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E/M Medical Decision Making

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181. Enabling medication management through health information technology

0 0 Pharmacy information system 2 3 4 1 0 1 1 Barcoding medication administering 1 0 2 20 0 0 0 Barcoding dispensing 0 0 1 0 0 0 0 eMAR, e-TAR 2 2 2 14 0 0 0 Other 13 2 3 7 14 1 5 Personal digital assistants or hand-helds 7 1 0 4 5 0 1 Note: some studies cross more than one phase and technology. Column headings: P = Prescribing, OC = Order Communication, D = Dispensing, A = Administering, M = Monitoring, E = Education, R = Reconciliation Abbreviations: CDSS = Clinical decision support system (...) A M E R RCT 69 1 2 2 37 1 1 Cohort 13 2 2 1 6 0 1 Observational 144 18 10 26 29 2 4 Qualitative 37 5 3 10 5 0 0 Total 263 26 17 39 77 3 6 Note: some studies cross more than one phase. Column headings: P = Prescribing, OC = Order Communication, D = Dispensing, A = Administering, M = Monitoring, E = Education, R = Reconciliation Abbreviations: RCT = randomized controlled trial Table B. Settings for the phases of medication management and reconciliation and education Setting P OC D A M E R Ambulatory

2011 EvidenceUpdates

182. Efficacy and Tolerability of Eribulin Plus Lapatinib in Patients With Metastatic Breast Cancer (E-VITA)

Efficacy and Tolerability of Eribulin Plus Lapatinib in Patients With Metastatic Breast Cancer (E-VITA) Efficacy and Tolerability of Eribulin Plus Lapatinib in Patients With Metastatic Breast Cancer (E-VITA) - 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 one or more studies before adding more. Efficacy and Tolerability of Eribulin Plus Lapatinib in Patients With Metastatic Breast Cancer (E-VITA) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT01534455 Recruitment Status : Terminated (very slow patient recruitment and concerns about

2012 Clinical Trials

183. Headache - medication overuse

and patient involvement includes membership on the editorial steering group, contacting expert patient groups, organizations and individuals. Evidence exclusion criteria Evidence exclusion criteria Our policy Scoping a literature search, and reviewing the evidence for CKS is a methodical and systematic process that is carried out by the lead clinical author for each topic. Relevant evidence is gathered in order that the clinical author can make fully informed decisions and recommendations. It is important (...) ( 2010 ) Guidelines for all healthcare professionals in the diagnosis and management of migraine, tension-type headache, cluster headache, medication-overuse headache. British Association for the Study of Headache. . [ ] Green M, Coleman R ( 2016a ) Tension-type headache. BMJ . BMJ Best Practice ( 2016b ) Assessment of acute headache in adults. BMJ . Miller S, Tyagi A, Matharu MS ( 2016c ) Cluster Headache. BMJ . Da Silva AN, Lake AE ( 2014 ) Clinical aspects of medication overuse headaches. Headache

2012 NICE Clinical Knowledge Summaries

184. Medical Informatics in Neurology (Diagnosis)

of structures and algorithms to improve communication, understanding, and management of medical information. The end objective of biomedical informatics is the integration of data, knowledge, and tools necessary to apply that data and knowledge in the decision-making process associated with patient care. The focus on the structures and algorithms necessary to manipulate the information separates biomedical informatics from other medical disciplines where information content is the focus. According to Van (...) . According to the report, "CPRs and CPR systems can respond to health care's need for a ‘central nervous system' to manage the complexities of modern medicine — from patient care to public health to health care policy." The report described the CPR as a continuous chronological history of a patient's medical care linked to various aids for their user, such as programmed reminders and alerts generated by decision-making systems. The IOM report led to the creation of the Computer-Based Patient Record

2014 eMedicine.com

185. Medical Informatics in Neurology (Overview)

of structures and algorithms to improve communication, understanding, and management of medical information. The end objective of biomedical informatics is the integration of data, knowledge, and tools necessary to apply that data and knowledge in the decision-making process associated with patient care. The focus on the structures and algorithms necessary to manipulate the information separates biomedical informatics from other medical disciplines where information content is the focus. According to Van (...) . According to the report, "CPRs and CPR systems can respond to health care's need for a ‘central nervous system' to manage the complexities of modern medicine — from patient care to public health to health care policy." The report described the CPR as a continuous chronological history of a patient's medical care linked to various aids for their user, such as programmed reminders and alerts generated by decision-making systems. The IOM report led to the creation of the Computer-Based Patient Record

