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Delivery Note

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1. Emergency and acute medical care in over 16s: service delivery and organisation

this guideline will take time, with additional infrastructure and training needed in some areas. Service providers should note where the recommendations are consistent with other national initiatives, especially NHS England's seven day services clinical standards. See putting this guideline into practice. Emergency and acute medical care in over 16s: service delivery and organisation (NG94) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice (...) Emergency and acute medical care in over 16s: service delivery and organisation Emergency and acute medical care in Emergency and acute medical care in o ov ver 16s: service deliv er 16s: service delivery and ery and organisation organisation NICE guideline Published: 28 March 2018 nice.org.uk/guidance/ng94 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

2. Delivery Note

Delivery Note Delivery Note 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 Delivery Note Delivery Note Aka: Delivery Note From (...) of thick particulate meconium VI. Document: Stage 2 (Date and time of onset, Stage duration): Monitors and tracings Complications Nuchal cord Delivery type Repeat History Line above noting Maternal age with gravida and parity , weight, and Sex Time and date of delivery Episiotomy or Perineal Midline or mediolateral episiotomy Degree of perineal (first to fourth) Used ( , Chromic, ) Suction at perineum and at warmer Intubation Delee suction Bulb suction Oxygen s medications VII. Document: Stage 3 (Date

2018 FP Notebook

3. Follow-Up Model of Care for Cancer Survivors: Recommendations for the Delivery of Follow-up Care for Cancer Survivors in Ontario

Follow-Up Model of Care for Cancer Survivors: Recommendations for the Delivery of Follow-up Care for Cancer Survivors in Ontario Follow-Up Model of Care for Cancer Survivors Recommendations for the Delivery of Follow-up Care for Cancer Survivors in Ontario March 2019 Acknowledgements Cancer Care Ontario would like to acknowledge the contribution and expertise of the following groups, committees, and organizations in the development of this document. Survivorship Care Improvement Project Models (...) suggest that there is still variability in its uptake and, therefore, room for improvement. To promote the uptake and spread of the model, Cancer Care Ontario initiated the development of a set of recommendations that describes a follow-up model of care for all cancer survivors. The result is this document, entitled Follow-Up Model of Care for Cancer Survivors: Recommendations for the Delivery of Follow-Up Care for Cancer Survivors in Ontario (‘Recommendations’). When implemented, the Recommendations

2019 Cancer Care Ontario

4. Major trauma: service delivery

Major trauma: service delivery Major tr Major trauma: service deliv auma: service delivery ery NICE guideline Published: 17 February 2016 nice.org.uk/guidance/ng40 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement (...) . Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Major trauma: service delivery (NG40) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2 of 23Contents Contents Overview 4 Who is it for? 4 Recommendations 5 1.1 Pre-hospital triage 5 1.2 Transferring

2016 National Institute for Health and Clinical Excellence - Clinical Guidelines

5. Avoidance of Nonmedically Indicated Early-Term Deliveries and Associated Neonatal Morbidities

Avoidance of Nonmedically Indicated Early-Term Deliveries and Associated Neonatal Morbidities ACOGCOMMITTEEOPINION Number 765 (Replaces Committee Opinion No. 561, April 2013) Committee on Obstetric Practice Society for Maternal-Fetal Medicine This Committee Opinionwas developedby the Committeeon Obstetric Practicein collaborationwith committeemembersAnn E.B. Borders, MD,MSc, MPH, and Meredith L. Birsner, MD, and with the Society for Maternal-Fetal Medicine liaison member Cynthia Gyamfi (...) -Bannerman, MD, MSc. Avoidance of Nonmedically Indicated Early-Term Deliveries and Associated Neonatal Morbidities ABSTRACT: There are medical indications in pregnancy for which there is evidence or expert opinion to support delivery versus expectant management in the early-term period. However, the riskof adverse outcomesisgreater for neonatesdeliveredintheearly-termperiodcomparedwithneonatesdeliveredat39weeksofgestation.Inadditionto immediate adverse perinatal outcomes, multiple studies have shown

2019 American College of Obstetricians and Gynecologists

6. Recommendations for the Delivery of Psychosocial Oncology Services in Ontario

Recommendations for the Delivery of Psychosocial Oncology Services in Ontario A Master page name | 1 Recommendations for the Delivery of Psychosocial Oncology Services in OntarioAs the government’s principal cancer advisor, Cancer Care Ontario equips health professionals, organizations and policy-makers with the most up-to-date cancer knowledge and tools to prevent cancer and deliver high-quality patient care. We do this by collecting and analyzing data about cancer services and combining (...) it with evidence and research that is shared with the healthcare community in the form of guidelines and standards. We also monitor and measure the performance of the cancer system, and oversee a funding and governance model that ties funding to performance, making healthcare providers more accountable and ensuring value for investments in the system. Cancer Care Ontario actively engages people with cancer and their families in the design, delivery and evaluation of Ontario’s cancer system, and works

