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Best Practices by Specialty

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21. Debate: the per rectal/digital rectal examination exam in the emergency department, still best practice? Full Text available with Trip Pro

Debate: the per rectal/digital rectal examination exam in the emergency department, still best practice? Emergency medicine practice in the UK and Ireland offers a junior and middle grade doctor great learning opportunities that force engagement with multiple specialties, life-saving procedures, exposure to a myriad of patient presentations, and opportunities for best practices in medicine.The emergency department (ED) can be a hectic and dynamic environment; communication from the ED (...) in the ED setting for some pathologies, and the result of the exam may have limited impact in the overall treatment plan in the ED.This short paper reviews the indications, benefits, shortfalls, and limitations of the PR/DRE in the emergency department setting and offers novel alternatives to maximize best practice, ensure best clinical outcomes for patients, and, to first, do no harm.

2018 International journal of emergency medicine

22. Impact of Nationwide Enhanced Implementation of Best Practices in Pancreatic Cancer Care (PACAP-1)

will be implemented in 3 key medical specialties in pancreatic cancer care: medical oncology, surgery and gastroenterology. Best practices will be implemented in centers during a 6 week intensive initiation period which includes monitoring, return visits, provider feedback in combination with education and reminders. The best practices follow the Dutch guideline on pancreatic cancer and the current state of the literature and can be executed without additional overall costs per center. Main study outcomes (...) Impact of Nationwide Enhanced Implementation of Best Practices in Pancreatic Cancer Care (PACAP-1) Impact of Nationwide Enhanced Implementation of Best Practices in Pancreatic Cancer Care (PACAP-1) - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove

2018 Clinical Trials

23. Adherence to 20 Emergency General Surgery Best Practices: Results of a National Survey. (Abstract)

Adherence to 20 Emergency General Surgery Best Practices: Results of a National Survey. To examine national adherence to emergency general surgery (EGS) best practices.There is a national crisis in access to high-quality care for general surgery emergencies. Acute care surgery (ACS), a specialty leveraging strengths of trauma systems, may ameliorate this crisis. A critical component of trauma care is adherence to clinical guidelines. We previously established best practices for EGS using RAND (...) Appropriateness Methodology and pilot data.A hybrid (postal/electronic) questionnaire measuring adherence to 20 EGS best practices was administered to respondents overseeing EGS at all eligible adult acute care general hospitals across the US (N = 2811). Questionnaire responses were analyzed using bivariate methods and multiple logistic regression.The response rate was 60.1%. Adherence ranged from 8.5% for having an EGS registry to 86.2% for auditing 30-day postoperative readmissions. Adherence was higher

2018 Annals of Surgery

24. Hayley Webb: UK abortion law is outdated, not evidence-based, and prevents best practice

Hayley Webb: UK abortion law is outdated, not evidence-based, and prevents best practice Hayley Webb: UK abortion law is outdated, not evidence based, and prevents best practice - The BMJ ---> We must build on the momentum of this year to ensure that women across the UK can truly have governance over their own bodies There is an air of hopeful anticipation within the abortion rights movement. So far, 2018 has brought much cause to celebrate. In March, marked 50 years of safe provision in the UK (...) mortality, UK abortion law is now outdated, not evidence based, and prevents best practice. The mandatory requirement for two doctor’s signatures is archaic, paternalistic, and not in keeping with the principle of autonomy, with no other medical procedure requiring the authorisation of two doctors. This stipulation can also cause unnecessary delays, waste resources, and restrict access—particularly in small or rural clinics. Although specialist nurses and midwives are increasingly providing high quality

2018 The BMJ Blog

25. Professional Practice Guidelines for the Psychological Practice with Boys and Men

Professional Practice Guidelines for the Psychological Practice with Boys and Men APA | Guidelines for Psychological Practice with Boys and Men I APA GUIDELINES for Psychological Practice with Boys and Men AUGUST 2018II APA | Guidelines for Psychological Practice with Boys and Men Copyright © 2018 by the American Psychological Association. This material may be reproduced and distributed without permission provided that acknowledgment is given to the American Psychological Association (...) . This material may not be reprinted, translated, or distributed electronically without prior permission in writing from the publisher. For permission, contact APA, Rights and Permissions, 750 First Street, NE, Washington, DC 20002-4242. This document was approved by the APA Council of Representatives over the course of its meeting August 2018, and is set to expire in approximately 2028. It is available online at http:/ /www.apa.org/ about/policy/psychological-practice-boys-men-guidelines.pdf. Suggested

2019 American Psychological Association

26. Information needs of generalists and specialists using online best-practice algorithms to answer clinical questions. Full Text available with Trip Pro

