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E/M Medical Decision Making

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8821. Centralisation of selected surgical procedures: implications for Australia: a systematic review

- Centralisation of selected surgical procedures: Implications for Australia ISBN 0909844 79 8 Published July 2007. This report should be cited in the following manner: Marlow N.E, et al. Centralisation of Selected Procedures: Implications for Australia. ASERNIP-S Report No. 57. Adelaide, South Australia: ASERNIP-S, July 2007. Copies of these reports can be obtained from: ASERNIP-S PO Box 553, Stepney, SA 5069 AUSTRALIA Ph: 61-8-8363 7513 Fax: 61-8-8362 2077 E-Mail: asernips@surgeons.org http (...) standards of care to ensure centralisation is not instituted solely for political or financial reasons. Important note The information contained in this report is a distillation of the best available evidence located at the time the searches were completed as stated in the protocol. Please consult with your medical practitioner if you have further questions relating to the information provided, as the clinical context may vary from patient to patient. xi - ASERNIP-S REVIEW OF CENTRALISATION JULY 2007

2007 ASERNIP-S

8823. Practice Parameters for the Use of Actigraphy in the Assessment of Sleep and Sleep Disorders: An Update for 2007

in the ICSD-2 primarily when sleep patterns must be assessed over time, making polysomnography impractical. For example, the ICSD-2 diagnostic criteria for most circadian rhythm disor- ders requires demonstration of abnormalities in the timing of the habitual sleep pattern using either actigraphy or sleep logs for seven days or more. The ICSD-2 also suggests that actigraphy may be used to document inconsistencies between objective and subjective measures of sleep timing in paradoxical insomnia (...) System-Sepulveda and University of California, Los Angeles; 3 Stanford University School of Medicine, Stanford, CA; 4 Rhode Island Hospital, Providence, RI; 5 University of Washington, Seattle, WA; 6 University of North Carolina, Chapel Hill, NC; 7 St. Joseph Memorial Hospital, Murphysboro, IL; 8 LSU Health Sciences Center in Shreveport, Shreveport, LA; 9 Murfreesboro Medical Center, Murfreesboro, TN; 10 National Jewish Medical and Research Center, Denver, CO; 1 1 Toronto, Canada; 12 Houston Sleep

2007 American Academy of Sleep Medicine

8824. Reassessment: neuroimaging in the emergency patient presenting with seizure

with seizure (an evidence-based review) C. L. Harden , J. S. Huff , T. H. Schwartz , R. M. Dubinsky , R. D. Zimmerman , S. Weinstein , J. C. Foltin , W. H. Theodore Neurology Oct 2007, 69 (18) 1772-1780; DOI: 10.1212/01.wnl.0000285083.25882.0e Citation Manager Formats Make Comment See Comments Downloads 11091 Share Abstract Objective: To reassess the value of neuroimaging of the emergency patient presenting with seizure as a screening procedure for providing information that will change acute management (...) review) Report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology C. L. Harden , J. S. Huff , T. H. Schwartz , R. M. Dubinsky , R. D. Zimmerman , S. Weinstein , J. C. Foltin , W. H. Theodore First published October 29, 2007, DOI: https://doi.org/10.1212/01.wnl.0000285083.25882.0e C. L. Harden J. S. Huff T. H. Schwartz R. M. Dubinsky R. D. Zimmerman S. Weinstein J. C. Foltin W. H. Theodore Reassessment: Neuroimaging in the emergency patient presenting

2007 American Academy of Neurology

8825. Antiepileptic drug prophylaxis in severe traumatic brain injury

of these findings to children are recommended. The Quality Standards Subcommittee (QSS) of the American Academy of Neurology (AAN) is charged with developing practice parameters for neurologists for diagnostic procedures, treatment modalities, and clinical disorders. Practice parameters are strategies for patient management that assist physicians in clinical decision-making. They comprise one or more recommendations based on analysis of evidence on a specific clinical problem. This report addresses (...) in the prophylaxis of early post-traumatic seizures. Some investigators have also noted that many medications used in the care of head-injured patients, including phenytoin, have deleterious effects in animal models of TBI. Further work in this area may help provide clinicians with additional information on which to base their decision regarding the relative risks and benefits of AED prophylaxis in this population. Definition of early seizures. The distinction between early and late post-traumatic seizures at 7