2018 Cancer Care Ontario

7. Delivery arrangements for health systems in low-income countries: an overview of systematic reviews. (PubMed)

Delivery arrangements for health systems in low-income countries: an overview of systematic reviews. Delivery arrangements include changes in who receives care and when, who provides care, the working conditions of those who provide care, coordination of care amongst different providers, where care is provided, the use of information and communication technology to deliver care, and quality and safety systems. How services are delivered can have impacts on the effectiveness, efficiency (...) and equity of health systems. This broad overview of the findings of systematic reviews can help policymakers and other stakeholders identify strategies for addressing problems and improve the delivery of services.To provide an overview of the available evidence from up-to-date systematic reviews about the effects of delivery arrangements for health systems in low-income countries. Secondary objectives include identifying needs and priorities for future evaluations and systematic reviews on delivery

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2017 Cochrane

8. Safety engineered injection devices for intravenous use in healthcare delivery settings

Safety engineered injection devices for intravenous use in healthcare delivery settings IV Safety Devices: A Rapid Review on Injury and Infection Rates 1 Safety engineered injection devices for intravenous use in healthcare delivery settings. Citation Corey Joseph and Angela Melder. 2017. Safety engineered injection devices for intravenous use in healthcare delivery settings: A Rapid Review. Centre for Clinical Effectiveness, Monash Health, Melbourne, Australia. Executive Summary Background (...) workers. However, the cost, training, waste generated and safe management of the new device need to be considered as these all impact implementation. For safe blood collection systems, there is very low quality evidence that safety devices decrease needlestick injuries. It should be noted that safety devices alone can have a positive impact however, the introduction of safety devices in combination with training leads to a greater protection than training interventions alone. Rapid Review IV Safety

2017 Monash Health Evidence Reviews

9. Policy for Selecting Anesthesia Providers for the Delivery of Office-based Deep Sedation/General Anesthesia

Policy for Selecting Anesthesia Providers for the Delivery of Office-based Deep Sedation/General Anesthesia AMERICAN ACADEMY OF PEDIATRIC DENTISTRY ORAL HEALTH POLICIES 139 Purpose The American Academy of Pediatric Dentistry ( AAPD) recognizes that it is the exclusive responsibility of dental prac- titioners, when employing anesthesia providers to administer office-based deep sedation/general anesthesia, to verify and carefully review the credentials and experience of those providers. 1 (...) office has proven to be safe and effective when delivered by a highly competent and atten- tive individual. 3 Substantial societal cost savings associated with the delivery of care outside of a surgical center or hospital setting have been well documented. 4 With the use of office-based deep sedation/general anes- thesia, the primary dental provider takes on the significant responsibility of creating a team of highly qualified professionals to deliver care in an optimal and safe fashion. Deep

2018 American Academy of Pediatric Dentistry

10. Mode of Term Singleton Breech Delivery

). These investigators noted that perinatal mortality, neonatal mortality, and serious neonatal morbidity were significantly lower among the planned cesarean delivery group compared with the planned vaginal delivery group (17/1,039 e60 VOL. 132, NO. 2, AUGUST 2018 OBSTETRICS & GYNECOLOGY[1.6%] versus 52/1,039 [5%]), although there was no difference in maternal morbidity or mortality observed between the groups (3). The benefits of planned cesarean delivery remained for all subgroups identified by the baseline (...) delivery of a term singleton breech fetus may be reasonable under hospital-specific proto- col guidelines for both eligibility and labor manage- ment. There are many retrospective reports of vaginal breech delivery that follow very specific protocols and note excellent neonatal outcomes. One report noted 298 women in a vaginal breech trial with no perinatal morbidity and mortality (12). Another report noted sim- ilar outcomes in 481 women with planned vaginal deliv- ery (13). Although