2014 eMedicine.com

186. Medical Informatics in Neurology (Treatment)

of structures and algorithms to improve communication, understanding, and management of medical information. The end objective of biomedical informatics is the integration of data, knowledge, and tools necessary to apply that data and knowledge in the decision-making process associated with patient care. The focus on the structures and algorithms necessary to manipulate the information separates biomedical informatics from other medical disciplines where information content is the focus. According to Van (...) . According to the report, "CPRs and CPR systems can respond to health care's need for a ‘central nervous system' to manage the complexities of modern medicine — from patient care to public health to health care policy." The report described the CPR as a continuous chronological history of a patient's medical care linked to various aids for their user, such as programmed reminders and alerts generated by decision-making systems. The IOM report led to the creation of the Computer-Based Patient Record

2014 eMedicine.com

187. Medical Informatics in Neurology (Follow-up)

of structures and algorithms to improve communication, understanding, and management of medical information. The end objective of biomedical informatics is the integration of data, knowledge, and tools necessary to apply that data and knowledge in the decision-making process associated with patient care. The focus on the structures and algorithms necessary to manipulate the information separates biomedical informatics from other medical disciplines where information content is the focus. According to Van (...) . According to the report, "CPRs and CPR systems can respond to health care's need for a ‘central nervous system' to manage the complexities of modern medicine — from patient care to public health to health care policy." The report described the CPR as a continuous chronological history of a patient's medical care linked to various aids for their user, such as programmed reminders and alerts generated by decision-making systems. The IOM report led to the creation of the Computer-Based Patient Record

2014 eMedicine.com

188. e-STEPS: Endotoxin-Associated Sterile Peritonitis Observational Study

): Baxter Healthcare Corporation Study Details Study Description Go to Brief Summary: This observational retrospective healthcare medical record review study is to evaluate and differentiate the clinical characteristics and outcomes in peritoneal dialysis (PD) patients with either endotoxin-associated sterile peritonitis (e-SP), bacterial peritonitis (BP) or no peritonitis (NoP) over a 12-15 month period from dialysis clinics in The Netherlands, Germany, Hungary, Portugal, and the United Kingdom (UK (...) -associated Sterile Peritonitis Detailed Description: e-STEPS is an observational, non-interventional, retrospective review study of healthcare medical records conducted in PD units at approximately 12 sites in The Netherlands, Germany, Hungary, Portugal, and the UK. There will be no study drug or any other medical intervention involved. Furthermore, no patient-identifying information will be transferred to the Study Coordinating Centre (SCC) or the sponsor. Medical records of cases with e-SP, BP and NoP

2011 Clinical Trials

189. Canada’s e-health software mess: simple solution (PubMed)

Canada’s e-health software mess: simple solution 21324885 2011 04 05 2018 11 13 1488-2329 183 2 2011 Feb 08 CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne CMAJ Canada's e-health software mess: simple solution. 226 10.1503/cmaj.111-2008 Tevaarwerk Gerald J M GJ eng Letter Canada CMAJ 9711805 0820-3946 AIM IM Canada Decision Making Electronic Health Records Humans Practice Management, Medical Software 2011 2 18 6 0 2011 2 18 6 0 2011 4 6 6 0 ppublish

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2011 CMAJ : Canadian Medical Association Journal

190. Parathyroid hormone assay in clinical desicion-making. (PubMed)

Parathyroid hormone assay in clinical desicion-making. 764912 1976 04 23 2018 11 13 0007-1447 1 6000 1976 Jan 03 British medical journal Br Med J Parathyroid hormone assay in clinical desicion-making. 16-9 Posen S S Kleerekoper M M Ingham J P JP Hirshorn J E JE eng Case Reports Journal Article England Br Med J 0372673 0007-1447 0 Parathyroid Hormone AIM IM Acute Kidney Injury diagnosis Adult Bone Diseases blood Decision Making Female Humans Hypercalcemia complications etiology Hyperthyroidism

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1976 British medical journal

191. Brilinta (ticagrelor) Tablets - medical review

Brilinta (ticagrelor) Tablets - medical review CENTER FOR DRUG EVALUATION AND RESEARCH APPLICATION NUMBER: 022433Orig1s000 MEDICAL REVIEW(S) DIVISION OF CARDIOVASCULAR AND RENAL PRODUCTS Complete Response Review Addendum Sponsor Safety Reporting Submissions: NDA 22-433 and IND 65,808 SD 632 Drug: ticagrelor (Brilinta™) Indication: reduce the rate of thrombotic events in patients with acute coronary syndromes (ACS) Sponsor: AstraZeneca Review date: June 8, 2011 Reviewer: Thomas A. Marciniak, M.D (...) . Medical Team Leader On April 20, 2011, we met with AstraZeneca (AZ) staff to discuss progress on the reviews of the complete response for NDA 22-433. Because my review and that of the IND reviewer, Dr. Martin Rose, had suggested significant problems with AZ’s handling of serious adverse events (SAEs), I added to the end of the agenda a discussion of these problems. The minutes for the meeting filed on May 19, 2011, summarize that discussion as follows: “There was some discussion regarding

