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E/M Medical Decision Making

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81. Principles of Pediatric Patient Safety: Reducing Harm Due to Medical Care

in office care (7%); together, these errors comprised 80% of all reports. In this practice, a voluntary, nonpunitive, multidisciplinary team approach was effective in improving error reporting, investigating causes of reported errors, and implementing safety promotion strategies. In addition to these setting-specific errors, the National Academies of Sciences, Engineering, and Medicine has turned attention to diagnostic decision-making as perhaps the most frequent source of medical error. Errors (...) . Cottrell EK , O’Brien K , Curry M , et al . Understanding safety in prehospital emergency medical services for children. O’Neill KA , Shinn D , Starr KT , Kelley J . Patient misidentification in a pediatric emergency department: patient safety and legal perspectives. Heilman JA , Flanigan M , Nelson A , Johnson T , Yarris LM . Adapting the I-PASS handoff program for emergency department inter-shift handoffs. Shahian DM , McEachern K , Rossi L , Chisari RG , Mort E . Large-scale implementation of the I

2019 American Academy of Pediatrics

82. High-Throughput Sequencing in Respiratory, Critical Care, and Sleep Medicine Research Full Text available with Trip Pro

, Critical Care, and Sleep Medicine Research. An Official American Thoracic Society Workshop Report x Craig P. Hersh , x Ian M. Adcock , x Juan C. Celedón , x Michael H. Cho , x David C. Christiani , x Blanca E. Himes , x Naftali Kaminski , x Rasika A. Mathias , x Deborah A. Meyers , x John Quackenbush , x Susan Redline , x Katrina A. Steiling , x Holly K. Tabor , x Martin D. Tobin , x Mark M. Wurfel , x Ivana V. Yang , and x Gerard H. Koppelman ; on behalf of the American Thoracic Society Section (...) uackenbush , P h .D. 15 S usan R edline , M.D., M.P.H. 3,16,17 K atrina A. S teiling , M.D., M.S c . 18 H olly K. T abor , P h .D. 19 M artin T obin , P h .D., M.B.C h .B. 20,21 M ark M. W urfel , M.D., P h .D. 22 I vana V. Y ang , P h .D. 23 1 Channing Division of Network Medicine, 2 Division of Pulmonary and Critical Care Medicine, and 16 Division of Sleep and Circadian Disorders, Brigham and Women’s Hospital, Boston, Massachusetts; 3 Harvard Medical School, Boston, Massachusetts; 4 Department

2019 American Thoracic Society

83. Breast Cancer: Medication Use to Reduce Risk

B. Caughey, MD, PhD (Oregon Health & Science University, Portland); Chyke A. Doubeni, MD, MPH (Mayo Clinic, Rochester, MN); John W. Epling Jr, MD, MSEd (Virginia Tech Carilion School of Medicine, Roanoke); Martha Kubik, PhD, RN (Temple University, Philadelphia, Pennsylvania); C. Seth Landefeld, MD (University of Alabama at Birmingham); Carol M. Mangione, MD, MSPH (University of California, Los Angeles); Lori Pbert, PhD (University of Massachusetts Medical School, Worcester); Michael Silverstein (...) and harms of the service and an assessment of the balance. The USPSTF does not consider the costs of providing a service in this assessment. The USPSTF recognizes that clinical decisions involve more considerations than evidence alone. Clinicians should understand the evidence but individualize decision making to the specific patient or situation. Similarly, the USPSTF notes that policy and coverage decisions involve considerations in addition to the evidence of clinical benefits and harms. Importance

2019 U.S. Preventive Services Task Force

84. Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: Preventive Medication

of the balance. The USPSTF does not consider the costs of providing a service in this assessment. The USPSTF recognizes that clinical decisions involve more considerations than evidence alone. Clinicians should understand the evidence but individualize decision making to the specific patient or situation. Similarly, the USPSTF notes that policy and coverage decisions involve considerations in addition to the evidence of clinical benefits and harms. Importance In the United States, the rate of gonococcal (...) K. Owens, MD, MS (Veterans Affairs Palo Alto Health Care System, Palo Alto, California, and Stanford University, Stanford, California); Michael J. Barry, MD (Harvard Medical School, Boston, Massachusetts); Aaron B. Caughey, MD, PhD (Oregon Health & Science University, Portland); Karina W. Davidson, PhD, MASc (Columbia University, New York, New York); Chyke A. Doubeni, MD, MPH (University of Pennsylvania, Philadelphia); John W. Epling Jr, MD, MSEd (Virginia Tech Carilion School of Medicine