2018 American College of Obstetricians and Gynecologists

11. CRACKCast E180 – Labor & Delivery

CRACKCast E180 – Labor & Delivery CRACKCast E180 - Labor & Delivery - CanadiEM CRACKCast E180 – Labor & Delivery In by Adam Thomas May 24, 2018 This episode of CRACKCast covers Rosen’s Chapter 181, Labor and Delivery. This chapter covers the high risk realm of ED deliveries, including potential complications such as PROM, malpresentation and umbilical cord emergencies. Shownotes – Key Points All ED deliveries should be considered high risk . Antepartum hemorrhage, PROM, eclampsia, premature (...) labor, precipitous delivery, malpresentation, and umbilical cord emergencies are overrepresented in emergency deliveries. Women in labor who present to the ED are generally best cared for in the obstetric suite. Women with the urge to push or with the head of the infant crowning are at imminent risk of delivery, which should take place in the ED. The benefits of transfer of a woman with an impending high-risk delivery to a perinatal center must be carefully weighed against potential clinical adverse

2018 CandiEM

12. Safety and risk associated with free standing midwife led maternity units. This evidence note updates evidence note 18 published in August 2007

Safety and risk associated with free standing midwife led maternity units. This evidence note updates evidence note 18 published in August 2007 Safety and risk associated with free standing midwife led maternity units. This evidence note updates evidence note 18 published in August 2007 Safety and risk associated with free standing midwife led maternity units. This evidence note updates evidence note 18 published in August 2007 Thompson L Record Status This is a bibliographic record (...) of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Thompson L. Safety and risk associated with free standing midwife led maternity units. This evidence note updates evidence note 18 published in August 2007. Glasgow: Healthcare Improvement Scotland. Evidence Note 47. 2012 Authors' conclusions Around 3% of births in Scotland are in free standing midwifery units. For women at low risk of birth

2012 Health Technology Assessment (HTA) Database.

13. Community monitoring to curb corruption and increase efficiency in service delivery: evidence from low-income communities

Community monitoring to curb corruption and increase efficiency in service delivery: evidence from low-income communities 404 - The Campbell Collaboration Media Centre Blog Newsletter Sign Up ARCHIE login Menu to return to the home page. What were you looking for? To report a broken link, please send an email to . Remember to include the URL (web page address) that you used, or tell us about the content you were looking for. Thank you. Useful links News and Jobs In order to provide you (...) helps us provide you with a better user experience. For example, if on a previous visit you went to our marketing pages, we might find this out from your cookie and highlight marketing information on subsequent visits. Third party cookies on our pages Please note that during your visits to our website you may notice some cookies which are unrelated to us. When you visit a page with content embedded from, for example, Twitter or YouTube, you may be presented with cookies from these websites. We do

2016 Campbell Collaboration

14. A dose of corticosteroids benefits most women anticipating a preterm delivery

was downgraded for imprecision due to few events. Authors' conclusions Evidence from this update supports the continued use of a single course of antenatal corticosteroids to accelerate fetal lung maturation in women at risk of preterm birth. A single course of antenatal corticosteroids could be considered routine for preterm delivery. It is important to note that most of the evidence comes from high income countries and hospital settings; therefore, the results may not be applicable to low-resource settings (...) reiteration of the benefits of antenatal corticosteroids, for those not old enough to remember the pre-steroid era. However, it should be noted that there is a place for steroids in planned preterm delivery and that there is a gradient of benefit across the gestations, these points are not noted in “main message” of the review. The conclusion that more research is needed into optimal timing and dosing is welcome, and for the more mature babies for whom the benefit is less, unintended consequences should

2019 NIHR Dissemination Centre

15. Balance of long-term benefits and risks of caesarean delivery explained

(91,429 participants) found no difference in perinatal mortality according to of delivery in previous pregnancy. About 17 women would need to receive a caesarean delivery (instead of a normal delivery) to prevent one case of subsequent urinary incontinence. About 42 women would be needed to prevent one case of pelvic organ prolapse. Regarding harms to the baby, very small increases in risks were noted. About 162 babies would need to be born by caesarean section instead of vaginally for one extra case (...) Balance of long-term benefits and risks of caesarean delivery explained Balance of long-term benefits and risks of caesarean delivery explained Discover Portal Discover Portal Balance of long-term benefits and risks of caesarean delivery explained Published on 12 June 2018 doi: Caesarean delivery has immediate known benefits and risks for those women who need help in childbirth. This review measures the long-term outcomes for the mothers’ health, the links to a higher risk of childhood illness

