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41. Using Multi-source Feedback and Other Practice Assessments for Quality Assurance in Nursing

low-quality review) finding it was a valid, reliable and feasible tool to assess clinical practice for physicians, including generalists, specialists and surgeons. However, one systematic review reported finding limited evidence on the effectiveness of multi-source feedback on changes to clinical practice, but noted that the effectiveness may differ based on specialty. Two recent medium-quality reviews and one older low-quality review found that a minimum of six to eight professional assessors (...) evidence that multi-source feedback could improve performance, but found that the effects varied by specialty with family physicians showing greater practice improvements following multi-source feedback compared to surgeons. o Further, the review found that studies where multi-source feedback also included coaching sessions that helped to interpret feedback, identification of weaknesses and the creation of plans to improve performance, were more effective at improving performance than studies including

2019 McMaster Health Forum

42. 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

43. Multi-specialty knowledge on surgical a management: Implementation of an educational initiative. (PubMed)

Medicine (IM), and Family Medicine (FM). Before the lecture, a 12-question quiz on surgical airway knowledge was administered, and demographics from participants collected. Immediately following the lecture, participants were asked to retake the quiz. Performance was assessed. Population baseline characteristics included, specialty, years of practice, and previous education.A paired t-test evaluating pre- and post-lecture results showed a 34.2% improvement for all participants (n = 168) overall (2.7 (...) performed the best. A Likert scale with self-assessment of comfort with surgical airway correlated positively with the performance on the quiz.Variability in tracheostomy knowledge based on specialty and years of training exists. We demonstrate that formal education on tracheostomy and surgical airways improved quantitative measures of knowledge.Copyright © 2018 Elsevier Inc. All rights reserved.

2018 American Journal of Otolaryngology

44. Recommendations for improving the patient experience in specialty encounters. (PubMed)

/standards," "physician-patient relations," "surgery," "practice management," "practice management, medical," "office management," "patient experience," "practice guidelines," "best practice," and "outpatient surgery." During this review, three main themes affecting the patient experience emerged: communication, time, and access. Of the three, communication appears to be the dominant theme affecting the patient experience measure.Copyright © 2017 American Academy of Dermatology, Inc. Published (...) Recommendations for improving the patient experience in specialty encounters. The relationship between patient experience and health care quality has generated significant interest in the patient experience measure. However, it is challenging to find information on how to improve one's patient experience score because scientific data on this topic are weak or lacking, and suggestions provided by scoring vendors are often overgeneralized and not specialty-specific. This review will focus

2018 Journal of American Academy of Dermatology

45. Why this physician never considered any specialty other than family medicine

not typically have. That family medicine is the specialty of relationships may be indirectly implied in the name “family medicine,” but it’s not obvious … unless you look closely at its history. On the allopathic side, the family medicine specialty was started in 1969 in response to the feeling that medicine was becoming increasingly complex, and additional training was needed to do “general practice.” On the osteopathic side, the history is a bit more complex but also predicated on concerns about (...) Why this physician never considered any specialty other than family medicine Why this physician never considered any specialty other than family medicine Why this physician never considered any specialty other than family medicine | | November 27, 2018 16 Shares I never considered any specialty other than family medicine. I always saw the other specialties as necessary but supportive adjuncts. I always thought that the other specialties were all fascinating in their own way but saw them more

2018 KevinMD blog

46. What personality type fits your medical specialty?

about what they do and why they do what they do. With each project, I continue finding remarkably distinct, specialty-specific values, perceptions, and ways of thinking that seem to directly impact how physicians interpret medical evidence and, ultimately, care for patients. Medical specialties, like other academic disciplines, are distinct cultures with their own jargon, journals, meetings, practice guidelines, uniforms, idols, tools, and rituals. During medical school, students “try on” specialty (...) identities through their rotations, often choosing a specialty where they “fit in.” Professional values then diverge further during the intense socialization process of residency and fellowship, reinforcing distinct . Although institutions also have distinct cultures, this seems secondary to physicians’ specialty identity. Academic cardiologists in the Midwest and private practice cardiologists in California use considerably more similar language and thought processes than interventional cardiologists

