SMJ articles in the category "Guidelines"

Original Article

CME Article: Adherence to Guideline-Based Antibiotic Prophylaxis in Gynecology among Alabama Providers

Objectives: Surgical site infection (SSI) is a preventable cause of postoperative morbidity. The appropriate use of perioperative antibiotics for prevention of SSIs is a well-established quality metric. Little is known about the adherence to guidelines-based antibiotic prophylaxis among Alabama obstetricians and gynecologists. Our aims were to determine their adherence to…

Posted in: Guidelines 10 gynecology 5

Original Article

Survey of Provider Transfusion Practices for Oncology Patients in an Academic Medical Center

Objectives: Hospitalized oncology patients receive care from a variety of professionals, each of whom plays a role in decisions related to blood transfusions. We sought to examine differences in transfusion practices based on professional role, years of experience, and patient clinical scenario. Methods: We surveyed general medicine residents, hospitalists, and…

Posted in: anemia 11 Guidelines 10 malignancy 5 Quality 5

Original Article

Impact of Evidence-Based Guidelines on Outcomes of Hospitalized Patients With Clostridium difficile Infection

Objectives: Clostridium difficile infection (CDI) is the most common healthcare-associated infection in the United States. Clinical practice guidelines for the treatment of CDI were updated in 2010 by the Society for Healthcare Epidemiology of America and the Infectious Diseases Society of America. An institutional guideline for the classification and management…

Posted in: Clostridium difficile 10 Guidelines 10 hospital medicine 15 outcomes 19

Original Article

CME Article: Yield of Diagnostic Tests and Its Impact on Cost in Adult Patients with Syncope Presenting to a Community Hospital

Objectives: Total annual costs for syncope-related hospitalizations were $2.4 billion in 2000. The aim of this study was to examine the type and number of tests ordered for patients admitted with syncope and whether these tests helped establish the cause. Methods: We studied the records of 1038 patients coded as…

Posted in: cost 5 Guidelines 10 syncope 3 yield 2

Review

Optimizing Chronic Obstructive Pulmonary Disease Management in Primary Care

Diagnosis of chronic obstructive pulmonary disease (COPD) in primary care is complex, as many clinical symptoms are similar to asthma and heart disease, which may lead to misdiagnosis and suboptimal disease management. Spirometry is the best method for diagnosing COPD and distinguishing between COPD, asthma, and cardiovascular diseases. Airway obstruction…

Posted in: asthma 16 chronic obstructive pulmonary disease 10 Diagnosis 17 Guidelines 10 primary care 64

Original Article

Osteoporosis Treatment Following Hip Fracture: How Rates Vary by Service

Objectives: Osteoporosis is a prevalent condition among older people. It is often undiagnosed until patients suffer fragility fractures. Previous studies have shown low rates of initiating osteoporosis treatment during the acute hip fracture hospitalization. It is not clear if this varies by the treating service. We compared the rates of…

Posted in: adherence 10 Guidelines 10 hip fracture 5 Osteoporosis 29 rehabilitation 2

Review Article

In the Lymelight: Law and Clinical Practice Guidelines

Abstract:Almost from the beginning, the Ixodes scapularis and I pacificus, adult deer ticks, have been a breeding ground not only for Lyme disease, but also for political dissent. Most recently, the battleground moved into the arena of clinical practice guidelines. Both camps in the “Lyme Wars”—the Infectious Diseases Society of…

Posted in: Guidelines 10 law 2 lyme disease 3

Review Article

New Guidelines for the Prevention and Treatment of Osteoporosis

Abstract:The World Health Organization Fracture Risk Assessment Tool (FRAX™) and the National Osteoporosis Foundation’s (NOF) Clinician’s Guide to Prevention and Treatment of Osteoporosis are helpful clinical tools in the management of osteoporosis. Appropriate use of these tools requires a clear understanding of their limitations as well as their benefits. Good…

Posted in: FRAX 2 Guidelines 10 Osteoporosis 29 Treatment 22

Review Article

Report of the International Society for Clinical Densitometry 2007 Adult Position Development Conference and Official Positions

The International Society for Clinical Densitometry (ISCD) periodically holds Position Development Conferences (PDCs) for the purpose of establishing standards and guidelines for the assessment of skeletal health—the nomenclature, indications, acquisition, analysis, quality control, interpretation, and reporting of bone density tests. Topics are selected for consideration according to criteria that include…

Posted in: DXA 2 Guidelines 10 ISCD 2 Osteoporosis 29

Review Article

Special Report on the 2007 Pediatric Position Development Conference of the International Society for Clinical Densitometry

The International Society for Clinical Densitometry periodically holds Position Development Conferences (PDCs) for the purpose of establishing standards and guidelines for the assessment of skeletal health, including nomenclature, indications, acquisition, analysis, quality control, interpretation, and reporting of bone density tests. Topics are selected for consideration according to criteria that include…

Posted in: DXA 2 Guidelines 10 ISCD 2 Osteoporosis 29 pediatrics 33
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