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Less Is More Collection - JAMA Network

Nafaji N. JAMA Intern Med. 2019;179(1):11-15.

Physicians frequently use cardiac monitoring beyond the duration recommended by published practice standards, resulting in “alarm fatigue” and excess cost. This cluster-randomized clinical trial was conducted on the general medicine service of the Division of Hospital Medicine at the University of California, San Francisco Medical Center and included physicians of 12 inpatient medical teams (6 intervention, 6 control). The alert displayed during daytime hours when physicians attempted to ...

Less Is More Collection - JAMA Network

Smith MA. JAMA Intern Med. 2019;179(7):990-992.

Two prior studies suggest that UC growth from hospitalized patients with low colony counts of organisms was infrequently associated with urinary tract infection (UTI) but generated substantial antimicrobial prescribing for ASB/C. When clinicians requested low-colony-count UCs to be worked up, patients were more likely to have a UTI. There were no significant changes in clinical outcomes between groups (pacients with high-colony-count UC and pacients with low-colony- count UC). The intervention ...

Evidencias COVID-19

Cochrane - Colección Especial - optimizando la salud en el espacio de trabajo en casa

Currently available limited evidence does not show that interventions to increase standing or walking in the workplace reduced musculoskeletal symptoms among sedentary workers at short‐, medium‐, or long‐term follow up. The quality of evidence is low or very low, largely due to study design and small sample sizes. Although the results of this review are not statistically significant, some interventions targeting the physical work environment are suggestive of an intervention effect. ...

Evidencias COVID-19

Cochrane - Colección Especial - Opciones efectivas para dejar de fumar durante la pandemia COVID-19

There is moderate‐certainty evidence that neither reduction‐to‐quit nor abrupt quitting interventions result in superior long‐term quit rates when compared with one another. Evidence comparing the efficacy of reduction‐to‐quit interventions with no treatment was inconclusive and of low certainty. There is also low‐certainty evidence to suggest that reduction‐to‐quit interventions may be more effective when pharmacotherapy is used as an aid, particularly fast‐acting NRT or ...

Evidencias COVID-19

Cochrane - Colección Especial - Opciones efectivas para dejar de fumar durante la pandemia COVID-19

When no other support is available, written self‐help materials help more people to stop smoking compared with getting no help at all. People were more likely to make successful quit attempts when they were also given face‐to‐face support or nicotine replacement therapy, but printed self‐help did not make these people more likely to quit. Self‐help materials that were tailored to help individual people are more effective than no help at all. However, tailoring these materials often ...