Search Tag: Guidelines
2024 01 Sep
Adherence to atrial fibrillation (AF) guideline recommendations in clinical practice across Europe was found to be poor, but a structured educational programme for healthcare professionals significantly improved the implementation of heart rhythm control recommendations, according to research presented in a Hot Line session at the ESC Congress...Read more
2022 24 May
Oxford researchers released new reporting guidelines jointly published in Nature Medicine and the BMJ for evaluating artificial intelligences (AIs) used to treat patients. AI-supported clinical decision-support systems are increasingly progressing from development to implementation. However, an AI system’s actual clinical performance at a small...Read more
2019 13 Feb
Executive Summary Prof. Paul Sidhu , President of the European Federation of Societies for Ultrasound in Medicine and Biology ( EFSUMB ), shares with Healthmanagement.org a preview of his presentations at the forthcoming ECR 2019 . The use of ultrasound simulation models as tools in training and education is among the important...Read more
2016 20 Sep
A review of 17 primary prevention guidelines on adult cardiovascular risk assessment shows considerable variation among different recommendations on performing cardiovascular disease risk screening, risk stratification and treatment. Results are published in the Annals of Internal Medicine. While the review shows consensus on performing cardiovascular...Read more
2016 17 Jun
New ethical guidance adopted today at the American Medical Association's (AMA) Annual Meeting will help physicians understand how their fundamental responsibilities may play out differently when patient interactions occur through telemedicine, compared to traditional patient interactions at a medical office or hospital. The new ethical guidance on telehealth...Read more
2016 02 Jun
The first European recommendations on postoperative venous thromboembolism (VTE) are on their way, and are intended to be much more practical and clinical than the U.S. recommendations, said Prof. Charles-Marc Samama , Chair of the European Task Force on Prevention of Venous Thromboembolism in Anaesthesia and Intensive Care and Chair of the ESA...Read more
2016 30 May
Guiding Vascular Access Selection for Intensive Care - a Summary of Michigan Appropriateness Guide for Intravenous Catheters (MAGIC) Determining appropriateness for vascular access devices limits the risk of complications in critically ill patients. Michigan Appropriateness Guide to Intravenous Catheters (MAGIC) establishes evidence-based indications as...Read more
2016 05 Apr
The British Thoracic Society / Intensive Care Society guideline on ventilatory management of acute hypercapnic respiratory failure has been updated and published open access as a summary and full text. The guideline aims to outline the evidence of suboptimal care in acute hypercapnic respiratory failure (AHRF) in the UK, provide an overview of the...Read more
2016 08 Feb
Nanette K. Wenger, MD, Professor of Medicine (Cardiology) Emeritus, Emory University School of Medicine (Atlanta, GA), has published a clear and concise review article on how to apply the many new and continuously updated guidelines for preventing cardiovascular disease (CVD) and reducing CVD risk factors in women. The article titled Juggling Multiple...Read more
2016 22 Jan
Researchers in the U.S. have found that nearly 16 percent of individuals 65 years or older may have received non-recommended screenings for breast and prostate cancers because they had limited life expectancies of less than 10 years. The finding, reported in JAMA Oncology , could help inform measures to curb unnecessary and potentially harmful cancer...Read more
2016 19 Jan
The 2009 American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) nutrition therapy guidelines for critically ill patients have been updated by a multidisciplinary committee of experts in clinical nutrition and are published by ASPEN and the Society of Critical Care Medicine (SCCM) in the Journal of Parenteral and Enteral Nutrition . The...Read more
2016 05 Jan
"We shape our tools, and thereafter our tools shape us” (McLuhan) Wasteful, unhelpful imaging helps nobody, and may be associated with patient harms through unneeded and unwanted intervention. Appropriate imaging through referral guidance is advocated through the Bonn Call-for-Action (International Atomic Energy Authority and World Health Organization...Read more
2015 01 Dec
Social media has dramatically altered the way many of us interact and connect with one another both personally and professionally. The widespread use of these new communication technologies, however, has created a number of potential ethical and legal challenges. This one question, for example: Is it okay to be Facebook friends with your doctor? ...Read more
2015 24 Nov
New guidelines on the prevention and control of multidrug-resistant Gram-negative bacteria in hospitals have been published by the Journal of Hospital Infection . These guidelines are accredited by the National Institute for Health and Care Excellence in the UK. Gram-negative bacteria (MDRGNB) include common types such as E. coli that are present...Read more
