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21. Effectiveness of mental health electronic medical records

) Automation through e-prescribing has, on the other hand, resulted in improved care quality and safety, especially in clinical contexts where effective socio-technical systems have been established. (11) However, the mismatch between what “off-the-shelf” EMRs offer and what clinicians need is well recognised. (12) The impacts of EMRs have seldom been systematically studied, measured and reported in the peer-reviewed literature related to mental health service delivery. To maximise the benefits of EMRs (...) EMRs – Columbia Suicide Severity Rating Scale 300 evaluations performed by 36 psychiatry residents Quantitative: chart review Not specified Xiao & Acosta (2016) USA Adult outpatient psychiatric clinic e-charting custom developed for use in the clinic, included intake notes, evaluation/assessment, progress notes and e- medication monitoring 105 charts review pre- implementation and 141 charts reviewed post- implementation Quantitative: chart review Not specified Literature reviews relevant to EMRs

2020 Sax Institute Evidence Check

22. Suicide aftercare services

Suggested Citation: Shand F, Woodward A, McGill K, Larsen M, Torok M et al. Suicide aftercare services: an Evidence Check rapid review brokered by the Sax Institute (www.saxinstitute.org.au) for the NSW Ministry of Health, 2019. Disclaimer: This Evidence Check Review was produced using the Evidence Check methodology in response to specific questions from the commissioning agency. It is not necessarily a comprehensive review of all literature relating to the topic area. It was current at the time (...) , rather than relying on the person to make contact with the service. It may also require using a range of methods to maintain contact, such as home and other off-site visits, telephone calls and texts. Note SUICIDE AFTERCARE SERVICES | SAX INSTITUTE 7 that not all of aftercare services would be defined as ‘assertive’. Brief interventions typically provide a limited number of sessions (usually fewer than six) and/or the sessions were of limited duration (10-20 minutes). The duration of the effect

2020 Sax Institute Evidence Check

23. Colorectal cancer screening with faecal immunochemical testing, sigmoidoscopy or colonoscopy Full Text available with Trip Pro

for the majority, but not for everyone. Strong All or nearly all informed people would likely want this option. Benefits outweigh harms for almost everyone. Visit the MAGICapp multiple comparison tool to compare and choose options Evidence summaries Screening options should be chosen in shared decision making, based on a person’s individual risk of cancer For a person with a 2% risk of colorectal cancer within 15 years Colorectal cancer mortality No screening FIT every year Sigmoidoscopy FIT every two years (...) and preferences FIT Sigmoidoscopy Done at home every year or every two years for 15 years Done once in 15 years at an outpatient clinic/hospital Stool from one bowel movement is collected with a stick and mailed for analysis Preparation with bowel enema on the day of the procedure. Sometimes combined with oral laxatives Preparation with oral laxatives starting the day before procedure Individuals with a positive test are offered colonoscopy Usually performed with no sedation, so no recovery time necessary

2019 BMJ Rapid Recommendations

24. Raising the bar on strength and balance: The importance of community-based provision

trained to support instructors during class as well as accompanying instructors on home visits to encourage community-based class attendance. This has been particularly effective in trying to engage older men in SBEP. Wigan: Reaching out to men Work across stakeholder groups Falls need to be everybody’s business, which is why establishing a falls collaborative group that includes representatives from all stakeholder and key influencers, works as an important factor in developing a co-ordinated (...) , accessible homes and connected communities. By focusing on those approaching later life and at risk of missing out, we will create lasting change in society. We are bold and innovative in our approach to improving later lives. We work in partnership with a diverse range of organisations. As a part of the What Works network, we are grounded in evidence. To find out more visit: www.ageing-better.org.uk The Healthy Ageing Research Group at the University of Manchester The Healthy Ageing Research Group