2019 U.S. Preventive Services Task Force

85. A decision aid for women considering further chemotherapy for refractory or resistant ovarian cancer

healthcare team Complementary and alternative medicine Making the right decision for me Worksheets Box: Steps to help you decide Who should make the decision about treatment options? Example: Susan’s decision Example: Annie’s decision Y our decision Questions to ask your healthcare team 34 56 57 58 64 37 37 38 62 66 39 41 60 60 47 52 20,30,36,46,65REFRACTORY AND RESISTANT OVARIAN CANCER 4 This booklet and you. This booklet has been written for women who have had a diagnosis of recurrent ovarian cancer (...) multidisciplinary team and your family about the options available to you. It is another resource you can use to ensure that you are making a decision that is right for you. The following sections discuss recurrent, resistant and refractory ovarian cancer and treatment options. They contain a lot of medical information and new terms. If you are ? nding it dif? cult to read all at once, it may be helpful to come back and re-read it again at another time. There is also a glossary of terms on page 62.REFRACTORY

2015 SickKids Supportive Care Guidelines

86. Medical Training to Achieve Competency in Lifestyle Counseling: An Essential Foundation for Prevention and Treatment of Cardiovascular Diseases and Other Chronic Medical Conditions: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

in all US medical schools by 1995. , The brief physician counseling approach that was recommended for training was a variant of the 5 A’s intervention that has proved effective for treating many chronic disease risk behaviors, which the US Preventive Services Task Force continues to endorse today. The approach delineates 5 counseling steps that a provider can complete in a few minutes: (1) assess the risk behavior, (2) advise change, (3) agree on goals and an action plan via shared decision making (...) of medical training curricula of US medical schools. The learning objectives were adapted from the nutrition care process in collaboration with registered dietitians and registered dietitian nutritionists. The nutrition care process guides clinical practice for registered dietitians and registered dietitian nutritionists and is designed to provide a consistent and systematic approach for critical thinking and decision making to provide optimal patient care. Adams and colleagues previously proposed

2016 American Heart Association

87. Antimicrobial stewardship: Systems and processes for effective antimicrobial medicine use within human health and healthcare in New Zealand

providers to address relating to antimicrobials • access to medicines, including local decision making for medicines not included on local formularies • medicines shortages, including supply issues and discontinued medicines • prescription charges • waste medicines • Identification of antimicrobials currently being overused in human health care. • Introduction of funding or prescribing restrictions on the use of antimicrobials. • International treaties, rules and governance.7 ANTIMICROBIAL STEWARDSHIP (...) [? ?www.pharmac.govt. nz/medicines/how-medicines-are-funded/factors-for-consideration]. 1.2.3 Decision making groups should assess the benefits and risks of restricting access to a new antimicrobial. This is part of PHARMAC’s decision-making framework.15 ANTIMICROBIAL STEWARDSHIP www.bpac.org.nz/guidelines/3 This is a bpac nz contextualisation of NICE Guideline NG15 © NICE 2015 1.2.4 If access to a new antimicrobial is restricted: • document the rationale for and the nature of the restriction, and ensure

2017 Best Practice Advocacy Centre New Zealand

88. QTc Prolongation and Psychotropic Medications

have shown that induction with buprenorphine was still followed by an increase in QTc interval (125). Special Population: Children and Adolescents Our workgroup has chosen to limit our review to studies involving adults over the age of 18. While psychotropic medications can cause QTc interval prolongation in children and adolescents, there are few studies evaluating these effects. Importantly, additional research is necessary within this population to guide clinical decision-making and avoid (...) General Hospital, Boston, MA; 3 Harvard Medical School, Boston, MA; 4 Department of Clinical Pharmacy, University of Michigan College of Pharmacy, Ann Arbor, MI; 5 Mount Pearl, Newfoundland, Canada; 6 Department of Psychiatry, Virginia Commonwealth University, Richmond, VA; 7 Department of Psychiatry and Behavioral Sciences, Northwestern Feinberg School of Medicine, Chicago, IL; 8 Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI; 9 Krannert Institute of Cardiology