2015 20 Oct
The American Cancer Society’s updated breast cancer screening guideline recommends that women with an average risk of breast cancer should undergo regular, annual screening mammography beginning at age 45 years, with women having an opportunity to choose to begin annual screening between the ages of 40 and 44 years, according to an article published...Read more
2015 13 Oct
Implementing change in the ICU is not easy, but change management, managed implementation of checklists and bundles and electronic records are all measures that can be used to put guidelines into practice. Speakers from Sweden, France and the UK addressed the issues in a session at the European Society of Intensive Care Medicine 2015 congress in Berlin,...Read more
2015 15 Sep
An international panel of experts has released the first comprehensive guide to using intravenous, or vascular access, devices of all kinds. The Michigan Appropriateness Guide for Intravenous Catheters, or MAGIC, is published as a supplement in Annals of Internal Medicine . Use of peripherally inserted central catheters (PICCs) has become popular...Read more
2015 08 Sep
Researchers in the U.S. have discovered that vendors were not adhering to usability testing standards for electronic health record (EHR) products. This lack of adherence to usability testing may be a major factor contributing to the poor usability of many EHRs, leading to user frustration and safety risks, according to the research published in JAMA...Read more
2015 04 Aug
The National Institute for Health and Care Excellence (NICE) has produced new draft guidance to improve the care of adults nearing the end of their lives. The guidelines have been proposed as an alternative to the controversial Liverpool Care Pathway, which was phased out in 2014 after a review by the Health Service Ombudsman found serious failings...Read more
2015 24 Jun
A Canadian study shows that most women with early-stage breast cancer will undergo imaging to determine if the cancer has metastasised, despite international guidelines that recommend against testing. Advanced imaging — such as computed tomography, MRI and positron emission tomography — is increasingly used to detect possible metastases and now comprises...Read more
2015 14 Jun
While guidelines from professional associations have sought to discourage use of certain preoperative tests considered to be of low value and high cost, there have been no significant changes over a 14-year period in the rates of several kinds of these pre-surgical tests. The findings are from a new study by researchers at NYU Langone Medical Center...Read more
2015 16 Apr
Leading infectious diseases experts have released new guidance for healthcare facilities looking to establish precautions for visitors of patients with infectious diseases. The guidance looks to reduce the potential for healthcare visitors in spreading dangerous bacteria within the healthcare facility and community. The recommendations are published...Read more
2015 17 Feb
Coronary patients in Europe are not meeting lifestyle, therapeutic and risk factor targets after hospitalisation A new approach to the secondary prevention of coronary disease is called for The large majority of coronary patients in Europe are failing to achieve their lifestyle, risk factor and therapeutic targets as set out in the latest prevention...Read more
2014 02 Sep
Professor Armand Girbes is an esteemed member of the ICU Management Editorial Board. Since 2001 he has been Professor in Intensive Care Medicine at the VU University Medical Center in Amsterdam since 2001. We asked Professor Girbes our 7 questions: 1. What are your key areas of interest and research? Hypoperfusion and reperfusion Mild...Read more
2014 05 Aug
Use of imaging referral guidelines has been shown to improve appropriateness of imaging, reducing numbers of examinations typically by 20%. In the UK, the relatively low per caput dose (<20% versus 48% in the U.S.) is attributed largely through the appropriate use of clinical radiology. Imaging referral guidelines with dose information are required...Read more
2014 27 Jun
Despite the trauma associated with invasive surgery, standard surgical protocols often restrict a patient’s diet and exercise before and after an operation. Doctors are beginning to question the wisdom behind such procedures, which were probably originally put in place to benefit surgeons more than patients. If patients are able to prepare for and...Read more
2014 23 Jun
The European Commission has published a patient safety package detailing progress made in recent years and existing barriers yet to be overcome. The establishment of national programs for patient safety and the implementation of systems for reporting adverse events related to hospitalisation represent two of the most improved areas. Challenges remain...Read more
2014 17 Jun
Safe healthcare organisations need to anticipate and prevent harm to patients. In this article, a framework for measuring and monitoring healthcare safety is presented. The framework, developed by the Health Foundation has potential uses in supporting healthcare organisations to understand how safe their servies are and in identifying the relative...Read more