When assessing the quality of clinical trials in intermittent claudication, on principle the same strict biometric and medical standards need to be applied for studies on the effect of walking exercise as for conservative drug treatment studies...
Keywords: Evidenzbasierte Medizin, Gehtraining, Claudicatio intermittens, Cochrane-Review
01/2006 | Hämostaseologie, SchattauerOBJECTIVES: The purpose of this paper is to examine past and present medical decision support systems and the environment in which they operate and to propose specific research tracks that improve integration and adoption of these systems in today's health care systems. METHODS: In preamble, we examine the objectives, decision models, and performances of past decision support systems. RESULTS: Medical decision support tools were essentially formulated from a technical capability perspective and this view has met limited adoption and slowed down new development as well as integration of these important systems into patient management work flows and clinical information systems...
Keywords: Medical decision support systems, Evidence-based Medicine, Clinical Practice Guidelines, Medical prac-tice, shared decision-making, patient empowerment, technology adoption barriers and drivers.
01/2003 | Methods of Information in Medicine, SchattauerOBJECTIVE: An assessment of the quality of health information on the Internet is an absolute necessity...
Keywords: Internet, Quality Control, Evidence-based Medicine, level of evidence
01/2003 | Methods of Information in Medicine, SchattauerOBJECTIVES: To heighten awareness about the critical issues currently affecting patient care and to propose solutions based on leveraging information technologies to enhance patient care and influence a culture of patient safety. METHODS: Presentation and discussion of the issues affecting health care today, such as medical and medication-related errors and analysis of their root causes; proliferation of medical knowledge and medical technologies; initiatives to improve patient safety; steps necessary to develop a culture of safety; introduction of relevant enabling technologies; and evidence of results. RESULTS AND CONCLUSION: Medical errors affect not only mortality and morbidity, but they also create secondary costs leading to dissatisfaction by both provider and patient...
Keywords: Medical errors, patient safety, information technology, computerized patient record, Physician order entry, clinical decision support, clinical outcomes, Evidence-based Medicine
01/2003 | Methods of Information in Medicine, SchattauerOBJECTIVES: Sound medical decisions are easier for clinicians who have essential patient data in the right place at the right time...
Keywords: Chest pain, Hospital Information Systems, Medical Informatics, human engineering, Evidence-based Medicine
01/2004 | Methods of Information in Medicine, SchattauerOBJECTIVES: This contribution provides a unifying concept for meta-analysis integrating the handling of unobserved heterogeneity, study covariates, publication bias and study quality...
Keywords: Evidence-based Medicine, C.A.MAN, meta-analysis, meta-regression, meta-likelihood, nonparametric maximum meta-likelihood, publication bias, unobserved heterogeneity
01/2005 | Methods of Information in Medicine, SchattauerContinuing Professional Development (CPD) is a key factor for effective implementation of Clinical Governance...
Keywords: Clinical Governance, Continuing Professional Development, core competencies, Evidence-based Medicine, lifelong learning, training
06/2006 | Clinical Chemical Laboratory Medicine, Walter de GruyterWithin the activities of the Risk Management Unit of the Bari Polyclinic Hospital Corporation, an anomalous trend was found, with excessive requests for urgent laboratory tests being made in the time period between 05:00 and 07:45 h...
Keywords: Appropriateness, Emergency, Evidence-based Medicine, laboratory tests, risk management
06/2006 | Clinical Chemical Laboratory Medicine, Walter de Gruyter