Has the leapfrog group had an impact on the health care market? (Health Aff (Millwood). 2005) "Drawing on evidence-based medicine, Leapfrog publicly releases information about the extent to which hospitals are adopting three safety "leaps" with the theoretical capacity to prevent thousands of deaths."

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The Company We Keep: Why Physicians Should Refuse to See Pharmaceutical Representatives "Whether physicians ought to interact with pharmaceutical sales representatives (reps) is a question worthy of careful ethical analysis. ? Empirical data suggest that interactions with pharmaceutical reps increase the chances that the physician will act contrary to duties owed to the patient. Ideally, a physician might both interact with reps and also do the research necessary to counteract the commercial bias in their messages. But a physician who actually did that research would, in turn, be devoting a good deal of time that might better be spent in other activities."

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Patients Happier When Doctors Discuss What Went Wrong Review: Reports on Pfizer drug studies misleading “In eight of the 12 published studies, the main outcome listed in internal documents differs from the one later given in the published report. In half the cases, a new primary outcome was substituted and in others, the original main outcome was instead reported as a secondary measure or wasn't disclosed at all. The authors cited some limitations to their review, including not knowing who made the changes. "We cannot be certain that selective reporting was a decision made by employees of Pfizer and Parke-Davis, since the authors of the published reports included nonemployees," the researchers wrote. Arthur Caplan, director of the University of Pennsylvania's Center for Bioethics, called the report "one of the most ethically disturbing papers I've read in some time" and "an indication that people have been playing fast and loose with studies," particularly industry ones.” Steroids' risks can equal their healing benefits

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