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Physicians Avoid Online Error-Reporting Tools Because of Embarrassment

By MedImaging International staff writers
Posted on 25 Oct 2011

“Too busy,” and “too complicated” are the typical excuses one might expect when medical professionals are asked why they fail to use online error-reporting systems designed to improve patient safety and the quality of care. More...

But investigators found instead that the most typical reason among radiation oncologists was fear of getting into trouble and embarrassment.

Johns Hopkins University (Baltimore, MD, USA) investigators e-mailed an anonymous survey to physicians, nurses, radiation physicists and other radiation specialists at Johns Hopkins University, North Shore-Long Island Jewish Health System (Great Neck, NY, USA), Washington University in St. Louis (MO, USA), and the University of Miami (FL, USA), with questions about their reporting near-misses and errors in delivering radiotherapy. Each of the four centers tracks near misses and errors through online, intradepartmental systems. Some 274 providers returned completed surveys.

According to the survey, few nurses and physicians reported routinely submitting online reports, in contrast to physicists, dosimetrists, and radiation therapists who reported the most use of error and near-miss reporting systems. Almost all respondents agreed that error reporting is their responsibility. Getting colleagues into trouble, liability and embarrassment in front of colleagues were reported most frequently by physicians and residents.

More than 90% of respondents had observed near misses or errors in their clinical practice. The vast majority of these were reported as near misses as opposed to errors, and, as a result, no providers reported patient harm. Hospitals have specific systems for reporting errors, but few have systems to accommodate the complex data associated with radiotherapy.

“It is important to understand the specific reasons why fewer physicians participate in these reporting systems so that hospitals can work to close this gap. Reporting is not an end in itself. It helps identify potential hazards, and each member of the health care team brings a perspective that can help make patients safer,” said Johns Hopkins radiation oncology resident Kendra Harris, MD, who presented an abstract of the data at the 53rd annual meeting of the American Society for Radiation Oncology (ASTRO), held October 2011 in Miami, FL, USA.

The up side, according to Dr. Harris, is that few respondents reported being too busy to report or that the online tool was too complicated. “Respondents recognized that error events should be reported and that they should claim responsibility for them. The barriers we identified are not insurmountable,” she added.

Dr. Harris reported that online reporting systems should be simple and promoted as quality improvement tools, not instruments for placing blame and meting out sanctions. “These systems should not be viewed as punitive; rather, they’re a critical way to improve therapy,” she stated. “You can’t manage what you can’t measure.”

Most of the respondents said they would participate in a national reporting system for radiotherapy near misses and errors. “A national system that collects pooled data about near-misses and errors, which are thankfully rare, may help us identify common trends and implement safety interventions to improve care,” added Dr. Harris.

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58 (!!!!! 1477.9567718506): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND published='1' LIMIT 1

59 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND published='1' LIMIT 1

60 (144.95849609375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND published='1' LIMIT 1

61 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND published='1' LIMIT 1

62 (114.91775512695): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

63 (566.00570678711): SELECT fid FROM jos_deeppockets WHERE id=294737738 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294737738 AND published='1' LIMIT 1

64 (49.114227294922): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=216 ORDER BY `ordering`

65 (80.82389831543): select jos_twitters.link from jos_twitters where cat=10

66 (84.877014160156): select jos_facebook.link from jos_facebook where cat=10

67 (48.87580871582): select jos_google_plus.link from jos_google_plus where cat=10

68 (37.193298339844): select jos_linkedin.link from jos_linkedin where cat=10

69 (50.067901611328): SELECT fid FROM jos_deeppockets WHERE id=294737738 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294737738 AND published='1' LIMIT 1

70 (45.061111450195): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=216 ORDER BY `ordering`

71 (448.94218444824): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294737738 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (337.12387084961): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294737738 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (51.975250244141): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

74 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (146.86584472656): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294737738 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (53.167343139648): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294737738 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (47.206878662109): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

91 (78.916549682617): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (80.82389831543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND published='1' LIMIT 1

106 (44.822692871094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND published='1' LIMIT 1

107 (69.141387939453): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294737738 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (72.002410888672): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294737738 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (105.14259338379): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND published='1' LIMIT 1

110 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND published='1' LIMIT 1

111 (48.87580871582): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294737738 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (709.05685424805): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294737738 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (583.88710021973): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (370.02563476562): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

115 (90.122222900391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND published='1' LIMIT 1

116 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND published='1' LIMIT 1

117 (47.206878662109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND published='1' LIMIT 1

118 (36.001205444336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND published='1' LIMIT 1

119 (42.200088500977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND published='1' LIMIT 1

120 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND published='1' LIMIT 1

121 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND published='1' LIMIT 1

122 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND published='1' LIMIT 1

123 (283.00285339355): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 20751.953125): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

125 (507.83157348633): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294737738 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294737738 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 7426.9771575928): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (77.962875366211): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

128 (41.961669921875): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (29.087066650391): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

130 (41.961669921875): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (28.848648071289): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

132 (347.13745117188): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (43.153762817383): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

134 (34.093856811523): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (27.179718017578): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

136 (476.12190246582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (332.83233642578): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (36.954879760742): SELECT name FROM jos_deeppockets WHERE id=216

139 (30.040740966797): SELECT name FROM jos_deeppockets WHERE id=216

140 (561.95259094238): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (451.08795166016): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

142 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND published='1' LIMIT 1

143 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND published='1' LIMIT 1

144 (!!!!! 8517.0269012451): TRUNCATE TABLE jos_trademed_module

145 (149.01161193848): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294737738 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (484.94338989258): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294737738 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (343.08433532715): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (483.03604125977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND published='1' LIMIT 1

150 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND published='1' LIMIT 1

151 (!!!!! 1420.0210571289): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

152 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND published='1' LIMIT 1

153 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND published='1' LIMIT 1

154 (42.915344238281): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294737738 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294737738 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (30.994415283203): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=216 or channel_id is null)

156 (26.941299438477): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=216 or channel_id is null)

157 (30.040740966797): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND published='1' LIMIT 1

159 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294737738 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294737738 AND published='1' LIMIT 1

160 (85.115432739258): select jos_twitters.link from jos_twitters where cat=10

161 (33.140182495117): select jos_facebook.link from jos_facebook where cat=10

162 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

163 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

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