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Choosing wisely

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https://www.readbyqxmd.com/read/27919427/-lose-the-tube-a-choosing-wisely-initiative-to-reduce-catheter-associated-urinary-tract-infections-in-hospitalist-led-inpatient-units
#1
Hyung J Cho, Steve Khalil, Jashvant Poeran, Madhu Mazumdar, Nathaniel Bravo, Fran Wallach, Brian Markoff, Nathan Lee, Andrew S Dunn
We developed a multidisciplinary initiative, "Lose the Tube," focused on a Choosing Wisely recommendation to decrease catheter-associated urinary tract infection (CAUTI) rates and catheter days. Through an electronic health record catheter identification tool, daily interdisciplinary query, and clinician education, our multifaceted intervention reduced mean per-person catheter days from 3.3 to 2.9, decreased CAUTI rates from 2.85 to 0.32 per 1,000 catheter days, and reduced cost by $32,245.
December 2, 2016: American Journal of Infection Control
https://www.readbyqxmd.com/read/27913455/inherited-thrombophilia-a-double-edged-sword
#2
Saskia Middeldorp
Inherited thrombophilia is a blood coagulation disorder that increases the risk for venous thromboembolism (VTE). During the last decades, the practice of testing has evolved from testing selected populations, leading to high perceived risks, to broad testing for various conditions that included VTE, arterial thrombosis, and pregnancy complications. Because results of such tests usually do not guide treatment decisions, not testing patients with VTE for inherited thrombophilia is on the "Choosing Wisely" list endorsed by multiple specialty societies, including ASH...
December 2, 2016: Hematology—the Education Program of the American Society of Hematology
https://www.readbyqxmd.com/read/27886530/choosing-wisely-the-impact-of-patient-selection-on-efficacy-and-safety-outcomes-in-the-einstein-dvt-pe-and-amplify-trials
#3
Jan Beyer-Westendorf, Anthonie W A Lensing, Roopen Arya, Henri Bounameaux, Alexander T Cohen, Philip S Wells, Saskia Middeldorp, Peter Verhamme, Rodney Hughes, Nils Kucher, Akos F Pap, Mila Trajanovic, Martin H Prins, Paolo Prandoni, Jeffrey I Weitz
BACKGROUND: The results of the EINSTEIN-DVT/PE and AMPLIFY trials, which compared rivaroxaban and apixaban with conventional anticoagulation therapy for acute venous thromboembolism (VTE), respectively, are often compared. However, the trials differed in duration of therapy (3-12 and 6months, respectively) and in patient selection (few exclusion criteria and more stringent exclusion criteria, respectively). METHODS: To determine the effect of these methodological differences on outcomes, the patients enrolled in EINSTEIN-DVT/PE were divided into 2 cohorts; the 5253 patients that matched the exclusion criteria for AMPLIFY and were treated for at least 6months (cohort 1) and the 2368 patients who would have been ineligible for AMPLIFY (cohort 2)...
November 21, 2016: Thrombosis Research
https://www.readbyqxmd.com/read/27880738/an-adaptive-reconstruction-algorithm-for-spectral-ct-regularized-by-a-reference-image
#4
Miaoshi Wang, Yanbo Zhang, Rui Liu, Shuxu Guo, Hengyong Yu
The photon counting detector based spectral CT system is attracting increasing attention in the CT field. However, the spectral CT is still premature in terms of both hardware and software. To reconstruct high quality spectral images from low-dose projections, an adaptive image reconstruction algorithm is proposed that assumes a known reference image (RI). The idea is motivated by the fact that the reconstructed images from different spectral channels are highly correlated. If a high quality image of the same object is known, it can be used to improve the low-dose reconstruction of each individual channel...
December 21, 2016: Physics in Medicine and Biology
https://www.readbyqxmd.com/read/27878797/choosing-wisely-at-the-end-of-life-the-crucial-role-of-medical-indication
#5
Gian Domenico Borasio, Ralf J Jox
At the end of life, several treatments are administered routinely that lack medical indication and may cause significant harm to patients. Examples include artificial hydration and oxygen therapy in the dying phase, as well as enteral nutrition in advanced dementia. Medical indication is defined as the appropriateness of a therapeutic or diagnostic measure in the patient's concrete clinical situation, in light of the best available evidence. The decision about the absence or presence of a medical indication is a core competence of physicians...
2016: Swiss Medical Weekly
https://www.readbyqxmd.com/read/27869883/-pugni-e-botte-ai-medici-choosing-wisely-o-protezione-di-s%C3%A3
#6
Ugo Indraccolo
Riassunto. Si riporta un caso in cui l'ostetrico è stato picchiato e insultato dal marito di una paziente, senza alcuna ragione. Il marito della paziente aveva seguito dei personali, errati, convincimenti a proposito del travaglio e del parto. Siccome i pazienti pretendono esami e procedure inutili ignorando i suggerimenti dei medici, colpevoli del nostro fallimento nel non seguire lo "choosing wisely" sono i pazienti.
November 2016: Recenti Progressi in Medicina
https://www.readbyqxmd.com/read/27856139/overuse-targets-for-choosing-wisely-do-emergency-physicians-and-nurses-agree
#7
Arjun K Venkatesh, April Anderson, Craig Rothenberg, Vivek Parwani, Ian Schwartz, Jeannie Haggan, Mark Sevilla, Marc J Shapiro
No abstract text is available yet for this article.