2018 KevinMD blog

47. Use of licensed medicines for unlicensed applications in psychiatric practice (2nd edition)

Use of licensed medicines for unlicensed applications in psychiatric practice (2nd edition) Use of licensed medicines for unlicensed applications in psychiatric practice (2nd edition) (CR210 Dec 2017) This site uses cookies: Search Search Become a psychiatrist Choose psychiatry Medical students Foundation doctors Help us promote psychiatry Training Curricula and guidance Your training Exams Neuroscience in training International Medical Graduates Members Supporting you Submitting your CPD (...) Membership Your Faculties Devolved Nations English Divisions International members Special Interest Groups Your monthly eNewsletter Specialty doctors President's lectures Events Conferences and training events In house training International Congress Improving care CCQI Campaigning for better mental health policy Planning the psychiatric workforce National Collaborating Centre for Mental Health Working sustainably Mental health Problems and disorders Support, care and treatment Translations Use

2018 Royal College of Psychiatrists

48. Anaesthetic practice in the independent sector

of Anaesthetists | Anaesthetic practice in the independent sector 2018 Association of Anaesthetists | Anaesthetic practice in the independent sector 2018 8 • Clinical staff should declare all private practice on appointment, and/or any new private practice when it arises* including: o Where they practise (name of private facility) o What they practise (specialty, major procedures) o When they practise (identified sessions/time commitment) *Hospital consultants are already required to provide their employer (...) by separating routine elective surgery and tests from emergency work. o Medical indemnity: Usually indemnified via the NHS Litigation Authority (NHSLA). However, it is recommended that this is clarified with the local organisation o Fees: Anaesthetic fees are variable. Increasingly these are less negotiable nationally, with many independent hospital fees dependent on HRG Episodes (HealthCare Resource Group) and BPT (Best Practice Tariff) (for example day-case vs. inpatient care), and negotiated locally

2019 Association of Anaesthetists of GB and Ireland

49. Clinical Practice Guidelines for the Use of Bowel Preparation in Elective Colon and Rectal Surgery

. The Clinical Practice Guidelines Committee is com- posed of Society members who are chosen because they have demonstrated expertise in the specialty of colon and rectal surgery. This committee was created to lead inter- national efforts in defining quality care for conditions re- lated to the colon, rectum, and anus. This is accompanied by developing clinical practice guidelines based on the best available evidence. These guidelines are inclusive and not prescriptive. Their purpose is to provide (...) Clinical Practice Guidelines for the Use of Bowel Preparation in Elective Colon and Rectal Surgery Copyright © The American Society of Colon & Rectal Surgeons, Inc. Unauthorized reproduction of this article is prohibited. 3 DISEASES OF THE COLON & RECTUM VOLUME 62: 1 (2019) T he American Society of Colon and Rectal Surgeons is dedicated to assuring high-quality patient care by advancing the science, prevention, and manage- ment of disorders and diseases of the colon, rectum, and anus

2019 American Society of Colon and Rectal Surgeons

50. Clinical Practice Guideline for the Management of Infantile Hemangiomas

arch vascular abnormalities accompanying a large facial IH). This clinical practice guideline for the management of IHs emphasizes several key concepts. It defines those IHs that are potentially higher risk and should prompt concern, and emphasizes increased vigilance, consideration of active treatment and, when appropriate, specialty consultation. It discusses the specific growth characteristics of IHs, that is, that the most rapid and significant growth occurs between 1 and 3 months of age (...) Clinical Practice Guideline for the Management of Infantile Hemangiomas Clinical Practice Guideline for the Management of Infantile Hemangiomas | From the American Academy of Pediatrics | Pediatrics '); document.write(''); } function OAS_AD(pos) { if (OAS_version >= 11 && typeof(OAS_RICH)!='undefined') { OAS_RICH(pos); } else { OAS_NORMAL(pos); } } //--> Search for this keyword Source User menu Sections Sign up for highlighting editor-chosen studies with the greatest impact on clinical care

2019 American Academy of Pediatrics

51. Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice

Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice | From the American Academy of Pediatrics | Pediatrics '); document.write(''); } function OAS_AD(pos) { if (OAS_version >= 11 && typeof(OAS_RICH)!='undefined') { OAS_RICH(pos); } else { OAS_NORMAL(pos); } } //--> Search for this keyword Source User menu Sections Sign up for highlighting editor-chosen studies (...) with the greatest impact on clinical care. This policy is a revision of the policy in Incorporating Recognition and Management of Perinatal Depression Into Pediatric Practice Jason Rafferty , Gerri Mattson , Marian F. Earls , Michael W. Yogman , COMMITTEE ON PSYCHOSOCIAL ASPECTS OF CHILD AND FAMILY HEALTH Abstract Perinatal depression is the most common obstetric complication in the United States, with prevalence rates of 15% to 20% among new mothers. Untreated, it can adversly affect the well-being of children