2020 Publication 4890973

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

search navigation Article Navigation 2019 Article Contents Article Navigation Recommendations for good practice in ultrasound: oocyte pick up The ESHRE Working Group on Ultrasound in ART Search for other works by this author on: , Arianna D’Angelo Wales Fertility Institute , University Hospital of Wales, Cardiff University, Cardiff, UK Correspondence address. Wales Fertility Institute, University Hospital of Wales, Heath Park, Cardiff CF14 4XW, UK. E-mail: , Search for other works by this author (...) and volume of follicles. Caution should be taken in correlating these new parameters with oocyte maturity in comparison with conventional mean follicular diameter. The transvaginal transducer, or probe, should have a frequency range of 5–8 MHz and an abdominal transducer with a frequency range of 2–6 MHz, or their contemporaneous equivalents at the time of purchase. An appropriate protocol for transducer disinfection should be established, in accordance with manufacturer’s instructions. OPU operators

2020 European Society of Human Reproduction and Embryology

26. Remote ECG interpretation consultancy services for cardiovascular disease

and decision-making for people with cardiovascular disease. The inno innovativ vative aspects e aspects are that with remote ECG interpretation, a person does not need to travel to hospital for a consultation with a cardiologist, potentially providing quicker and more accurate diagnoses. The intended place in ther place in therap apy y would be to replace referrals to secondary care for interpreting ECGs from people with suspected cardiovascular disease. The main points from the e main points from (...) disorders. T en electrodes are placed on the skin of the chest and limbs to measure the electrical activity of the heart from 12 angles. The signal is recorded for about 10 seconds. Holter/ambulatory ECG Holter/ambulatory ECG: a monitor is worn for a period ranging from a day to a week, to record heart activity. The number of leads varies between manufacturers. L Loop/e oop/ev vent monitoring ent monitoring: captures unusual heart activity over longer periods, in some cases up to 4 years. An ECG of any

2018 National Institute for Health and Clinical Excellence - Advice

27. Inotuzumab ozogamicin for treating relapsed or refractory B-cell acute lymphoblastic leukaemia

model Administr Administration costs based on INO-V ation costs based on INO-VA ATE TE 1022 and 9.5 1022 and 9.5 inpatient da inpatient days in both arms ys in both arms are preferred are preferred 3.13 The company's model assumed that administering inotuzumab ozogamicin would need 3 outpatient visits and no inpatient days per cycle, compared with Inotuzumab ozogamicin for treating relapsed or refractory B-cell acute lymphoblastic leukaemia (TA541) © NICE 2019. All rights reserved. Subject to Notice (...) of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 14 of 31no outpatient visits and 6.2 inpatient days for standard care (based on the summary of product characteristics). The ERG stated that the company's assumptions underestimated the cost of administering inotuzumab ozogamicin because no inpatient days were included. The clinical expert agreed with the ERG and also highlighted that patients having standard care often need an extended stay in hospital. The ERG's

2018 National Institute for Health and Clinical Excellence - Technology Appraisals

28. Canadian guidelines on opioid use disorder among older adults

Disorder Among Older Adults Summary of Recommendations and Grades W e used the GRADE approach (Grading of Recommendations, Assessment, Development and Evaluation) as a method of grading the quality of evidence and the strength of recommendations . In following the GRADE process, the initial step was to grade the quality of available evidence supporting each recommendation . Subsequently, we identified the overall strength of the recommendation taking into account both the quality of the evidence (...) used a similar approach e .g . British Association for Psychopharmacology Guidelines (2012) . While such recommendations lack empirical evidence, we believe they are also useful and important . ***High quality evidence doesn’t necessarily imply strong recommendations, and strong recommendations can arise from low quality evidence. Note: Meta analyses and Randomized Controlled Trials are considered high quality vs. Observational studies which are considered low quality QUALITY OF EVIDENCE STRENGTH