2011 FDA - Drug Approval Package

192. Analysis: an introduction to ethical concepts. Definition and ethical decisions. (PubMed)

Analysis: an introduction to ethical concepts. Definition and ethical decisions. 604488 1978 04 17 2018 11 13 0306-6800 3 4 1977 Dec Journal of medical ethics J Med Ethics Analysis: an introduction to ethical concepts. Definition and ethical decisions. 186-8 Clarke D D DD Clarke D M DM eng Journal Article England J Med Ethics 7513619 0306-6800 E IM Beginning of Human Life Ethical Analysis Ethics, Medical Life Personhood Terminology as Topic 06250 KIE BoB Subject Heading: ETHICAL ANALYSIS (...) /DECISION MAKING Full author name: Clarke, Dolores D Full author name: Clarke, Desmond M 1977 12 1 1977 12 1 0 1 1977 12 1 0 0 ppublish 604488 PMC1154601 Lancet. 1971 Sep 11;2(7724):560-5 4106102

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1977 Journal of medical ethics

193. American Association of Clinical Endocrinologists and American Association of Endocrine Surgeons Medical Guidelines for the Management of Adrenal Incidentalomas

, MD, FACS; Amir H. Hamrahian, MD, FACE; Peter Angelos, MD, PhD, FACS, FACE; Dina Elaraj, MD; Elliot Fishman, MD; Julia Kharlip, MD The American Association of Clinical Endocrinologists and American Association of Endocrine Surgeons Medical Guidelines for the Management of Adrenal Incidentalomas are systematically developed statements to assist health care providers in medical decision making for specific clinical conditions. Most of the content herein is based on literature reviews. In areas (...) of uncertainty, professional judgment was applied. These guidelines are a working document that reflects the state of the field at the time of publication. Because rapid changes in this area are expected, periodic revisions are inevitable. We encourage medical professionals to use this information in conjunction with their best clinical judgment. The presented recommendations may not be appropriate in all situations. Any decision by practitioners to apply these guidelines must be made in light of local

2009 American Association of Clinical Endocrinologists

194. American Association of Clinical Endocrinologists Medical Guidelines for Clinical Practice for Growth Hormone Use in Growth Hormone-deficient Adults and Transition Patients

. Biller, MD; Stephen F. Kemp, MD, PhD, FACE; Mary Lee Vance, MD The American Association of Clinical Endocrinologists Medical Guidelines for Gr owth Hormone use in Gr owth Hormone Deficient Adults and T ransition Patients – 2009 Update ar e systematically developed statements to assist health car e pr oviders in medical decision making for specific clinical conditions. Most of the content her ein is based on literatur e r eviews. In ar eas of uncertainty , pr ofessional judgment was applied (...) . These guidelines ar e a working document that r eflects the state of the field at the time of publication. Because rapid changes in this ar ea ar e expected, periodic r evisions ar e inevitable. W e encourage medical pr ofessionals to use this information in conjunction with their best clinical judgment. The pr esented r ecommendations may not be appr opriate in all situations. Any decision by practitioners to apply these guidelin es must be made in light of local r esour ces and individual cir cumstances. ©

2009 American Association of Clinical Endocrinologists

195. Assessment and Management of Acute Pain in Adult Medical Inpatients

be hard to ascertain. Data on the course and treatment of pain in medical inpatients are absent. Little is known about how intravenous opioid therapy, considered the treatment of choice for patients with severe, acute pain, is used on a medical service. In contrast to the post-operative setting, on a medical service the patient’s course is less predictable, making it difficult to establish standards for when and how to change pain therapy and how to deliver it. Textbooks and professional societies (...) Assessment and Management of Acute Pain in Adult Medical Inpatients Department of Veterans Affairs Health Services Research & Development Service Evidence-based Synthesis Program Assessment and Management of Acute Pain in Adult Medical Inpatients: A Systematic Review Prepared for: Department of Veterans Affairs Veterans Health Administration Health Services Research & Development Service Washington, DC 20420 Prepared by: Portland Veterans Affairs Healthcare System Oregon Evidence-based Practice