2003 American Academy of Neurology

8826. Neuroprotective strategies and alternative therapies for parkinson disease

study, the benefit of chronic use of M pruriens cannot be determined. Vitamin E is probably ineffective for the treatment of PD. Vitamin C and folic acid have not been adequately studied to demonstrate effect on PD symptoms. No controlled studies are available to demonstrate effectiveness of acupuncture. One uncontrolled study did not show motor benefit. No studies were found that satisfied inclusion criteria for the evaluation of manual therapy (chiropractic, massage, osteopathic, Trager therapy (...) to another. Recommendations. There is insufficient evidence to support or refute the use of M pruriens for the treatment of motor symptoms of PD (Level U). For patients with PD, vitamin E (2,000 units) should not be considered for symptomatic treatment (Level B). There is insufficient evidence to support or refute the use of acupuncture in PD (Level U). There is insufficient evidence to support or refute manual therapy, biofeedback, or Alexander technique in the treatment of PD (Level U). For patients

2006 American Academy of Neurology

8827. Prediction of outcome in comatose survivors after cardiopulmonary resuscitation

transported to the radiology suite to undergo MRI. Communication with family and further decision making. The complexity of evaluation and various options of decision making require neurologic professional expertise. The usefulness of the most important prognostic variables in comatose patients after cardiac arrest is summarized in the . Figure. Decision algorithm for use in prognostication of comatose survivors after cardiopulmonary resuscitation. The numbers in the triangles are percentages. The numbers (...) al. Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia. N Engl J Med 2002 ; 346 : 557 –563. 9. Group THACAS. Mild therapeutic hypothermia to improve the neurologic outcome after cardiac arrest. N Engl J Med 2002 ; 346 : 549 –556. 10. Edgren E, Hedstrand U, Kelsey S, et al. Assessment of neurological prognosis in comatose survivors of cardiac arrest. BRCT I Study Group. Lancet 1994 ; 343 : 1055 –1059. 11. Medical aspects of the persistent vegetative state (2

2006 American Academy of Neurology

8828. Diagnosis and prognosis of new onset parkinson disease

. Rossi P, Colosimo C, Moro E, Tonali P, Albanese A. Acute challenge with apomorphine and levodopa in Parkinsonism. Eur Neurol 2000 ; 43 : 95 –101. 16. Strijks E, van’t Hof M, Sweep F, Lenders JW, Oyen WJ, Horstink MW. Stimulation of growth-hormone release with clonidine does not distinguish individual cases of idiopathic Parkinson’s disease from those with striatonigral degeneration. J Neurol 2002 ; 249 : 1206 –1210. 17. Ward CD, Hess WA, Calne DB. Olfactory impairment in Parkinson’s disease (...) : 1611 –1615. 45. Jankovic J, McDermott M, Carter J, et al. Variable expression of Parkinson’s disease: a base-line analysis of the DATATOP cohort. The Parkinson Study Group. Neurology 1990 ; 40 : 1529 –1534. 46. Parashos SA, Maraganore DM, O’Brien PC, Rocca WA. Medical services utilization and prognosis in Parkinson disease: a population-based study. Mayo Clin Proc 2002 ; 77 : 918 –925. 47. Roos RA, Jongen JC, van der Velde EA. Clinical course of patients with idiopathic Parkinson’s disease. Mov

2006 American Academy of Neurology

8829. Distal symmetric polyneuropathy: a definition for clinical research

. Kinsella N. Latov R. A. Lewis P. A. Low A. J. Sumner Distal symmetric polyneuropathy: A definition for clinical research J. D. England , G. S. Gronseth , G. Franklin , R. G. Miller , A. K. Asbury , G. T. Carter , J. A. Cohen , M. A. Fisher , J. F. Howard , L. J. Kinsella , N. Latov , R. A. Lewis , P. A. Low , A. J. Sumner Neurology Jan 2005, 64 (2) 199-207; DOI: 10.1212/01.WNL.0000149522.32823.EA Citation Manager Formats Make Comment See Comments Downloads 29468 Share Abstract The objective (...) inherent variability, making their results more difficult to standardize and reproduce. Reproducibility of QST varied from poor to excellent. For these reasons, QST was not included as part of the final case definition. The sensitivities and specificities of quantitative autonomic testing are relatively high for documenting the presence or absence of autonomic dysfunction. However, these tests are not routinely performed in all medical centers. Since a usable case definition must be based upon tests

2005 American Academy of Neurology

8830. Carotid endarterectomy

. No recommendation can be provided regarding the value of emergent CE in patients with a progressing neurologic deficit (Level U). 4. Clinicians should consider patient variables in CE decision making. Women with 50 to 69% symptomatic stenosis did not show clear benefit in previous trials. In addition, patients with hemispheric TIA/stroke had greater benefit from CE than patients with retinal ischemic events (Level C). Clinicians should also consider several radiologic factors in decision making about CE (...) to support or refute the performance of CE within 4 to 6 weeks of a recent moderate to severe stroke (Level U). Recommendations for future research. Al-though the quality of data for CE decision making has improved since the last statement from the American Academy of Neurology in 1990, our review highlighted persisting areas of deficiency pertaining to CE. Future research should address these areas, including the setting of urgent CE in patients with progressing stroke, the appropriateness of CE

