tailieunhanh - Chapter 001. The Practice of Medicine (Part 3)

Principles of Patient Care Evidence-Based Medicine Evidence-based medicine refers to the concept that clinical decisions are formally supported by data, preferably data that are derived from prospectively designed, randomized, controlled clinical trials. This is in sharp contrast to anecdotal experience, which may often be biased. Unless they are attuned to the importance of using larger, more objective studies for making decisions, even the most experienced physicians can be influenced by recent encounters with selected patients. Evidence-based medicine has become an increasingly important part of the routine practice of medicine and has led to the publication of a number of practice. | Chapter 001. The Practice of Medicine Part 3 Principles of Patient Care Evidence-Based Medicine Evidence-based medicine refers to the concept that clinical decisions are formally supported by data preferably data that are derived from prospectively designed randomized controlled clinical trials. This is in sharp contrast to anecdotal experience which may often be biased. Unless they are attuned to the importance of using larger more objective studies for making decisions even the most experienced physicians can be influenced by recent encounters with selected patients. Evidence-based medicine has become an increasingly important part of the routine practice of medicine and has led to the publication of a number of practice guidelines. Practice Guidelines Professional organizations and government agencies are developing formal clinical-practice guidelines to aid physicians and other caregivers in making diagnostic and therapeutic decisions that are evidence-based cost-effective and most appropriate to a particular patient and clinical situation. As the evidence base of medicine increases guidelines can provide a useful framework for managing patients with particular diagnoses or symptoms. They can protect patients particularly those with inadequate health care benefits from receiving substandard care. Guidelines can also protect conscientious caregivers from inappropriate charges of malpractice and society from the excessive costs associated with the overuse of medical resources. There are however caveats associated with clinical practice guidelines since they tend to oversimplify the complexities of medicine. Furthermore groups with differing perspectives may develop divergent recommendations regarding issues as basic as the need for periodic sigmoidoscopy in middle-aged persons. Finally guidelines do not and cannot be expected to account for the uniqueness of each individual and his or her illness. The physician s challenge is to integrate into clinical practice .

• Y học thường thức
• The Practice of Medicine
• bệnh học và điều trị
• bài giảng bệnh học
• tài liệu học ngành y
• Harrisons Internal Medicine
• Principles and practice aviation medicine
• Aviation medicine
• International standards and requirements
• Physiology and radiation
• Clinical aviation medicine
• Phychology of passengers
• Ophthalmology for the medical examiner
• Ear nose and throat medicine and dentistry
• Neurology for the aeromedical examiner
• Simpson’s forensic medicine
• Forensic medicine
• Principles of forensic practice
• The ethics of medical practice
• The medical aspects of death
• Injury in infancy
• The Practice of Genetics
• Clinical Medicine
• tài liệu y khoa
• harrison interal medicine
• Pain Medicine
• Alternative Medicine
• Pain Management
• Pain Perception
• Musculoskeletal Pain
• Therapeutic Techniques
• Pediatric critical care medicine
• Care of the critically ill or injured child
• The practice of pediatric critical care medicine
• The science of pediatric critical care medicine
• Palliative care in the PICU
• Controversies and considerations
• Basic science
• The pathophysiology of global ischemia
• Cardiac arrest
• The science and practice of resuscitation medicine
• Intracellular signaling during myocardial ischemia
• Resuscitation research
• Reperfusion injury in cardiac arrest
• Cardiopulmonary resuscitation
• Postresuscitation disease and its care
• Special resuscitation circumstances
• Special issues in resuscitation
• Electrical injuries
• Natural causes
• Regional injuries
• Forensic practice
• Medical practice
• The appearance
• The body after death
• Thrombotic thrombocytopenic purpura
• Acute kidney injury
• Current practice guidelines
• Inpatient medicine
• Vertebral osteomyelitis
• Valvular heart disease
• Infective endocarditis
• Venous thromboembolism
• Peripheral arterial disease
• Idiopathic pulmonary fibrosis