2019 American Academy of Pediatrics

52. ACR–ASNR–SPR Practice Parameter for the Performance of Computed Tomography (CT) Perfusion in Neuroradiologic Imaging Revised

and Technical Standards are not inflexible rules or requirements of practice and are not intended, nor should they be used, to establish a legal standard of care 1 . For these reasons and those set forth below, the American College of Radiology and our collaborating medical specialty societies caution against the use of these documents in litigation in which the clinical decisions of a practitioner are called into question. The ultimate judgment regarding the propriety of any specific procedure or course (...) are educational tools and not intended to establish a legal standard of care. See also, Stanley v. McCarver, 63 P.3d 1076 (Ariz. App. 2003) where in a concurring opinion the Court stated that “published standards or guidelines of specialty medical organizations are useful in determining the duty owed or the standard of care applicable in a given situation” even though ACR standards themselves do not establish the standard of care. CT Perfusion PRACTICE PARAMETER This practice parameter was revised

2019 American Society of Neuroradiology

53. ACR–ASNR–SCBT-MR Practice Parameter for the Performance of Magnetic Resonance Imaging (MRI) of the Adult Spine

are not inflexible rules or requirements of practice and are not intended, nor should they be used, to establish a legal standard of care 1 . For these reasons and those set forth below, the American College of Radiology and our collaborating medical specialty societies caution against the use of these documents in litigation in which the clinical decisions of a practitioner are called into question. The ultimate judgment regarding the propriety of any specific procedure or course of action must be made (...) standard of care. See also, Stanley v. McCarver, 63 P.3d 1076 (Ariz. App. 2003) where in a concurring opinion the Court stated that “published standards or guidelines of specialty medical organizations are useful in determining the duty owed or the standard of care applicable in a given situation” even though ACR standards themselves do not establish the standard of care. PRACTICE PARAMETER 2 MRI Adult Spine I. INTRODUCTION This practice parameter was revised collaboratively by the American College

2019 American Society of Neuroradiology

54. ACR–ASNR–SPR Practice Parameter for the Performance of Myelography and Cisternography

ACR–ASNR–SPR Practice Parameter for the Performance of Myelography and Cisternography PRACTICE PARAMETER Myelography / 1 Revised 2013 (Resolution 9)* ACR–ASNR–SPR PRACTICE PARAMETER FOR THE PERFORMANCE OF MYELOGRAPHY AND CISTERNOGRAPHY PREAMBLE This document is an educational tool designed to assist practitioners in providing appropriate radiologic care for patients. Practice Parameters and Technical Standards are not inflexible rules or requirements of practice and are not intended, nor should (...) they be used, to establish a legal standard of care 1 . For these reasons and those set forth below, the American College of Radiology and our collaborating medical specialty societies caution against the use of these documents in litigation in which the clinical decisions of a practitioner are called into question. The ultimate judgment regarding the propriety of any specific procedure or course of action must be made by the practitioner in light of all the circumstances presented. Thus, an approach

2019 American Society of Neuroradiology

55. ACR–ASNR Practice Parameter for the Performance of Computed Tomography (CT) of the Brain

. McCarver, 63 P.3d 1076 (Ariz. App. 2003) where in a concurring opinion the Court stated that “published standards or guidelines of specialty medical organizations are useful in determining the duty owed or the standard of care applicable in a given situation” even though ACR standards themselves do not establish the standard of care. 2 / CT Brain PRACTICE PARAMETER I. INTRODUCTION This practice parameter was revised collaboratively by the American College of Radiology (ACR), the American Society (...) radiation safety and quality control, appropriateness studies, utilization review, and outcomes studies facilitating best practices for CT brain imaging should also be considered and encouraged as part of a comprehensive continuous quality improvement program [35,89,136-147]. ACKNOWLEDGEMENTS PRACTICE PARAMETER CT Brain / 7 This practice parameter was revised according to the process described under the heading The Process for Developing ACR Practice Parameters and Technical Standards on the ACR website

2019 American Society of Neuroradiology

56. ACR–ASNR Practice Parameter for the Performance of Non-Breast Magnetic Resonance Imaging (MRI) Guided Procedures

are not inflexible rules or requirements of practice and are not intended, nor should they be used, to establish a legal standard of care 1 . For these reasons and those set forth below, the American College of Radiology and our collaborating medical specialty societies caution against the use of these documents in litigation in which the clinical decisions of a practitioner are called into question. The ultimate judgment regarding the propriety of any specific procedure or course of action must be made (...) of care. See also, Stanley v. McCarver, 63 P.3d 1076 (Ariz. App. 2003) where in a concurring opinion the Court stated that “published standards or guidelines of specialty medical organizations are useful in determining the duty owed or the standard of care applicable in a given situation” even though ACR standards themselves do not establish the standard of care. 2 / MRI Guided PRACTICE PARAMETER I. INTRODUCTION This practice parameter was revised collaboratively by the American College of Radiology