2019 CPG Infobase

29. Canadian guidelines on benzodiazepine receptor agonist use disorder among older adults

the gradual withdrawal and discontinuation of BZRAs should be used. Clinicians and patients should share in: a) planning and applying a gradual dose reduction scheme supported by appropriate education of the patient; b) identifying and optimizing alternatives to manage the underlying health issue(s) that initiated or perpetuated the use of BZRAs; c) developing strategies to minimize acute withdrawal and managing rebound symptoms as needed; and d) establishing a schedule of visits for reviewing progress (...) Committee: Canadian Guidelines on Benzodiazepine Receptor Agonist Use Disorder Among Older Adults Dr. Christopher Frank, MD, FCFP(COE) Professor, Department of Medicine Queen’s University Dr. David Gardner, Pharm. D, MSc Professor of Psychiatry & Pharmacy Dalhousie University, Halifax, NS Morris Goldhar – C.E.T. Retired - Electronic Technologist, Person with Lived Experience Dr. Joanne M-W Ho MD, FRCPC, MSc Assistant Professor, Department of Medicine, Schlegel Clinical Research Scientist, Schlegel

2019 CPG Infobase

30. Health literacy: what lessons can be learned from the experiences of other countries?

in society. One of the conclusions of the IROHLA project was that incorporating health literacy in all policies in the area of health care or healthy ageing, is a precondition for effective health literacy intervention programmes. For example, public health programmes, as well as patient safety and health care quality programmes can benefit from easily understandable health information for the population and more accessible and acceptable e-health and m-health applications. KCE Report 322 Health literacy (...) , and higher odds for rehospitalisation). 3 The same studies revealed that health literacy must be conceived as a much broader concept, as not only reading and writing skills are important to access and interact with the healthcare system. People with low health literacy have problems with establishing contacts with healthcare professionals, accessing healthcare institutions, taking up their part in health related shared decisions, understanding the pathophysiology of a health condition, following

2020 Belgian Health Care Knowledge Centre

31. British guideline on the management of asthma

establish whether or not the airflow obstruction reverses to normal with treatment. Evidence of a symptomatic response, ideally using objective measures of asthma control and lung function, should be sought at a follow-up visit. If there is significant reversibility or improvement in symptom scores, confirm the diagnosis of asthma and record the basis on which the diagnosis was made. Continue to treat as asthma, but aim to find the minimum effective dose of therapy. If the patient remains asymptomatic (...) development group 152 17.3 Acknowledgements 154 17.4 Consultation and peer review 154 Abbreviations 156 Annexes 158 References 1721 1 | Introduction 1 Introduction 1.1 The need for a guideline Asthma is a common condition which produces a significant workload for general practice, hospital outpatient clinics and inpatient services. It is clear that much of this morbidity relates to poor management, particularly around the use of preventative medicine. 1.1.1 Background In 1999 the British Thoracic Society

2019 SIGN

32. Choosing Wisely Canada recommendation - Don’t routinely do screening mammography for average risk women aged 40 – 49. Individual assessment of each woman’s preferences and risk should guide the discussion and decision regarding mammography screening in th

all cases are viral. Though cases of bacterial sinusitis can benefit from antibiotics, evidence of such cases does not typically surface until after at least seven days of illness. Not only are antibiotics rarely indicated for upper respiratory illnesses, but some patients experience adverse effects from such medications. Don’t order screening chest X-rays and ECGs for asymptomatic or low risk outpatients. There is little evidence that detection of coronary artery stenosis in asymptomatic patients (...) . Don’t advise non-insulin requiring diabetics to routinely self-monitor blood sugars between office visits. While self-monitoring of blood glucose (SMBG) for patients with diabetes is recommended by certain groups to help monitor glycemic control, for most adults with type II diabetes who are not using insulin, many studies have shown that routine SMBG does little to control blood sugar over time. Don’t order thyroid function tests in asymptomatic patients. The primary rationale for screening