2019 NIHR Dissemination Centre

16. A Hybrid Closed-Loop Insulin Delivery System for the Treatment of Type 1 Diabetes

A Hybrid Closed-Loop Insulin Delivery System for the Treatment of Type 1 Diabetes A Hybrid Closed-Loop Insulin Delivery System for the Treatment of Type 1 Diabetes | CADTH.ca CADTH Document Viewer A Hybrid Closed-Loop Insulin Delivery System for the Treatment of Type 1 Diabetes Table of Contents Search this document A Hybrid Closed-Loop Insulin Delivery System for the Treatment of Type 1 Diabetes June 2017 Summary Because their bodies no longer produce enough insulin, people with type 1 (...) diabetes mellitus must check their blood glucose — or blood sugar — levels several times a day and then calculate and inject an appropriate insulin dosage. Wearable systems, sometimes referred to as an “artificial pancreas,” are now available to replicate some of the functions of the pancreas in controlling insulin delivery. The MiniMed 670G is currently the only hybrid closed-loop system licensed for commercial use. Available evidence supports the safety of the MiniMed 670G system for individuals

2017 CADTH - Issues in Emerging Health Technologies

17. Local Insulin Delivery Around Titanium Implants at the Time of Placement Increases Biomechanical Retention in Rats

of any side effects of the insulin. Assuming the dosage is minimal, as the treatment is only localized delivery, note should be made whether or not side effects were seen, and if they were not, a maximum effective dose should be determined. Applicability Although these results are from animal studies, the pathophysiology of diabetes mellitus in rats applies that in humans; thus the results can apply in humans. Assuming future successful human trials, the applicability of local insulin delivery could (...) Local Insulin Delivery Around Titanium Implants at the Time of Placement Increases Biomechanical Retention in Rats UTCAT3224, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Local Insulin Delivery Around Titanium Implants at the Time of Placement Increases Biomechanical Retention in Rats Clinical Question Will local insulin delivery in type 1 and type 2 diabetics improve biomechanical retention of titanium implants

2017 UTHSCSA Dental School CAT Library

18. Inducing labour in older women having their first baby does not increase the chance of caesarean delivery

Inducing labour in older women having their first baby does not increase the chance of caesarean delivery Inducing labour in older women having their first baby does not increase the chance of caesarean delivery Discover Portal Discover Portal Inducing labour in older women having their first baby does not increase the chance of caesarean delivery Published on 26 April 2016 doi: Planning to artificially start labour for older women, pregnant with their first child, in the 39th week of pregnancy (...) does not affect the chance of having a caesarean delivery, according to a new trial funded by NIHR. Older women having a first baby have a higher risk of stillbirth and other complications than younger mothers and inducing labour at or before the due date is thought to reduce this risk. However, there have been fears that inducing labour may raise the risk of a caesarean delivery. This study found that women aged 35 or over having their first child and who were induced at 39 weeks had no higher

2019 NIHR Dissemination Centre

19. American Heart Association?s Call to Action for Payment and Delivery System Reform

to assessing delivery and payment models, with the belief that it is important to analyze the clinical import of these care models and not just their financial outcomes. As noted previously, this will continue to be vitally important, because indications by payers, both private and public, are that they will continue to use these models to drive toward improved patient outcomes at reduced costs. It is important that providers seek to understand how they can function as responsible, high-quality (...) a leader in the use of evidence to support reductions in morbidity and mortality, and they note that the next step could be using the specialty’s expertise within these new delivery models to allow for “coordinated improvements in health and more efficient use of cardiology expenditures.” They note that the same tools that have enabled these clinical milestones to be reached, such as guidelines, quality measures, and registries, could be used to define and measure value. Furthermore, there is important

2017 American Heart Association

20. Optical coherence tomography (OCT) for retinal assessment in the presence of diabetic macular oedema (DMO) for access to treatment with dexamethasone posterior segment drug delivery system

Optical coherence tomography (OCT) for retinal assessment in the presence of diabetic macular oedema (DMO) for access to treatment with dexamethasone posterior segment drug delivery system Public Summary Document Application No. 1377 – Optical Coherence Tomography (OCT) for retinal assessment in the presence of diabetic macular oedema (DMO) for access to treatment with dexamethasone posterior segment drug delivery system Applicant: Allergan Australia Pty. Ltd Date of MSAC consideration: MSAC 66 (...) implant, restricted to once per patient per annum. MSAC suggested that a fee of $40 was appropriate. 3. Summary of consideration and rationale for MSAC’s advice MSAC noted that the applicant had resubmitted listing of OCT for retinal assessment in patients with impaired vision due to DMO and with pseudophakia (an artificial lens) for access to treatment with dexamethasone implant. This was coordinated with a separate resubmission for dexamethasone implant to the March 2016 PBAC meeting. MSAC recalled

2016 Medical Services Advisory Committee

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