2008 Veterans Affairs Evidence-based Synthesis Program Reports

196. Multi-Center Medication Reconciliation Quality Improvement Study

to Publications: Institute for Healthcare Improvement. Medication Reconciliation Review. 2007; http://www.ihi.org/IHI/Topics/PatientSafety/MedicationSystems/Tools/Medication+Reconciliation+Review.htm. Accessed January 7, 2010. Doyle E. Medication reconciliation done right. Today's Hospitalist. September 2009. Agency for Healthcare Research and Quality. CAHPS Hospital Survey (H-CAHPS) 2009; https://www.cahps.ahrq.gov/content/products/HOSP/PROD_HOSP_Intro.asp?p=1022&s=221. Accessed January 15, 2010. Kivimaki M (...) standard" medication history on 5 patients per week, then compare that history to the medical team's medication history, to admission orders, and to discharge orders. Any unintentional medication discrepancies in orders will be recorded. A physician adjudicator will then make a final determination regarding whether an error occurred, the type of error, the potential for patient harm, and the potential severity. Secondary Outcome Measures : Patient satisfaction [ Time Frame: 6 months prior

2011 Clinical Trials

197. Changes in women's preferences for the racial composition of medical facilities, 1969-1974. (PubMed)

Changes in women's preferences for the racial composition of medical facilities, 1969-1974. 1259065 1976 06 02 2018 11 13 0090-0036 66 3 1976 Mar American journal of public health Am J Public Health Changes in women's preferences for the racial composition of medical facilities, 1969-1974. 284-6 Udry J R JR Morris N M NM Bauman K E KE eng Journal Article Research Support, U.S. Gov't, P.H.S. United States Am J Public Health 1254074 0090-0036 AIM IM Age Factors Choice Behavior Decision Making (...) Delivery of Health Care Educational Status Ethnic Groups Family Planning Services Female Geography Humans Medical Staff Nursing Staff Patients Race Relations Social Change United States 1976 3 1 1976 3 1 0 1 1976 3 1 0 0 ppublish 1259065 PMC1653226 Z Unfallmed Berufskr. 1970;63(1):34-46 5512447

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1976 American Journal of Public Health

198. Unsuccessful medical school applicants as a potential health manpower resource. (PubMed)

Unsuccessful medical school applicants as a potential health manpower resource. 4823172 1974 06 17 2018 11 30 0090-2918 89 2 1974 Mar-Apr Health services reports Health Serv Rep Unsuccessful medical school applicants as a potential health manpower resource. 162-9 Becker M H MH Katatsky M E ME Seidel H M HM eng Journal Article United States Health Serv Rep 0430452 0090-2918 AIM IM Achievement Attitude Career Mobility Curriculum Decision Making Education, Graduate Education, Premedical (...) Educational Measurement Family Female Health Occupations education Health Workforce supply & distribution Humans Male Medical Laboratory Science Motivation Schools, Medical Science Sex Factors Students United States 1974 3 1 1974 3 1 0 1 1974 3 1 0 0 ppublish 4823172 PMC1616225 Milbank Mem Fund Q. 1968 Jan;46(1):Suppl:53-90 5644952 J Pediatr. 1970 Nov;77(5):749-63 4396144 J Med Educ. 1971 Oct;46(10):837-57 5129337 Health Serv Rep. 1972 May;87(5):399-405 5031301

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1974 Health services reports

199. Intranasal Naloxone for acute opiate overdose: Reducing needle stick risk, improving time to medication delivery

threatening illnesses such as respiratory arrest from opiate overdose. Furthermore, unique EMS environmental conditions such as combative patients, uncontrolled scene issues, poor lighting and moving ambulances make the probability of suffering a needle stick even more likely than in more controlled medical settings. Since opiate overdose patients rarely need an IV for any reason beyond the administration of naloxone, a needleless method of administering naloxone would eliminate needle stick risk (...) reports a similar trend for all forms of naloxone.[64] BLS provider administration of IN naloxone Multiple states and city's allow IN naloxone delivery by lay persons so it makes sense that they allow their BLS providers to also administer this potentially lifesaving medication. In 2005 Boston EMS approved IN naloxone for their EMS providers. In 2006 they reported a 75% success rate in reversal of opioid overdose when BLS providers delivered IN naloxone. In a more complete 5 years study they found

2010 Therapeutic Intranasal Drug Delivery

200. Intranasal Medications in Hospice and Palliative care

Intranasal Medications in Hospice and Palliative care Hospicemainpage Therapeutic Intranasal Drug Delivery Needleless treatment options for medical problems (Scroll down if the text is missing on your screen) Concepts: Clinical-Uses: Education: Intranasal Medications in Hospice and Palliative care: This section of the web site will focus on data specifically related to intranasal drug delivery in patients with chronic pain being cared for by hospice or palliative care services. The primary (...) controlled with a stable analgesic regimen. The problem is not minor – in the United states alone it is reported than 800,000 cancer patients suffer from breakthrough pain.[1, 2] Many treatments are proposed for treating breakthrough pain, including numerous protocols on the internet, however few randomized controlled trials (high level of evidence) comparing pain medication treatment options are currently available.[2] Interestingly, the majority of the randomized controlled trials that do exist

2010 Therapeutic Intranasal Drug Delivery

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