2005 American Academy of Neurology

8831. Therapies for essential tremor

Therapies for essential tremor Practice Parameter: Therapies for essential tremor | Neurology Advertisement Search for this keyword Main menu User menu Search Search for this keyword The most widely read and highly cited peer-reviewed neurology journal Share June 28, 2005 ; 64 (12) Special Article Practice Parameter: Therapies for essential tremor Report of the Quality Standards Subcommittee of the American Academy of Neurology T. A. Zesiewicz , R. Elble , E. D. Louis , R. A. Hauser , K. L (...) . Sullivan , R. B. Dewey , W. G. Ondo , G. S. Gronseth , W. J. Weiner First published June 22, 2005, DOI: https://doi.org/10.1212/01.WNL.0000163769.28552.CD T. A. Zesiewicz R. Elble E. D. Louis R. A. Hauser K. L. Sullivan R. B. Dewey W. G. Ondo G. S. Gronseth W. J. Weiner Practice Parameter: Therapies for essential tremor T. A. Zesiewicz , R. Elble , E. D. Louis , R. A. Hauser , K. L. Sullivan , R. B. Dewey , W. G. Ondo , G. S. Gronseth , W. J. Weiner Neurology Jun 2005, 64 (12) 2008-2020; DOI: 10.1212

2005 American Academy of Neurology

8832. Guidelines for the management of actinic keratoses

? There is inadequate evidence to justify treatment of all AKs to try to prevent malignant change. Treatment should be consid- ered on an individual basis according to signs, symptoms and history. There will be instances where excision is undertaken for diagnostic purposes. Overall, the data comparing individual treatments are not good enough to justify making a single recommendation. Decisions for an individual patient will be based on the clin- ical presentation, the ef?cacy, morbidity, availability and cost (...) Hospital, Milton Road, Portsmouth PO3 6AD, U.K. Correspondence David de Berker. E-mail: david.deberker@ubht.swest.nhs.uk Accepted for publication 21 May 2006 Key words actinic keratosis, guidelines, treatment Con?icts of interest D. de B., none; J.M.M. has received an honorarium from 3M as an invited member of an advisory board for the treatment of actinic keratoses; B.R.H., none. Members of the British Association of Dermatologists Therapy Guidelines and Audit Subcommittee are: A.D. Ormerod (Chairman

2007 British Association of Dermatologists

8833. Developing and Sustaining Effective Staffing and Workload Practices

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25 Overview of the Patient Care Delivery Systems Model Related to Promoting Effective Staffing and Workload Practices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27 The Patient Care Delivery Systems Model . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28 Levels of Decision-making Related to Promoting Effective Staffing and Workload Practices. . . . . . . . . . . . . . .29 Summary (...) the Ontario Ministry of Health and Long-Term Care (MOHLTC), working in partnership with Health Canada, Office of Nursing Policy, commenced the development of evidence-based best practice guidelines in order to create healthy work environments G for nurses. G Just as in clinical decision-making, it is important that those focusing on creating healthy work environments make decisions based on the best evidence possible. The Healthy Work Environments Best Practice Guidelines G Project is a response

2007 Registered Nurses' Association of Ontario

8834. BPG for the Subcutaneous Administration of Insulin in Adults with Type 2 Diabetes

document providing resources necessary for the support of evidence-based nursing practice. The document needs to be reviewed and applied, based on the specific needs of the organization or practice setting/environment, as well as the needs and wishes of the client. Guidelines should not be applied in a “cookbook” fashion but used as a tool to assist in decision making for individualized client care, as well as ensuring that appropriate structures and supports are in place to provide the best possible (...) . In this fourth cycle of the project, one of the areas of emphasis is on the subcutaneous administration of insulin in adults with type 2 diabetes. This guideline was developed by a panel of nurses convened by the RNAO, conducting its work independent of any bias or influence from the Ministry of Health and Long-Term Care. Purpose and Scope Best practice guidelines (BPG) are systematically developed statements to assist practitioners and clients in decision making about appropriate healthcare (Field and Lohr

2004 Registered Nurses' Association of Ontario

8835. Breastfeeding Best Practice Guidelines for Nurses

nursing practice. The document needs to be reviewed and applied, based on the specific needs of the organization or practice setting/environment, as well as the needs and wishes of the client. Guidelines should not be applied in a “ cookbook” fashion, but used as a tool to assist in decision making for individualized client care, as well as ensuring that appropriate structures and supports are in place to provide the best possible care. Nurses, other health care professionals and administrators who (...) or adapt III assessment tools encompassing key components for assessment and that meet the needs of their local practice setting. 4 Nurses will provide education to couples during the childbearing age, expectant mothers/couples/families and assist them in making informed decisions regarding breastfeeding. Education should include, as a minimum, the following: benefits of breastfeeding (Level I); lifestyle issues (Level III); milk production (Level III); breastfeeding positions (Level III