2018 American Psychiatric Association

89. Emergency Medicine Early Warning System (EMEWS) In Pilot Sites

: Review 1-hourly Triage 4: Review 2-hourly Triage 5: No review required Reduce frequency of monitoring if in collaboration with a senior clinician or nurse it is deemed appropriate Escalate using ISBAR if: • You are concerned about a patient regardless of triggers • Physiology is abnormal despite triage interventions or if physiology disimproves Na t io nal E m er ge nc y Medicine Pro g ramme Ver s ion 4 | April 201 8 Page 281 | A National Clinical Guideline | Emergency Medicine Early Warning System (...) patient declines a recommendation as a course of action in their care or treatment plan. In these circumstances the decision not to follow a recommendation should be appropriately recorded in the patient’s healthcare record. Published by: The Department of Health Block 1, Miesian Plaza, 50-58 Lower Baggot Street, Dublin 2, D02 XW14, Ireland Tel: +353 (1) 6354000 www.health.gov.ie ISSN 2009-6259. © Department of Health, October, 2018. Citation text Department of Health (2018) Emergency Medicine Early

2018 National Clinical Guidelines (Ireland)

90. Do barcode medication administration systems reduce expressed breast milk administration errors? A Rapid Review

Interventions 3 Computerised Physician Order Entrv (CPOE) is a healthcare information technology application that allows providers to directly enter medical orders into a computer system. It is the most investigated healthcare information technology intervention in neonates. CPOE has the potential to decrease prescribing errors by requiring information entry, constraining choices regarding medication dose or route, providing dosing decision support, and by performing calculations. Overall (...) for logging metrics such as administration times, volume, near-miss data, etc. References 1. Peters, M. D., McArthur, A., & Munn, Z. (2016). Safe management of expressed breast milk: A systematic review. Women and Birth, 29(6), 473-481. 2. Shea, B. J., Grimshaw, J. M., Wells, G. A., Boers, M., Andersson, N., Hamel, C. & Bouter, L. M. (2007). Development of AMSTAR: a measurement tool to assess the methodological quality of systematic reviews. BMC Medical Research Methodology, 7(1), 10. 3. Melton, K. R., Ni

2017 Monash Health Evidence Reviews

91. ImageSim: Building Competency For Visually Diagnosed Tests in Emergency Medicine

documentation of attendance, which limits the potential for improvement in the practicing physician 10 . In an effort to bridge this knowledge-practice gap, we developed a medical education research program which answered a number of important research questions in an effort to make on-line learning effective for the emergency medicine physician 11–16 . After 11 years of research, we have translated this evidence into a validated medical image interpretation learning system called . This is a non-profit 24 (...) ImageSim: Building Competency For Visually Diagnosed Tests in Emergency Medicine ImageSim: Building Competency For Visually Diagnosed Tests in Emergency Medicine - CanadiEM ImageSim: Building Competency For Visually Diagnosed Tests in Emergency Medicine In , by Kathy Boutis January 19, 2018 Visually diagnosed medical tests (e.g. radiographs, electrocardiograms) are the most commonly ordered tests in front-line medicine. As such, front-line health care professionals are faced with the task

2018 CandiEM

92. Interventional Spine and Pain Procedures in Patients on Antiplatelet and Anticoagulant Medications

. Decision making should include an understanding of the reason for ASA utilization, the vascular anatomy surrounding the target area, the degree of invasiveness of the procedure, and the potential sequelae associated with perioperative bleeding ( ). In addition, a complete review of the patient's medical record should occur to identify additional medications that may heighten ASA's anticoagulant effect (eg, selective serotonin norepinephrine reuptake inhibitors [SNRIs] and dipyridamole). If ASA is being (...) Interventional Spine and Pain Procedures in Patients on Antiplatelet and Anticoagulant Medications Interventional Spine and Pain Procedures in Patients on Anti... : Regional Anesthesia and Pain Medicine You may be trying to access this site from a secured browser on the server. Please enable scripts and reload this page. Login No user account? Lippincott Journals Subscribers , use your username or email along with your password to log in. Remember me on this computer Register for a free account

