Search Tag: JAMA

ICU Management

Study: Mismatch Between DNR Orders and Patient Prognosis

2015 22 Sep

Do-not-resuscitate (DNR) orders are often established for patients whose prognosis is poor. Now new research published in JAMA finds that almost two-thirds of patients with the worst prognosis after in-hospital cardiac arrest did not have DNR orders. “Among patients with a low likelihood of favourable neurological survival after in-hospital cardiac... Read more

IT Management

EHR Products: Usability Testing Standards Ignored?

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

Executive Health Management

Why Most Clinicians Work While Sick

2015 11 Jul

A recent study shows that many physicians and advanced practice clinicians (APCs), including registered nurse practitioners, midwives and physician assistants, report to work while being sick despite recognising this can put patients at risk. In a survey of attending physicians and APCs at the Children's Hospital of Philadelphia, respondents reported... Read more

IMAGING Management

Screening Mammography: More Small Cancers Suggest Overdiagnosis

2015 07 Jul

A new study published in JAMA Internal Medicine shows that screening mammography was associated with increased diagnosis of small cancers, but not with significant changes in breast cancer mortality or a decreased incidence of larger breast cancers. Researchers say the increased incidence of small cancers may be the result of overdiagnosis. The researchers... Read more

Executive Health Management

Some Preoperative Tests Still Common Despite Low Value

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

IMAGING Management

How Effective are Decision Support Systems?

2015 02 Jun

Computerised clinical decision support (CDS) systems are intended to enhance decision-making for better delivery of care. However, a study on the use of CDS systems regarding orders for advanced diagnostic imaging shows that the systems failed to identify relevant appropriateness criteria for the majority of orders. “Implementing CDS systems in real-world... Read more

IMAGING Management

Lower Smoking Rate But Higher Lung Cancer Mortality?

2015 26 Feb

A decrease in smoking rates may mean that many people who could have benefited from early detection of lung cancer are dying because they do not qualify for low-dose CT scans, according to a Mayo Clinic-led study reported in JAMA . Lung cancer screening using low-dose computed tomography is recommended for high-risk individuals by professional associations,... Read more

ICU Management

Predicting Disability and Death After the ICU

2015 11 Feb

Although an increasing number of older adults are surviving visits to hospital intensive care units (ICUs), many emerge with disabilities such as impaired walking and poor overall function. Interestingly, a Yale School of Medicine study has shown that that the level of disability the year before an ICU visit can predict post-ICU disability and death.... Read more

IT Management

How 3D Printing is Reshaping Medical Practice

2014 08 Dec

Three-dimensional (3D) printing is increasingly being used in medical practice, but its implications for healthcare may be complex, according to a commentary published in JAMA . Although questions remain about how best to use the technology, experts say that 3D printing is already changing patient care. In fact, 3D printing has been used in dentistry... Read more

ICU Management

Immunonutrition: No Proven Benefit

2014 05 Aug

There have been many questions surrounding the use of immune-modulating nutrients as to whether specific critically ill populations may benefit from it; whether the administration of multiple potential immunologic modulating agents would alter the individual effects of each agent; or whether enteral and parenteral administration may result in differential... Read more