2003 Registered Nurses' Association of Ontario

8836. Reducing Foot Complications for People with Diabetes

nursing practice. The document needs to be reviewed and applied, based on the specific needs of the organization or practice setting/environment, as well as the needs and wishes of the client. Guidelines should not be applied in a “cookbook” fashion but used as a tool to assist in decision making for individualized client care, as well as ensuring that appropriate structures and supports are in place to provide the best possible care. Nurses, other health care professionals and administrators who (...) of the areas of emphasis is reducing the risk of foot complications for people with diabetes. This guideline was developed by a panel of nurses and researchers convened by the RNAO, conducting its work independent of any bias or influence from the Ministry of Health and Long-Term Care. Purpose and Scope Best practice guidelines are systematically developed statements to assist decision making by health care organizations, practitioners and clients about appropriate health care (Field & Lohr, 1990

2004 Registered Nurses' Association of Ontario

8837. Nursing Care of Dyspnea:The 6th Vital Sign in Individuals with Chronic Obstructive Pulmonary Disease

document providing resources necessary for the support of evidence-based nursing practice. The document needs to be reviewed and applied, based on the specific needs of the organization or practice setting/environment, as well as the needs and wishes of the client. Guidelines should not be applied in a “cookbook” fashion but used as a tool to assist in decision making for individualized client care, as well as ensuring that appropriate structures and supports are in place to provide the best possible (...) . . . . . . . . . . . . . . . . . . . . . . . . . . 93 Appendix D: Numeric Rating Scale As A Measure of Clinical Dyspnea. . . . . . . . . . . . . . . . . . . . . . . . . . 94 Appendix E: Medical Research Council Dyspnea Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95 Appendix F: Summary of Dyspnea Assessment Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96 Appendix G: Sample COPD Assessment Form

2005 Registered Nurses' Association of Ontario

8838. Assessment and Device Selection for Vascular Access

nursing practice. The document needs to be reviewed and applied, based on the specific needs of the organization or practice setting/environment, as well as the needs and wishes of the client. Guidelines should not be applied in a “cookbook” fashion but used as a tool to assist in decision making for individualized client care, as well as ensuring that appropriate structures and supports are in place to provide the best possible care. Nurses, other health care professionals and administrators who (...) (c) Nurse Coordinator – Vascular Access University Health Network Toronto, Ontario Sharon Rodkin, RN, CINA(c) Clinical Consultant Medication Delivery Baxter Corporation Mississauga, Ontario Lisa Valentine, RN, BScN, MN Practice Consultant College of Nurses of Ontario Toronto, OntarioAssessment and Device Selection for Vascular Access Project team: Tazim Virani, RN, MScN Project Director Heather McConnell, RN, BScN, MA(Ed) Project Manager Josephine Santos, RN, MN Project Coordinator Jane M

2004 Registered Nurses' Association of Ontario

8839. Assessment and Management of Venous Leg Ulcers

practice. The document needs to be reviewed and applied based on the specific needs of the organization or practice setting/environment, as well as the needs and wishes of the client. Guidelines should not be applied in a “ cookbook” fashion but used as a tool to assist in decision making for individualized client care, as well as ensuring that appropriate structures and supports are in place to provide the best possible care. Nurses, other healthcare professionals and administrators who are leading (...) and client decisions about appropriate healthcare for specific clinical (practice) circumstances (Field & Lohr, 1990). Consensus: A process for making policy decisions, not a scientific method for creating new knowledge. At its best, consensus development merely makes the best use of available information, be that of scientific data or the collective wisdom of the participants (Black et al., 1999). Education Recommendations: Statements of educational requirements and educational approaches/strategies

2004 Registered Nurses' Association of Ontario

8840. Collaborative Practice Among Nursing Teams Guideline

Project In July of 2003 the Registered Nurses’ Association of Ontario (RNAO), with funding from the Ontario Ministry of Health and Long-Term Care, (MOHLTC) working in partnership with Health Canada, Office of Nursing Policy, commenced the development of evidence-based best practice guidelines in order to create healthy work environments G for nurses. G Just as in clinical decision-making, it is important that those focusing on creating healthy work environments make decisions based on the best (...) by a group of people who possess individual expertise, who are responsible for making individual decisions, who hold a common purpose and who meet together to communicate, share and consolidated knowledge from which plans are made, future decisions are influenced, and actions determined. Brill 37 ”23 How to use this document This Healthy Work Environments Best Practice Guideline is an evidence-based document that describes collaborative practice among nursing teams. The guideline contains much valuable

2006 Registered Nurses' Association of Ontario

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