2018 American Society of Regional Anesthesia and Pain Medicine

93. Induced Pluripotent Stem Cells for Cardiovascular Disease Modeling and Precision Medicine: A Scientific Statement From the American Heart Association Full Text available with Trip Pro

Disease in the Young; and Council on Cardiovascular and Stroke Nursing Kiran Musunuru , Farah Sheikh , Rajat M. Gupta , Steven R. Houser , Kevin O. Maher , David J. Milan , Andre Terzic , and Joseph C. Wu and On behalf of the American Heart Association Council on Functional Genomics and Translational Biology; Council on Cardiovascular Disease in the Young; and Council on Cardiovascular and Stroke Nursing Originally published 12 Jan 2018 Circulation: Genomic and Precision Medicine. 2018;11 Abstract (...) disease process within and beyond the cardiovascular system ( ). Figure 1. Induced pluripotent stem cells for cardiovascular disease modeling and precision medicine studies. hPSCs come in several varieties. Human embryonic stem cells (hESCs), first reported in 1998, are derived directly from human embryos. , Because making each hESC line typically entails the destruction of an embryo, the cell line is not matched to any living person. Arguably, this limits the utility of the hESC line for disease

2018 American Heart Association

94. Interdisciplinary Models for Research and Clinical Endeavors in Genomic Medicine: A Scientific Statement From the American Heart Association

Council on Genomic and Precision Medicine; Council on Cardiovascular Disease in the Young; Council on Cardiovascular and Stroke Nursing; Council on Cardiovascular Radiology and Intervention; Council on Peripheral Vascular Disease; Council on Quality of Care and Outcomes Research; and Stroke Council Kiran Musunuru , Pankaj Arora , John P. Cooke , Jane F. Ferguson , Ray E. Hershberger , Kathleen T. Hickey , Jin-Moo Lee , João A.C. Lima , Joseph Loscalzo , Naveen L. Pereira , Mark W. Russell , Svati H (...) include scientists and clinicians actively working as teams to study patients and populations recruited in clinical settings and communities to make genomics discoveries—through the combined efforts of data scientists, clinical researchers, epidemiologists, and basic scientists—and to rapidly apply these discoveries in the clinic for the prediction, prevention, diagnosis, prognosis, and treatment of cardiovascular diseases and stroke. The highly publicized US Precision Medicine Initiative, also known

2018 American Heart Association

95. Non-medical Prescription Stimulant Use among Post-secondary Students

academic performance. Increasing the awareness of post-secondary students of the evidence of the effects of stimulants and potential harms associated with non- medical prescription stimulant use will help equip them with the knowledge they require to make informed decisions about use. This review also identified populations for whom prevention efforts could be focused or tailored (e.g., for sorority and fraternity members, students experiencing high levels of stress, etc.). There is a general lack (...) review. Non-medical Prescription Stimulant Use among Post-secondary Students Canadian Centre on Substance Use and Addiction • Centre canadien sur les dépendances et l’usage de substances Page 14 References American College Health Association (2016). National college health assessment II: Canadian reference group data report. Hanover, Md.: Author. Arria, A. M., Caldeira, K. M., Kasperski, S. J., O’Grady, K. E., Vincent, K. B., Griffiths, R. R., & Wish, E. D. (2010). Increased alcohol consumption

2018 Canadian Centre on Substance Abuse

96. Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Fractures in Community-Dwelling Adults: Preventive Medication

. Epling Jr, MD, MSEd (Virginia Tech Carilion School of Medicine, Roanoke); Alex R. Kemper, MD, MPH, MS (Nationwide Children’s Hospital, Columbus, Ohio); Alex H. Krist, MD, MPH (Fairfax Family Practice Residency, Fairfax, Virginia, and Virginia Commonwealth University, Richmond); Martha Kubik, PhD, RN (Temple University, Philadelphia, Pennsylvania); Seth Landefeld, MD (University of Alabama at Birmingham); Carol M. Mangione, MD, MSPH; Michael Silverstein, MD, MPH (Boston University, Boston (...) Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Fractures in Community-Dwelling Adults: Preventive Medication Recommendation | United States Preventive Services Taskforce Toggle navigation Main navigation Main navigation Recommendation Postmenopausal women The USPSTF recommends against daily supplementation with 400 IU or less of vitamin D and 1000 mg or less of calcium for the primary prevention of fractures in community-dwelling, postmenopausal women. D Men

