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Choosing wisely

Clemens Feistritzer, Stefan Schmidt
During the 57(th) annual meeting of the American Society of Hematology 2015 in Orlando, Florida, various aspects in the field of hemostaseology were presented. The Choosing Wisely® campaign pointed out the importance of the critical use of diagnostic tools to rule out pulmonary embolism and questioned the relevance of thrombophilia testing in women undergoing routine infertility evaluation. Furthermore, the approval of idarucizumab, a specific antidote for the reversal of the anticoagulant effects of the direct thrombin inhibitor dabigatran, was highlighted...
2016: Memo
Marc Dall'Era, Christopher Evans
No abstract text is available yet for this article.
October 13, 2016: Journal of Urology
Anju Grewal, Hanish Kataria, Ira Dhawan
Literature search is a key step in performing good authentic research. It helps in formulating a research question and planning the study. The available published data are enormous; therefore, choosing the appropriate articles relevant to your study in question is an art. It can be time-consuming, tiring and can lead to disinterest or even abandonment of search in between if not carried out in a step-wise manner. Various databases are available for performing literature search. This article primarily stresses on how to formulate a research question, the various types and sources for literature search, which will help make your search specific and time-saving...
September 2016: Indian Journal of Anaesthesia
Katherine Zukotynski, Hossein Jadvar, Thomas A Hope, Rathan M Subramaniam, Katherine Van Loon, Madhulika Varma, Ryan D Niederkohr
No abstract text is available yet for this article.
September 29, 2016: Journal of Nuclear Medicine: Official Publication, Society of Nuclear Medicine
Katherine A Marshall, Deborah Hale
No abstract text is available yet for this article.
October 2016: Home Healthcare Now
A S Wallace, K S Keene, C P Williams, B F Jackson, M Pisu, E E Partridge, G B Rocque
No abstract text is available yet for this article.
October 1, 2016: International Journal of Radiation Oncology, Biology, Physics
Sheng-Ping Wang, Dan Zhou, Zuliang Yao, Santhosh Satapati, Ying Chen, Natalie A Daurio, Aleksandr Petrov, Xiaolan Shen, Daniel Metzger, Wu Yin, Andrea R Nawrocki, George J Eiermann, Joyce Hwa, Craig Fancourt, Corey Miller, Kithsiri Herath, Thomas P Roddy, Deborah Slipetz, Mark D Erion, Stephen F Previs, David E Kelley
Aberrant regulation of glucose production makes a critical contribution to the impaired glycemic control that is observed in Type 2 diabetes. Although isotopic tracer methods have proven to be informative in quantifying the magnitude of such alterations, it is presumed that one must rely on venous access to administer glucose tracers which therein presents obstacles for the routine application of tracer methods in rodent models. Since intraperitoneal injections are readily used to deliver glucose challenges and/or dose potential therapeutics, we hypothesized that this route could also be used to administer a glucose tracer...
September 20, 2016: American Journal of Physiology. Endocrinology and Metabolism
Marc H Willis, L Alexandre Frigini, Jay Lin, David M Wynne, Karla A Sepulveda
RATIONALE AND OBJECTIVES: We have been called to reform radiology undergraduate medical education (UME) curricula. Clinically available clinical decision support provides an opportunity to improve education regarding appropriate imaging utilization, patient safety, and cost-effective care. MATERIAL AND METHODS: We created an education simulation portal utilizing integrated clinical decision support. The portal was then piloted with 34 volunteer medical students at our institution in a blended learning environment...
October 2016: Academic Radiology
Daniel Wolfson, Anthony Suchman
Choosing Wisely began at a time when a polarized national debate on healthcare reform stymied effective conversation on effective and efficient resource use. The ABIM Foundation sought to change attitudes and culture and promote the idea that removing waste is an integral component of providing high quality care by using an approach of constructive engagement to persuade specialty societies to identify five wasteful tests or treatments within their field.
September 2016: Healthcare
William Encinosa, Amy J Davidoff
Importance: Antiemetics are used to prevent chemotherapy-induced nausea and vomiting in patients with cancer. Newer antiemetic agents (serotonin and neurokinin-1 receptor antagonists) have increased efficacy but are expensive. The American Society of Clinical Oncology's first guideline in the 2013 Choosing Wisely (CW) campaign discouraged overuse of expensive antiemetics in patients with low risk of chemotherapy-induced nausea and vomiting. However, little is known about patterns or trends in antiemetic overuse or whether any change has occurred with the publication of the CW recommendations...
