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A Top-Five List for Emergency Medicine: 4. Do not order CT of the head for patients with mild traumatic head injury who do not meet New Orleans Criteria or Canadian CT Head Rule.
Less Is More Collection - JAMA Network
Schuur J, et al. JAMA Intern Med. 2014;174(4):509-515
Partners Healthcare is an integrated delivery system in eastern Massachusetts that includes 2 academic and 4 community hospital emergency departments. The initiative have created a “top-five” list of tests, treatments, and disposition decisions that are of little value, are amenable to standardization, and are actionable by emergency medicine clinicians.
ver más ... 2014A Top-Five List for Emergency Medicine: 3. Do not order magnetic resonance imaging of the lumbar spine for patients with lower back pain without high-risk features.
Less Is More Collection - JAMA Network
Schuur J, et al. JAMA Intern Med. 2014;174(4):509-515
Partners Healthcare is an integrated delivery system in eastern Massachusetts that includes 2 academic and 4 community hospital emergency departments. The initiative have created a “top-five” list of tests, treatments, and disposition decisions that are of little value, are amenable to standardization, and are actionable by emergency medicine clinicians.
ver más ... 2014A Top-Five List for Emergency Medicine: 2. Do not order CT to diagnose pulmonary embolism without first risk stratifying for pulmonary embolism*
Less Is More Collection - JAMA Network
Schuur J, et al. JAMA Intern Med. 2014;174(4):509-515
*(pretest probability and D-dimer tests if low probability).
For further information please visit the website of the initiative (link below)
Robotic surgery for benign gynaecological disease
Cochrane Quality and Productivity topics
National Institute for Health and Clinical Excellence (NICE)
"Robotic surgery (also known as computer-assisted surgery or robotically-assisted surgery) has become increasingly popular as it has the potential to offer increased surgical precision. Use of robotic surgery as opposed to standard laparoscopic surgery for benign (non-malignant) gynaecological disease however is not currently supported by sufficient good quality evidence. It was not found to offer any significant advantages over laparoscopic surgery and furthermore the evidence suggests that ...
ver más ... 2014Routine abdominal drainage for uncomplicated open cholecystectomy
Cochrane Quality and Productivity topics
National Institute for Health and Clinical Excellence (NICE)
"There is no benefit to patients in placing open or closed drains for uncomplicated open cholecystectomy. The placement of a drain is associated with increased risk to patients in terms of wound and chest infections."
ver más ... 2014