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Too Much Medicine Happens Too Often: The Teachable Moment and a Call for Manuscripts From Clinical Trainees
Less Is More Collection - JAMA Network
Caverly T, et al. JAMA Intern Med. 2014;174(1):8-9
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ver más ... 2014It is recommended to take into account age, comorbidity and the complexity of the procedure when deciding to perform a diagnosis test in a low risk patient during the preoperative assessment.
Iniciativa MAPAC (Mejorar la Adecuación de la Práctica Asistencial y Clínica)
Hospital de Sant Pau
Clinical studies point to the importance of patient age and comorbidity, in addition to the complexity of the intervention, as the main factors to consider in deciding the suitability of a preoperative test. There are tables that summarize the appropriateness of various preoperative tests, taking into account on the aforementioned characteristics.
ver más ... 2014It is recommended not to prescribe drugs in patients older than 75 years when efficacy or safety profile could be unsuitable, it is recommended to always choose safer alternatives.
Iniciativa MAPAC (Mejorar la Adecuación de la Práctica Asistencial y Clínica)
Hospital de Sant Pau
The inappropriate prescribing (IP) of drugs is a common problem in older people and carries a significant risk to patients. The IP also increases unnecessary and inappropriate spending. It is recommended to use criteria of inappropriate drugs in patients older than 75 years.
ver más ... 2014It is recommended to routinely apply the Ottawa ankle rules for traumatic ankle and mid-foot injuries in the emergency room.
Iniciativa MAPAC (Mejorar la Adecuación de la Práctica Asistencial y Clínica)
Hospital de Sant Pau
Acute traumatic ankle and mid-foot injuries are a very common reason for presentation at the emergency room, and in most cases a X-ray is performed (usually two projections) for studying the presence of a bone injury. However, only a small proportion of cases demonstrate a clinically significant bone fracture (<15% in ankle injuries).
The routine application of the Ottawa ankle rules is recommended and it is strongly recommended training all emergency personnel COT, especially less ...
It is recommended to routinely apply the Ottawa knee rules for traumatic injuries in the emergency room.
Iniciativa MAPAC (Mejorar la Adecuación de la Práctica Asistencial y Clínica)
Hospital de Sant Pau
Acute traumatic knee injuries are a very common reason for presentation at the emergency room, and in most cases a X-ray is performed (usually two projections) for studying the presence of a bone injury. However, only a small proportion of cases demonstrate a clinically significant bone fracture (<7%).
The routine application of the rules of Ottawa is recommended and it is strongly recommended training all emergency personnel COT, especially less experienced staff and external ...