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Clinical Practice Guidelines & Core Issues

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Clinical Practice Guidelines & Core Issues

New opportunities to learn n grow are here! 'Clinical Guidelines & Practice Standards' are essential tools to improve our Professional capabilities. Therefore, please JOIN this group, add your COMMENTS, SHARE the content and CONTRIBUTE your knowledge and expertise to it for enhancing the standards of practice of all the participants.

Members: 468
Latest Activity: on Tuesday

Discussion Forum

Case of negligence or malpractice? 5 Replies

A 57-year-old woman in Italy who went to the doctor with inflamed sinuses and facial pain had an unusual diagnosis: a dental implant in the sinus.The woman had undergone oral surgery about two years before to place an implant — a 2-centimeter long (0.79 inch) metal screw designed to hold in place a replacement for a missing tooth — in her upper jaw. But surprisingly, an inspection of her mouth…Continue

Started by Toni Rose. Last reply by Toni Rose Oct 31, 2013.

Malpractice Suits Continue to Put Ob/Gyns on Defensive

Despite some easing of malpractice litigation pressures, most obstetrician/gynecologists are still taking defensive actions such as seeing fewer high-risk patients to avoid getting sued, according to a new survey from the American Congress of Obstetricians and Gynecologists (ACOG).This retrenchment bodes ill for women, especially as more of them gain access to healthcare under the Affordable Care Act, ACOG officials said."When physicians limit what problems they treat, which surgeries they…Continue

Started by Toni Rose Oct 14, 2013.

Primary Care Malpractice Cases 'More Difficult to Defend' 3 Replies

Judging by 3 representative specialties, physicians in 2013 are once again experiencing relief on malpractice insurance premiums.Collective rates for obstetrician-gynecologists, internists, and general surgeons fell on average for the sixth straight year in 2013, according to an annual premium survey released this week by Medical Liability Monitor (MLM).The decrease is only 1.9%, a tad more than the 1.7% decline in 2012. However, one group views the ongoing premium shrinkage as more evidence…Continue

Started by Toni Rose. Last reply by Alan John Byron Oct 18, 2013.

Malpractice Premiums Drop for 6th Straight Year

Judging by 3 representative specialties, physicians in 2013 are once again experiencing relief on malpractice insurance premiums.Collective rates for obstetrician-gynecologists, internists, and general surgeons fell on average for the sixth straight year in 2013, according to an annual premium survey released this week by Medical Liability Monitor (MLM).The decrease is only 1.9%, a tad more than the 1.7% decline in 2012. However, one group views the ongoing premium shrinkage as more evidence…Continue

Started by Toni Rose Oct 14, 2013.

Missed Diagnoses Trigger Primary Care Malpractice Claims

Most malpractice claims against primary care physicians are a result of missed diagnoses, especially of cancer and myocardial infarction in adults and meningitis in children, and medication errors, according to an analysis of data from 34 published studies of malpractice claims.Emma Wallace, MB Bch, BAO, a clinical research fellow in the Health Research Board Centre for Primary Care Research at the Royal College of Surgeons in Ireland Medical School in Dublin, and colleagues report their…Continue

Started by Toni Rose Oct 14, 2013.

Joint Commission Online Article - NPSG on surgical site infections revised to align with CDC requirements

Effective immediately, The Joint Commission has revised element of performance (EP) 5 of the National Patient Safety Goal on surgical site infection prevention (NPSG.07.05.01) to align with the Centers for Disease Control and Prevention (CDC) revised requirements. In February 2013, The Joint Commission placed a moratorium on scoring noncompliance with one requirement of EP 5 (see the …Continue

Started by Toni Rose Jun 26, 2013.

ACCP Issues New Guidelines for Lung Cancer Screening

New guidelines from the American College of Chest Physicians (ACCP) recommend that patients at a high risk for lung cancer be offered screening.In their third edition of evidence-based lung cancer guidelines, Diagnosis and Management of Lung Cancer, 3rd ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines, the ACCP recommends that patients who face a significant risk of developing lung cancer due to age and smoking history be offered low-dose, computed tomography…Continue

Started by Toni Rose May 10, 2013.