2019 American Society of Neuroradiology

57. ACR–ASNR–SPR Practice Parameter for the Performance of Magnetic Resonance Imaging (MRI) of the Head and Neck

are not inflexible rules or requirements of practice and are not intended, nor should they be used, to establish a legal standard of care 1 . For these reasons and those set forth below, the American College of Radiology and our collaborating medical specialty societies caution against the use of these documents in litigation in which the clinical decisions of a practitioner are called into question. The ultimate judgment regarding the propriety of any specific procedure or course of action must be made (...) standard of care. See also, Stanley v. McCarver, 63 P.3d 1076 (Ariz. App. 2003) where in a concurring opinion the Court stated that “published standards or guidelines of specialty medical organizations are useful in determining the duty owed or the standard of care applicable in a given situation” even though ACR standards themselves do not establish the standard of care. PRACTICE PARAMETER 2 MRI Head and Neck I. INTRODUCTION This practice parameter was revised collaboratively by the American College

2019 American Society of Neuroradiology

58. Clinical Practice Guidelines for Surveillance Colonoscopy

and management of dysplasia in inflammatory bowel disease Professor Afaf Girgis AM Psycho-oncology Anxiety in colonoscopy Conjoint Professor Anne Duggan Gastroenterology Socioeconomic factors C L I N I C A L P R A C T I C E G U I D E L I N E S S U R V E I L L A N C E C O L O N O S C O P Y CONTRIBUTOR DETAILS 37 Additional working party members Name Specialty Professor Anthony Gill Pathology representative Professor Andrew Clouston Pathology representative Professor Jon Emery General practice representative (...) Clinical Practice Guidelines for Surveillance Colonoscopy wiki.cancer.org.au/australia CLINICAL PRACTICE GUIDELINES FOR SURVEILLANCE COLONOSCOPY SHORT FORM SUMMARY OF NHMRC APPROVED RECOMMENDA TIONS C L I N I C A L P R A C T I C E G U I D E L I N E S S U R V E I L L A N C E C O L O N O S C O P Y © Cancer Council Australia Last updated: March 2019 The Australian Government Department of Health commissioned and funded Cancer Council Australia to develop this guideline. This is a short-form

2019 Cancer Council Australia

59. Best practice in the management of epidural analgesia in the hospital setting

Best practice in the management of epidural analgesia in the hospital setting Best practice in the management of epidural analgesia in the hospital setting FACUL TY OF PAIN MEDICINE of The Royal College of Anaesthetists November 2010 Royal College of Anaesthetists Royal College of Nursing Association of Anaesthetists of Great Britain and Ireland British Pain Society European Society of Regional Anaesthesia and Pain Therapy Association of Paediatric Anaesthetists of Great Britain and Ireland1 (...) Contents 1 Introduction 2 2 Scope of recommendations 2 3 Patient selection and consent 3 4 Personnel, staffing levels and ward environment 3 5 Catheter insertion 4 6 Equipment 5 7 Drugs for epidural analgesia 6 8 Patient monitoring 7 9 Epidural analgesia in children 8 10 Documentation, guidelines and protocols 10 11 Audit and critical incidents 10 12 Education 10 References 11 Guideline development 12 Page2 Best practice in the management of epidural analgesia in the hospital setting 1 Introduction 1.1

2010 Faculty of Pain Medicine

60. How cute. Naturopathic oncologists are pretending that theirs is a real medical specialty.

the priorities for the development of “best practice” guidelines with respect to naturopathic oncology? What symptoms or diagnoses should naturopathic doctors who have no additional oncology training be able to treat? For example, is it ethical for primary care NDs to treat side-effects of chemotherapy and/or directly treat the cancer? These questions are, as far as panel questions go, reasonable enough, even somewhat uninteresting. What interested me more were the answers. For instance, for the first part (...) care physician couldn’t do that. After all, everything else naturopaths offer ranges from the unproven (such as most supplements) to pure quackery like homeopathy, energy medicine, “detoxification,” UV blood irradiation, applied kinesiology, and the like. If naturopathic oncologists—heck, if naturopaths—practiced according to this standard, they’d have to get rid of the vast majority of what they’ve been taught in naturopathy school. The “specialty” would have no purpose. (OK, from my perspective

2016 Respectful Insolence

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