November 5, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27855098/choosing-wisely-assessment-of-current-us-top-five-list-recommendations-trustworthiness-using-a-pragmatic-approach
#8
Karl Horvath, Thomas Semlitsch, Klaus Jeitler, Muna E Abuzahra, Nicole Posch, Andreas Domke, Andrea Siebenhofer
OBJECTIVES: Identification of sufficiently trustworthy top 5 list recommendations from the US Choosing Wisely campaign. SETTING: Not applicable. PARTICIPANTS: All top 5 list recommendations available from the American Board of Internal Medicine Foundation website. MAIN OUTCOME MEASURES/INTERVENTIONS: Compilation of US top 5 lists and search for current German highly trustworthy (S3) guidelines. Extraction of guideline recommendations, including grade of recommendation (GoR), for suggestions comparable to top 5 list recommendations...
October 7, 2016: BMJ Open
https://www.readbyqxmd.com/read/27849863/221-choosing-wisely-an-apn-led-initiative-to-reduce-unnecessary-chest-x-rays-in-the-cardiovascular-icu
#9
Lauren Oliver, Jayme Gibson, April Kapu, Ruth Kleinpell, Wade Iams, Pierce Trumbo
No abstract text is available yet for this article.
December 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/27845867/choosing-wisely-opportunities-for-improving-value-in-cancer-care-delivery
#10
Gabrielle B Rocque, Courtney P Williams, Bradford E Jackson, Audrey S Wallace, Karina I Halilova, Kelly M Kenzik, Edward E Partridge, Maria Pisu
INTRODUCTION: Patients, providers, and payers are striving to identify where value in cancer care can be increased. As part of the Choosing Wisely (CW) campaign, ASCO and the American Society for Therapeutic Radiology and Oncology have recommended against specific, yet commonly performed, treatments and procedures. METHODS: We conducted a retrospective analysis of Medicare claims data to examine concordance with CW recommendations across 12 cancer centers in the southeastern United States...
November 15, 2016: Journal of Oncology Practice
https://www.readbyqxmd.com/read/27834600/challenges-and-opportunities-for-disinvestment-in-australia
#11
Rebecca Trowman Day, Richard Norman, Suzanne Robinson
Purpose Worldwide, there is significant growth in the cost of (and demand for) healthcare, which often clashes with a requirement to contain expenditure. This duality leads to an increasing need for a systematic approach to disinvestment in health technologies. The purpose of this paper is to consider the challenges and opportunities for disinvestment policy decisions in Australia. It discusses the implementation of the Choosing Wisely campaign and the need for rigorous evaluation of such campaigns in the Australian healthcare system...
November 21, 2016: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/27822770/barriers-to-choosing-wisely%C3%A2-in-primary-care-it-s-not-just-about-the-money
#12
Eugene C Rich
No abstract text is available yet for this article.
November 7, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27820948/can-knowledge-about-heterogeneity-in-treatment-effects-help-us-choose-wisely
#13
Frank Davidoff
No abstract text is available yet for this article.
November 8, 2016: Annals of Internal Medicine
https://www.readbyqxmd.com/read/27804077/the-italian-society-of-internal-medicine-choosing-wisely-campaign
#14
Nicola Montano, Giorgio Costantino, Giovanni Casazza, Rodolfo Sbrojavacca, Marco Vincenzo Lenti, Lorenzo Falsetti, Annasanta Guzzo, Raffaele Majo, Francesco Perticone, Gino Roberto Corazza
Appropriateness is one of the critical aspects of medicine. For this reason, the Italian Society of Internal Medicine (SIMI) decided to adhere to the Choosing Wisely Campaign. A bottom-up approach was chosen. All the recommendations published in the US and Canadian Choosing Wisely campaign have been screened, and an e-mail was sent to all the SIMI members for new suggestions. The thirty interventions that were judged as the highest priority by a committee were sent to all the SIMI members for voting. The first procedures selected were then revised, and constituted the five points of the SIMI choosing wisely campaign...
December 2016: Internal and Emergency Medicine
https://www.readbyqxmd.com/read/27803600/use-of-low-value-radiotherapy-practices-in-canada-an-analysis-of-provincial-cancer-registry-data
#15
K Tran, R Rahal, M Brundage, S Fung, C Louzado, M Milosevic, J Xu, H Bryant
BACKGROUND: As part of Choosing Wisely Canada (a national campaign to encourage patient-provider conversations about unnecessary medical tests, treatments, and procedures), a list of ten oncology practices that could be low-value in some instances was developed. Of those practices, two were specific to radiation therapy (rt): conventional fractionation as part of breast-conserving therapy (bct) for women with early-stage breast cancer, and multifraction radiation for palliation of uncomplicated painful bone metastases...
October 2016: Current Oncology
https://www.readbyqxmd.com/read/27752290/reversal-of-direct-oral-anticoagulants-in-hemophilia-treatment-ash-meeting-2015
#16
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
https://www.readbyqxmd.com/read/27746279/genomic-and-biological-markers-to-select-treatment-for-patients-with-prostate-cancer-choose-wisely-my-friend
#17
EDITORIAL
Marc Dall'Era, Christopher Evans
No abstract text is available yet for this article.
October 13, 2016: Journal of Urology
https://www.readbyqxmd.com/read/27729689/literature-search-for-research-planning-and-identification-of-research-problem
#18
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
https://www.readbyqxmd.com/read/27688471/snmmi-comment-on-the-2016-society-of-surgical-oncology-choosing-wisely-recommendation-on-the-use-of-pet-ct-in-colorectal-cancer
#19
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
https://www.readbyqxmd.com/read/27677066/choosing-wisely
#20
Katherine A Marshall, Deborah Hale
No abstract text is available yet for this article.
October 2016: Home Healthcare Now
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