2019 CPG Infobase

33. Towards integrated antenatal care for low-risk pregnancy

: Prenatal Care, Organization and Administration, Prenatal Education, Patient Care Team, Belgium NLM Classification : WQ175 Language : English Format : Adobe® PDF™ (A4) Legal depot : D/2020/10.273/78 ISSN: 2466-6459 Copyright : KCE reports are published under a “by/nc/nd” Creative Commons Licence http://kce.fgov.be/content/about-copyrights-for-kce-publications. How to refer to this document? Benahmed N, Lefèvre M, Christiaens W, Devos C, Stordeur S. Towards integrated antenatal care for low-risk (...) The gynaecologist density is the number of active gynaecologists by 10 000 inhabitants. 21 e These amounts correspond to fees negotiated for midwives on 1 January 2019 No relationship between the use of midwives and the geographical distribution of gynaecologist density d was observed. Very few low-risk pregnant women (0.3%) were exclusively followed by midwives (and possibly by GPs, but not by gynaecologists) and did probably not benefit from ultrasounds; 44% had an exclusive pregnancy follow-up performed

2020 Belgian Health Care Knowledge Centre

34. Safe nurse staffing levels in acute hospitals

for different types of nursing wards 233 Table 24 – Example of the calculation of safe nurse staffing establishment at ward level 233 16 Safe nurse staffing levels in acute hospitals KCE Report 325 Table 25 – Proposed and implemented patient-to-nurse ratios in California 243 Table 26 – Summary of the impact of the ratio legislation in California 245 Table 27 – Example of the patient-to-nurse minimal staffing ratios as proposed in Act H.R. 2392 in the House of Representatives USA 251 Table 28 – Budget impact (...) care. 38 Although the evidence about healthcare assistants is not as well established as that about nurse staffing levels, it clearly shows that healthcare assistants cannot act as substitutes for RNs. 43 Nursing work environment The complexity of the staffing – outcome relationship is also illustrated by the body of evidence that links factors of the nursing work environment (e.g. shift lengths, physician-nurse relationships, leadership style) with patient outcomes. It is possible

2020 Belgian Health Care Knowledge Centre

35. The promotion of well?being among children exposed to intimate partner violence: A systematic review of interventions Full Text available with Trip Pro

, for a review of early programming). More recently, theory‐driven psychosocial programs serving children exposed to violence have been developed and established in other venues (e.g., school‐based mental health clinics, outpatient psychotherapy settings). A scan conducted almost 5 years ago identified 23 unique programs designed to improve outcomes for children exposed to IPV currently being implemented across the United States, with at least eight of these programs having been subject to one or more (...) children exposed to intimate partner violence: A systematic review of interventions Corresponding Author E-mail address: RTI International, Research Triangle Park, North Carolina Correspondence Natasha E. Latzman, Children and Families Program, Survey Research Division, RTI International, 3040 E. Cornwallis Road, Research Triangle Park, NC 27709. Email: RTI International, Research Triangle Park, North Carolina RTI International, Research Triangle Park, North Carolina RTI International, Research

2019 Campbell Collaboration

36. Staff and associate specialist (SAS) grade handbook

meetings • Guidance and information for SAS doctors • Access to The SAS Handbook • SAS audit poster prize and professional development grant • Representation at Westminster and the Department of Health • 20% discount on textbooks from OUP and Wiley • 30% discount on books from Cambridge University Press • Basic TTE Education • Mentoring • SAS Links network The SAS Committee The SAS Committee has been established for just over 15 years and continues to go from strength to strength. The Committee (...) was established by Dr Kate Bullen, the first SAS doctor to be elected to the Association’s Council. SAS doctors have been described as the hidden, unsung heroes of the NHS. Despite making up approximately 20% of the anaesthetic workforce, historically, SAS doctors have sometimes felt overlooked and under-valued, with some colleagues unaware of who we are and what we do. The Association recognised this, and so the Committee was set up to address these concerns and to represent the specific needs of SAS

2020 Association of Anaesthetists of GB and Ireland

37. Society of Interventional Radiology Quality Improvement Standards on Percutaneous Ablation in Renal Cell Carcinoma Full Text available with Trip Pro