Information needs of generalists and specialists using online best-practice algorithms to answer clinical questions. To better understand clinician information needs and learning opportunities by exploring the use of best-practice algorithms across different training levels and specialties.We developed interactive online algorithms (care process models [CPMs]) that integrate current guidelines, recent evidence, and local expertise to represent cross-disciplinary best practices for managing (...) clinical problems. We reviewed CPM usage logs from January 2014 to June 2015 and compared usage across specialty and provider type.During the study period, 4009 clinicians (2014 physicians in practice, 1117 resident physicians, and 878 nurse practitioners/physician assistants [NP/PAs]) viewed 140 CPMs a total of 81 764 times. Usage varied from 1 to 809 views per person, and from 9 to 4615 views per CPM. Residents and NP/PAs viewed CPMs more often than practicing physicians. Among 2742 users with known

2017 Journal of the American Medical Informatics Association

27. FRCPC or CCFP-EM: What is best for you?

physicians to integrate the principles of family medicine into their emergency practice. From the : Upon completion of training, a resident is expected to be a competent specialist in Emergency Medicine, capable of assuming a consultant’s role in the specialty. The resident must acquire a working knowledge of the theoretical basis of the specialty, including its foundations in the basic medical sciences and research. The specialist Emergency physician employs pertinent methods of prioritization (...) FRCPC or CCFP-EM: What is best for you? FRCPC or CCFP-EM: What is best for you? - CanadiEM FRCPC or CCFP-EM: What is best for you? In , by Brent Thoma September 22, 2017 FRCPC or CCFP-EM? (FRCPC = Fellow of the Royal College of Physicians of Canada; CCFP = Canadian College of Family Physicians – Emergency Medicine certificate.) This is a question that EM mentors spend a lot of time discussing with their mentees. Why are there two EM designations in Canada? What’s the difference? Which route

2017 CandiEM

28. Bringing Up the Best Evidence: Ondansetron in nausea/vomiting of pregnancy

Bringing Up the Best Evidence: Ondansetron in nausea/vomiting of pregnancy Tools for Practice is proudly sponsored by the Alberta College of Family Physicians (ACFP). ACFP is a provincial, professional voluntary organization, representing more than 4,500 family physicians, family medicine residents, and medical students in Alberta. Established over sixty years ago, the ACFP strives for excellence in family practice through advocacy, continuing medical education and primary care research (...) /ucm071645.pdf. Last Accessed: December 18, 2016. 13. Petersen I, McCrea RL, Lupatelli A, et al. BMJ Open. 2015 Jun 1; 5(6):e007390. Tools for Practice is a biweekly article summarizing medical evidence with a focus on topical issues and practice modifying information. It is coordinated by G. Michael Allan, MD, CCFP and the content is written by practising family physicians who are joined occasionally by a health professional from another medical specialty or health discipline. Each article is peer

2017 Tools for Practice

29. Best to Delay Implant Treatment in Pediatric Patients Until Skeletal Maturity Is Complete

Best to Delay Implant Treatment in Pediatric Patients Until Skeletal Maturity Is Complete UTCAT3170, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Best to Delay Implant Treatment in Pediatric Patients Until Skeletal Maturity Is Complete Clinical Question For pediatric patients with hypodontia, what stage of development is the best to place implants when indicated for treatment? Clinical Bottom Line For pediatric (...) patients with hypodontia, it is ideal to place implants at skeletal maturity when indicated for treatment. This is supported by two systematic reviews comprised of case reports and case studies. No randomized clinical trials have been performed due to the ethics involving RCTs and pediatric patients. Despite the lack of RCTs, the systematic reviews seemed valid and the information is applicable to pediatric patients in a dental office. Best Evidence (you may view more info by clicking on the PubMed ID

2017 UTHSCSA Dental School CAT Library

30. Best Practice in Outpatient Hysteroscopy

Best Practice in Outpatient Hysteroscopy Green-top Guideline No. 59 March 2011 Best Practice in Outpatient Hysteroscopy RCOG/BSGE Joint GuidelineBest Practice in Outpatient Hysteroscopy This is the first edition of this guideline. Executive summary of recommendations Service provision All gynaecology units should provide a dedicated outpatient hysteroscopy service to aid management of women with abnormal uterine bleeding. There are clinical and economic benefits associated with this type (...) originate from the US Agency for Healthcare Research and Quality.Where possible, recommendations are based on,and explicitly linked to,the evidence that supports them.Areas lacking evidence are highlighted and annotated as ‘good practice points’. 4. Service provision 4.1 What is the ideal setting for performing hysteroscopy? All gynaecology units should provide a dedicated outpatient hysteroscopy service to aid management of women with abnormal uterine bleeding. There are clinical and economic benefits

2011 Royal College of Obstetricians and Gynaecologists

31. Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: an American Academy of Sleep Medicine clinical practice guideline.

Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: an American Academy of Sleep Medicine clinical practice guideline. Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: an American Academy of Sleep Medicine clinical practice guideline. | National Guideline Clearinghouse success fail JUN 09 2017 2018 2019 03 Oct 2017 - 12 Jul 2018 COLLECTED BY Organization: Formed in 2009, the Archive Team (not to be confused (...) of data we acquire. If you are seeking to browse the contents of these collections, the Wayback Machine is the best first stop. Otherwise, you are free to dig into the stacks to see what you may find. The Archive Team Panic Downloads are full pulldowns of currently extant websites, meant to serve as emergency backups for needed sites that are in danger of closing, or which will be missed dearly if suddenly lost due to hard drive crashes or server failures. Collection: ArchiveBot is an IRC bot designed

2017 National Guideline Clearinghouse (partial archive)

32. Recommendations for good practice in Ultrasound: Oocyte retrieval Full Text available with Trip Pro

-guided transvaginal OPU is a widely performed procedure, but standards for best practice are not available. STUDY DESIGN, SIZE, DURATION A working group (WG) collaborated on writing recommendations on the practical aspects of transvaginal OPU. A literature search for evidence of the key aspects of the procedure was carried out. Selected papers ( n = 190) relevant to the topic were analyzed by the WG. PARTICIPANTS/MATERIALS, SETTING, METHODS The WG members considered the following key points (...) ) is a minor surgical procedure, which is commonly performed as a part of IVF, but there are few agreed standards for best practice. The current paper describes practical recommendations for oocyte recovery, so that clinicians can make sure that the procedure is done correctly and safely. Advice is provided on how best to provide care prior to, during and after the procedure, as well as on the most appropriate equipment and materials. The authors also consider possible risks, training needs and ways

2020 European Society of Human Reproduction and Embryology

33. COVID-19: Good Practice for Surgeons and Surgical Teams

of practice as part of a team » Retired surgeons and trainees • Caring for patients at the end of life • Protecting the workforce » Infection prevention » Ensuring surgeons’ and surgical teams’ well-being We will be updating this guidance regularly, as more information emerges. We will also be signposting relevant advice from other bodies including the Surgical Specialty Associations on our information hub for COVID-19 which can be found at: www.rcseng.ac.uk/coronavirus/. A. Introduction4 1.TRIAGE OF NON (...) in response to community need. This may be on a regular basis throughout the duration of the COVID-19 outbreak or on an ‘as needed’ basis. In such circumstances, the following considerations should be taken into account: • Identification of local need: the extended scope of practice should be best determined by an assessment of local need and defined in the context of wider service networks, where these exist. The appropriate scope of practice will be location-specific and depend on the existing training

2020 Royal College of Surgeons of England

34. COVID-19: Good Practice for Surgeons and Surgical Teams

of practice should be best determined by an assessment of local need and defined in the context of wider service networks, where these exist. The appropriate scope of practice will be location-specific and depend on the existing training and skill set of the surgeon, available local facilities, linked services and existing or planned supportive relationships. Appropriate training – surgeons should receive appropriate training and support (including mentoring) in their extended scope of practice, whether (...) this is non-core specialty areas or non-surgical areas. Teamworking and collaboration –surgeons working outside their core area of practice and their hospitals should establish cooperative, easily accessible and mutually supportive relationships with more specialised colleagues and hospitals. Surgeons may be required to familiarise themselves with the World Health Organisation’s guidelines for the Clinical management of severe acute respiratory infection (SARI) when COVID-19 disease is suspected

2020 Royal College of Surgeons of England

35. Randomized Clinical Trial of a Clinical Decision Support Tool for Improving the Appropriateness Scores for Ordering Imaging Studies in Primary and Specialty Care Ambulatory Clinics. (Abstract)

Randomized Clinical Trial of a Clinical Decision Support Tool for Improving the Appropriateness Scores for Ordering Imaging Studies in Primary and Specialty Care Ambulatory Clinics. OBJECTIVE. The objective of our study was to evaluate whether the use of a clinical decision support (CDS) tool improved the appropriateness scores of orders for advanced imaging in clinical practice. MATERIALS AND METHODS. We used a stepped-wedge, cluster randomized clinical trial to evaluate the effectiveness (...) of a CDS tool in an integrated health care system. Clinicians entered structured indications for each CT and MRI order, and the indications were electronically scored against appropriateness criteria to assign an appropriateness score. We compared the proportion of orders with adjusted appropriateness scores of 7 or greater (on a 1-9 scale) before and after activation of best practice alerts (BPAs) triggered for orders with low or marginal appropriateness scores. Secondary outcomes included the rate

