-faq.html …
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Newspaper executives pay attention: “There is no magic to what we are doing,” said VP of circulation
@StarTribune in Minneapolis, which is KILLING IT building a strong digital and print biz in a local market. FYI@Gannett,@tribunepub, Lee Enterpriseshttps://www.poynter.org/business-work/2020/how-the-minneapolis-star-tribune-is-driving-paid-digital-growth-while-holding-on-to-print-subscribers/ …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
When U.S. Bank found out that it had such a generous employee, what did it do? It fired her. Don't miss this
@NickKristof column, where he eventually gets the CEO of@usbank on the phone ....https://www.nytimes.com/2020/02/01/opinion/sunday/us-bank-fired-employee.html?smid=tw-nytimes&smtyp=cur …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
Ellen Gabler proslijedio/la je Tweet
Across the U.S., distraught pharmacists say medication errors have become more likely because of a push to do more with less. “I am a danger to the public,” one wrote to a regulatory board.https://nyti.ms/390RWqQ
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Ellen Gabler proslijedio/la je Tweet
The
#moralinjury affects all clinicians. Here@egabler provides an extraordinary exposé of the profound impact on#pharmacists https://www.nytimes.com/2020/01/31/health/pharmacists-medication-errors.html?smtyp=cur&smid=tw-nytimes … A1@nytimespic.twitter.com/ndfMuT5JOz
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Ellen Gabler proslijedio/la je Tweet
Hola, please find the unroll here: Thread by
@egabler: “I am a danger to the public.” That’s what a pharmacist wrote to the Texas pharmacy board last… https://threadreaderapp.com/thread/1223237401654517760.html …. Share this if you think it's interesting.
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Ellen Gabler proslijedio/la je Tweet
The most interesting and informative article I’ve read all month. Being that I live in
@cvspharmacy corporate state of#RhodeIsland makes it even more disturbing. Who and how can change pharmacy bad practices, especially when they can CLEARLY afford to hire more pharmacists.https://twitter.com/egabler/status/1223237401654517760 …Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi -
The American Psychiatric Association is particularly concerned about CVS, which it says ignores doctors’ explicit instructions to dispense limited amounts of medication to mental health patients. Patients may use the excess pills to attempt suicide, the association says.
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At CVS, a form for staff members to report errors asks whether the patient is a “media threat.” CVS said in a statement it wouldn’t provide details on what it called its “escalation process.”pic.twitter.com/GnD3cHcHaE
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Pharmacists say that having to juggle so many things leads to mistakes. But it’s hard to know how many occur because companies aren’t required to report errors in most states. A lot of times they settle with families, requiring a confidentiality agreement.
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At CVS, I heard a supervisor ask an employee why the store didn’t hit its target of getting 60 percent of patients on the phone. “Your reach is 44 and you are supposed to be over 60. Why do you think that is?” he said. Employee: “I find that those phone calls are terrible.”
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Pharmacy staff is expected to call dozens of patients every day too. You’ve probably gotten one of the calls, asking about refills or if you’d like them to call your doctor. The staff is assessed on the number of patients they reach, and the number who agree to their requests.
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Pharmacists say they will get in trouble - maybe even lose their jobs - if they don’t meet metrics laid out by their company. And those metrics are tied to bonuses in some companies, including CVS and Walgreens.pic.twitter.com/8GPXowgTPp
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In addition to filling prescriptions, pharmacists have to do a bunch of other things: Give shots, tend the drive-through, answer phones, work the register, counsel patients, call doctors and insurance companies. Corporate offices track it all.
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Part of the reason is that many states have representatives who work for big chains as members of their pharmacy boards. Pharmacists told me they aren’t comfortable speaking up when it might get back to their employer.pic.twitter.com/CQdnm8aKG8
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A lot of pharmacists feel like Dr. Hickman, but they can’t just quit their jobs. And they worry about complaining, even to the state pharmacy board. That’s why many complaints coming into the boards are anonymous.
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Partway through his shift the next day, Dr. Hickman called his manager and quit. “I said, ‘I am not going to work in a situation that is unsafe.’ I shut the door and left.” He now runs an independent pharmacy.
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As the only pharmacist on duty that day at the CVS in North Carolina, Dr. Hickman filled 552 prescriptions —that’s about 1 every minute and 25 seconds — while counseling patients, giving shots, making calls and staffing the drive-through, he said.
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