2018 U.S. Preventive Services Task Force

97. Effectiveness of universal programmes for the prevention of suicidal ideation, behaviour and mental ill health in medical students: a systematic review and meta-analysis Full Text available with Trip Pro

, suicidal ideation and behaviour in medical students may be due to a range of unique stressors, including a demanding study load, which in turn may reduce available time for self-care, and frequent exposure to death and dying in patients, including suicide death. Other commonly reported stressors specific to medical education include fear over making mistakes during, for example, clinical rotations, and fear over making the right decision for patients’ care. The format and delivery of medical curricula (...) the World Health Organization World Mental Health Surveys . Tyssen R , Vaglum P , Grønvold NT , et al . Suicidal ideation among medical students and young physicians: a nationwide and prospective study of prevalence and predictors . beyondblue . National Mental Health Survey of Doctors and Medical Students . Hawthorne, VIC : beyondblue , 2013 . Rotenstein LS , Ramos MA , Torre M , et al . Prevalence of depression, depressive symptoms, and suicidal ideation among medical students: a systematic review

2019 Evidence-Based Mental Health

98. Evidence-Based Policy Making: Assessment of the American Heart Association?s Strategic Policy Portfolio Full Text available with Trip Pro

such as electronic cigarettes (e-cigarettes). In general, facilitating tobacco cessation remains a highly cost-effective strategy, although it is very difficult for most people to quit this deadly, addictive habit. Available forms of nicotine replacement therapy (gum, transdermal patch, drugs for smoking cessation, nasal spray, inhaler, and lozenges) increase quit rates by 50% to 100% compared with not using any of these products; however, <1 in 5 smokers making an attempt to quit takes advantage (...) Evidence-Based Policy Making: Assessment of the American Heart Association?s Strategic Policy Portfolio Evidence-Based Policy Making: Assessment of the American Heart Association’s Strategic Policy Portfolio | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 March 2019 March 2019 March 2019 March 2019 February 2019 February 2019 February 2019 February 2019 January 2019 January 2019 January 2019 January 2019 January 2019 This site uses

2016 American Heart Association

99. Minimally Invasive Prostatic Vapor Ablation for the Treatment of BPH in Large Prostates (Rezūm XL)

unless these studies might clinically interfere with the current study endpoints (e.g., limit use of study-required medication, etc.). Any significant medical history that would pose an unreasonable risk or make the subject unsuitable for the study. Inability to provide a legally effective "Informed Consent Form" and/or comply with all the required follow-up requirements. Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor (...) Years ] Percent IPSS Responders at 3 years [ Time Frame: 3 Years ] Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Layout table for eligibility information Ages Eligible

2018 Clinical Trials

100. Gene expression profiling and immunohistochemistry tests for personalised management of adjuvant chemotherapy decisions in early breast cancer ? a Rapid Assessment

referral page as the current document. 1 INTRODUCTION AND SCOPE Gene expression profiling (GEP) and expanded immunohistochemistry (IHC) tests aim to improve decision-making relating to adjuvant chemotherapy for women with early breast cancer. The RIZIV/INAMI was contacted by breast cancer specialists to evaluate the options of reimbursement for these tests. After a pre-assessment of the literature, it became clear that no randomized trials are available yet, and the RIZIV/INAMI asked the KCE to provide (...) to give additional prognostic information and guide the decision on whether or not to offer chemotherapy. Some tests require samples to be sent away for central review following surgery which make cause a delay of up to a few weeks. 5 3.2 Gene expression profiling (GEP) Gene expression profiling tests assess the identity and number of messenger ribonucleic acid (mRNA) transcripts in a specific tissue sample. Gene expression profiling gives information about the activity of genes that give rise

2015 Belgian Health Care Knowledge Centre

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