September 15, 2016: JAMA Oncology
Dr Roland Grad
No abstract text is available yet for this article.
September 2016: Canadian Family Physician Médecin de Famille Canadien
Stanley J Podlasek, Rajiv N Thakkar, Leo C Rotello, Thomas A Fleury, Renee J Demski, Paul M Ness, Steven M Frank
No abstract text is available yet for this article.
September 2016: Transfusion
Edward R Melnick
In an electronic health record (EHR) chart review of adult ED trauma patients receiving a head CT from 2008-2013 within 14 community EDs, Sharp et al. estimate that approximately 1/3 of computed tomography (CT) scans in head injury are likely avoidable based on the Canadian CT Head Rule (CCHR).(1) The analysis includes 27,240 adult trauma patients receiving head CTs and uses in-depth chart review of 100 random encounters with 2 independent abstractors (with high inter-rater reliability) to adjust the estimated number of avoidable CTs-the top Choosing Wisely initiative for emergency medicine...
September 12, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Brian J Zikmund-Fisher, Jeffrey T Kullgren, Angela Fagerlin, Mandi L Klamerus, Steven J Bernstein, Eve A Kerr
BACKGROUND: While some research has examined general attitudes about efforts to reduce overutilization of services, such as the Choosing Wisely(®) (CW) initiative, little data exists regarding primary care providers' attitudes regarding individual recommendations. OBJECTIVE: We sought to identify whether particular CW recommendations were perceived by primary care providers as difficult to follow, difficult for patients to accept, or both. DESIGN: Two national surveys, one by mail to a random sample of 2000 U...
September 6, 2016: Journal of General Internal Medicine
Paul Kurdyak, Lesley Wiesenfeld, Sanjeev Sockalingam
There is an increasing emphasis on quality and, relatedly, cost-effectiveness as it relates to the delivery of health care. Choosing Wisely is an initiative adopted by numerous specialties with the goal of starting a dialogue about efficient use of health care resources. People need to be able to access care to have an opportunity to choose wisely. There is a considerable amount of evidence that access to care is poor for specialty mental health care, particularly access to psychiatrists. Consequently, we suggest that psychiatrists and the broader mental health system need to consider working wisely, and in our paper outline key issues (for example, implementation of wait times and objective measures of need in a centralized referral management system; incorporation of performance indicators with longitudinal monitoring for continuous quality improvement) that need to be addressed to develop a mental health system that would allow people to access care to choose wisely...
January 2016: Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie
Anna L Parks, Patrick G O'Malley
No abstract text is available yet for this article.
October 1, 2016: JAMA Internal Medicine
C Rabec, A Cuvelier, C Cheval, S Jaffre, J-P Janssens, M Mercy, A Prigent, S Rouault, S Talbi, S Vandenbroeck, J Gonzalez-Bermejo
A task force issued from the Groupe Assistance Ventilatoire (GAV) of the Société de Pneumologie de Langue Française (SPLF) was committed to develop a series of expert advice concerning various practical topics related to long-term non invasive ventilation by applying the Choosing Wisely(®) methodology. Three topics were selected: monitoring of noninvasive ventilation, the interpretation of data obtained from built-in devices coupled to home ventilators and the role of hybrid modes (target volume with variable pressure support...
August 23, 2016: Revue des Maladies Respiratoires
France Légaré, Jessica Hébert, Larissa Goh, Krystina B Lewis, Maria Ester Leiva Portocarrero, Hubert Robitaille, Dawn Stacey
OBJECTIVES: Choosing Wisely is a remarkable physician-led campaign to reduce unnecessary or harmful health services. Some of the literature identifies Choosing Wisely as a shared decision-making approach. We evaluated the patient materials developed by Choosing Wisely Canada to determine whether they meet the criteria for shared decision-making tools known as patient decision aids. DESIGN: Descriptive analysis of all Choosing Wisely Canada patient materials. DATA SOURCE: In May 2015, we selected all Choosing Wisely Canada patient materials from its official website...
2016: BMJ Open
Robert Ferrari, Risha Gidwani
No abstract text is available yet for this article.
2016: American Journal of Managed Care
N Jung, H Koop, R Riessen, J-C Galle, B Jany, E Märker-Hermann
No abstract text is available yet for this article.
October 2016: Der Internist
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