2019 AJR. American journal of roentgenology Controlled trial quality: uncertain

36. Best Practices by Specialty

Best Practices by Specialty Best Practices by Specialty Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Best Practices by Specialty (...) Best Practices by Specialty Aka: Best Practices by Specialty , Choosing Wisely Campaign II. Precautions: Emergency Medicine Minor imaging Avoid in minor when validated decision rules triage the patient to low risk Indwelling s ( s) Limit use to monitoring in critically ill patients, urine obstruction, perioperative state and Avoid indwelling in stable, voiding patients Not indicated for monitoring in stable patients (void into measure container) Not indicated for convenience and Engage and early

2015 FP Notebook

37. Clinical Practice Guideline on the Diagnosis and Prevention of Periprosthetic Joint Infections

perioperative care for hip and knee arthroplasty and facilitate diagnostic evaluation based on the current best evidence. Current evidence-based medicine (EBM) standards demand that providers use the best available evidence in their clinical decision making. To assist them, this clinical practice guideline consists of a systematic review of the available literature regarding the prevention and diagnosis of periprosthetic joint infection of the hip and knee. The systematic review detailed herein (...) of the clinical practice guideline. As the physician experts, the clinical practice guideline development group defined the scope of the clinical practice guideline by creating PICO Questions (i.e. population, intervention, comparison, and outcome) that directed the literature search. The AAOS Medical Librarian created and executed the search (see PJI CPG eAppendix 1 for search strategy). BEST EVIDENCE SYNTHESIS We included only the best available evidence for any given outcome addressing a recommendation

2020 American Academy of Orthopaedic Surgeons

38. Clinical Practice Guideline on the Management of Rotator Cuff Injuries

Incidence and Prevalence 19 Risk Factors 19 Potential Benefits, Harms, and Contraindications 20 Future Research 20 Methods 21 Best Evidence Synthesis 21 Literature Searches 21 Defining the Strength of the Recommendations 21 Voting on the Recommendations 21 Interpreting the Strength of Evidence 22 Peer Review 23 Public Commentary 23 The AAOS Clinical Practice Guideline Approval Process 23 Revision Plans 23 Systematic literature review Dissemination Plans 23 Study Attrition Flowchart 24 Recommendations 25 (...) research. This guideline is intended to be used by all qualified and appropriately trained physicians and surgeons involved in the management of rotator cuff tears. It is also intended to serve as an information resource for decision makers and developers of practice guidelines and recommendations. GOALS AND RATIONALE The purpose of this clinical practice guideline is to help improve treatment based on the current best evidence. Current evidence-based medicine (EBM) standards demand that physicians use

2020 American Academy of Orthopaedic Surgeons

39. Antibiotic Use for the Urgent Management of Dental Pain and Intra-oral Swelling Clinical Practice Guideline Full Text available with Trip Pro

Antibiotic Use for the Urgent Management of Dental Pain and Intra-oral Swelling Clinical Practice Guideline Evidence-based clinical practice guideline on antibiotic use for the urgent management of pulpal- and periapical-related dental pain and intraoral swelling - The Journal of the American Dental Association Email/Username: Password: Remember me Search Terms Search within Search Access provided by Volume 150, Issue 11, Pages 906–921.e12 Evidence-based clinical practice guideline (...) Index to Nursing and Allied Health Literature to retrieve evidence on benefits and harms associated with antibiotic use. The authors used the Grading of Recommendations Assessment, Development and Evaluation approach to assess the certainty in the evidence and the Evidence-to-Decision framework. Results The panel formulated 5 clinical recommendations and 2 good practice statements, each specific to the target conditions, for settings in which DCDT is and is not immediately available. With likely

2020 American Dental Association Guidelines

40. Safeguarding in general dental practice

, for the patient to disclose issues such as abuse in their presence. Therefore, it is not considered good practice to use family members, friends or untrained members of the community as interpreters as there can be 3 To be determined locally in larger organisations (including hospital, community-based specialist services, paediatric dentistry or other relevant dental specialties such as orthodontics) based on an assessment of need and risk Level Staff 1 All non-clinical staff including receptionists, practice (...) ://digital.nhs.uk/data-and-information/looking-after-information/data- security-and-information-governance/information-governance-alliance- iga/information-governance-resources/information-sharing-resources Safeguarding in general dental practice: a toolkit for dental teams 23 3.1. Consent Children under 16 are not presumed to have the capacity to consent and must demonstrate their competence. A child can give consent if practitioners are satisfied that the treatment or action is in their best interests

2019 Public Health England

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