Testing for HCV Infection: An Update of Guidance for Clinicians and Laboratorians

May 10, 2013 / 62(18);362-365On May 7, 2013, this report was posted as an MMWR Early Release on the MMWR website (http://www.cdc.gov/mmwr).In the United States, an estimated 4.1 million persons have been infected with hepatitis C virus (HCV), of whom an estimated 3.2 (95% confidence interval [CI] = 2.7–3.9) million are living with the infection (1). New infections continue to be reported…Continue

Started by Toni Rose May 10, 2013.

Collateral Damage - published book written by Dan Walter

This book is a superb reading material for all doctors and aspiring doctors to remind them of their big responsibility to prioritize alleviation of suffering of every patient and to uphold to the highest degree the standard of practice.http://collateral-damage.net/http://educatetheyoung.wordpress.com/2013/04/14/collateral-damage/ Continue

Started by Toni Rose May 8, 2013.

The end of the 'Doctor-Patient' Relationship? 5 Replies

While perusing my local South Florida newspaper, I happened to find an opinion piece written by Sally Pipes, the President, CEO, and Taube Fellow in Health Care Studies at the Pacific Research Institute. Ms. Pipes’ article, “…Continue

Tags: Reform, Care, Health, Relationship, Doctor-Patient

Started by Richard Krasner. Last reply by Toni Rose May 2, 2013.

Comment Wall

Comment

You need to be a member of Clinical Practice Guidelines & Core Issues to add comments!

Comment by Dr. Singh on Tuesday
Comment by Dr. Singh on October 13, 2014 at 7:54pm
Comment by Dr. Singh on August 26, 2014 at 12:19am
Comment by Dr. Singh on August 25, 2014 at 9:37pm
Comment by Dr. Singh on August 24, 2014 at 12:09am
Comment by Dr. Singh on August 20, 2014 at 11:21pm
Comment by Dr. Singh on August 20, 2014 at 11:10pm

Guidelines for POLYSOMNOGRAPHY:

Recommendation 1: ACP recommends a sleep study for patients with unexplained daytime sleepiness. (Grade: weak recommenda- tion, low-quality evidence) Recommendation 2: ACP recommends polysomnography for di- agnostic testing in patients suspected of obstructive sleep apnea. ACP recommends portable sleep monitors in patients without seri- ous comorbidities as an alternative to polysomnography when poly- somnography is not available for diagnostic testing. (Grade: weak recommendation, moderate-quality evidence)
Ann Intern Med. 2014;161:210-220. doi:10.7326/M12-3187 www.annals.org

Comment by Dr. Singh on July 27, 2014 at 4:16pm

 Prescribing Opioids/ other Controlled Substances: Guidelines

http://www.healthy.ohio.gov/ed/guidelines.aspx

Comment by Dr. Singh on July 2, 2014 at 9:23pm

Practice Guidelines for the Diagnosis and Management of Skin and Soft Tissue Infections: 2014 Update by the Infectious Diseases Society of America:

http://cid.oxfordjournals.org/content/early/2014/06/14/cid.ciu296/F...

Comment by Dr. Singh on June 25, 2014 at 7:03pm

WHO recommendations for poliovirus vaccination

In May 2014, the World Health Organization issued poliovirus vaccination recommendations for all residents and long–term visitors (>4 weeks) exiting 10 poliovirus-affected countries in order to prevent further spread of the disease.

The recommendations apply to Afghanistan, Cameroon, Equatorial Guinea, Ethiopia, Iraq, Israel, Nigeria, Pakistan, Somalia, and Syria. A dose of a poliovirus vaccine should be given within the year prior to exit from those countries. The burden for implementation of these recommendations lies with the poliovirus–affected countries. Although these recommendations are for vaccination on exit from the listed countries, travel health practitioners should be aware of individual country requirements in order to discuss whether vaccination prior to travel to the listed countries might be advisable. In the United States, the Centers for Disease Control and Prevention recommends that travelers to poliovirus–affected areas be fully vaccinated against poliovirus, including a one-time booster dose for adults. (Source: Uptodate)

 

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