. Global cancer statistics. CA Cancer J Clin . 2011 ; 61 : 69–90 | | | 1 ). The incidence of RCC has gradually increased over the last several decades, which has been attributed to the growing use of and technologic advancements in cross-sectional imaging in the diagnosis of intra-abdominal pathologies ( x 2 Shinagare, A.B., Krajewski, K.M., Braschi-Amirfarzan, M., and Ramaiya, N.H. Advanced renal cell carcinoma: role of the radiologist in the era of precision medicine. Radiology . 2017 ; 284 : 333–351 (...) ). According to guidelines from the American Urology Association (AUA) and the National Comprehensive Cancer Network (NCCN), partial nephrectomy (PN) remains the standard of care for patients with noncentral, T1a (≤4.0 cm), or T1b tumors (4.1–7.0 cm) ( x 7 Campbell, S., Uzzo, R.G., Allaf, M.E. et al. renal mass and localized renal cancer: AUA guideline. J Urol . 2017 ; 198 : 520–529 | | | 7 , x 8 Motzer, R.J., Jonas, E., Agarwal, N. et al. NCCN Clinical Practice Guidelines in Oncology: Kidney Cancer

2020 Society of Interventional Radiology

38. A Case Management Tool for TB Prevention, Care and Control in the UK

month of medication (see Appendix 1: Form 3). Patient to be notified on TB surveillance system. One week Make contact with patient either by telephone or home visit (clinically assess patient and the environment and complete contact list within five working days). Visiting the patient in their own environment enhances the assessment of their needs and contact identifying. Two weeks Seen by case manager as an outpatient or in the community. One month Seen by case manager as an outpatient (...) clinical action 60 13. Simple guide to information sharing 61 ContentsROYAL COLLEGE OF NURSING 7 Glossary 62 References 65 Further reading 68A CASE MANAGEMENT TOOL FOR TB PREVENTION, CARE AND CONTROL IN THE UK 8 Purpose of this document This is a practical manual for any clinical or non-clinical professional involved in the case management of suspected and confirmed TB cases. It aims to: • promote standardisation of protocols and procedures • ensure accountability for delivery • establish clear

2019 Royal College of Nursing

39. Undernutrition in Chronic Kidney Disease

outpatient visit, taking account of changes in fluid balance and recent changes in the amount of food being eaten. People with progressive stage 4 CKD are likely to benefit from education from specialist renal dietitians in terms of advice about energy, salt, potassium and phosphate intake even if they do not flag as a concern on nutritional screening tests 15 . We suggest that established patients on dialysis should be screened every 2-3 months. If concerns arise due to intercurrent illness, screening (...) Summary 277 4 1. Introduction Background “ M aln u tri tio n ” describes both over and undernutrition. In the UK, the National Institute for Health and Care Excellence (NICE) define malnutrition as “a state in which a deficiency of nutrients such as energy, protein, vitamins and minerals causes measurable adverse effects on body composition, function or clinical o u tc o m e” in their Clinical Guideline (CG 32) 1 and Quality Standard (QS24) 2 . These guidelines suggest that patients at high risk

2019 Renal Association

40. Strategies to link people with undiagnosed HIV infection to HIV testing, care, and prevention services

analysis in New Zealand examined missed opportunities among adults presenting to a hospital offering risk-based screening (12). Results showed that nearly 34% of individuals who were newly diagnosed over a seven-year period had had contact with medical services prior to diagnosis, and within their estimated window of HIV infection. They also showed that these patients could have been diagnosed earlier by a median of 12 months. Furthermore, more than half of these missed opportunity visits were (...) % of non-infected controls (13). Results also showed that these patients frequently visited a general practitioner before their HIV diagnosis (13). Similarly, a retrospective cohort data linkage study in Australia showed that sexually transmitted infections (STIs) and certain hospital admissions were common among people estimated to be living with undiagnosed HIV; gonorrhea diagnosis was 18 times higher among people living with undiagnosed HIV (15). Despite this, the rate of missed opportunities

2019 Ontario HIV Treatment Network

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