The study found that 17% of Pap tests ordered in their resident clinic were inappropriate based on USPSTF guidelines. They created an intervention called the "Pap Clinic" which used an EMR template to guide decision making and patient discussions about cervical cancer screening guidelines. After implementing this clinic, they found a statistically significant decrease in inappropriate Pap tests, from 17% pre-intervention to 1.7% post-intervention. While the results were promising, the study had limitations including a small sample size and potential for selection bias. The intervention showed that templates in EMRs have potential to improve adherence to screening guidelines.
Though a recent study found repeat colonoscopy is good for certain patients, accurate documentation is still a crucial factor to determine whether it is appropriate.
Value of Medical Laboratory Science Personnel and Clinical Laboratory Service...Sheleste Vergara
Web-Based Presentation by:
Sheleste Anne Marie R. Vergara
BMLS - 1B
American Society for Clinical Laboratory Science, House of Delegates. ASCLS Position Paper: Patient Safety and Clinical Laboratory Science [Internet]. 2015 Jul [cited 14 Dec 2020]
https://ascls.org/value-of-clinical-laboratory-services/
Though a recent study found repeat colonoscopy is good for certain patients, accurate documentation is still a crucial factor to determine whether it is appropriate.
Value of Medical Laboratory Science Personnel and Clinical Laboratory Service...Sheleste Vergara
Web-Based Presentation by:
Sheleste Anne Marie R. Vergara
BMLS - 1B
American Society for Clinical Laboratory Science, House of Delegates. ASCLS Position Paper: Patient Safety and Clinical Laboratory Science [Internet]. 2015 Jul [cited 14 Dec 2020]
https://ascls.org/value-of-clinical-laboratory-services/
Optimising the Model of Care for Patient Management at The Tweed Cancer Care ...Cancer Institute NSW
The commonly understood model of shift to shift nursing handover does not apply to most ambulatory day treatment units. Nonetheless, ‘handover’ of patient clinical information remains quintessential to safe clinical practice. Of considerable interest is how EMR may aid the transfer of patient clinical information in these circumstances and address the question: does this facilitate improved patient care?
Anti-cancer therapy is big business. In Australia alone between 2000 and 2009, cancer-related pharmaceutical expenditure has risen over 200% to over half a billion dollars per annum.
A Dartmouth Microsystem Assessment was conducted to examine a hospital unit\\’s functionality and to highlight opportunities for improvement. To enhance the gathering of data, a statistical tool was created to measure a wider sample population. The CNL student implemented a more reliable and valid data gathering system. The nurse educator asked to use the graduate student’s tool on the unit and throughout the hospital.
ASCO 2014 Highlights: Breast Cancer, Prostate Cancer; AI diagnosingdianecleverley
American Society of Clinical Oncology, 2014.
ALTTO: all groups did well.
IOM reports: Out-of-pocket costs, termed financial toxicity, are a side effect of this disease.
Obese women with ER+ breast cancer are at a greater risk.
WATSON-like Artificial Intelligence computer program useful in as daignosis aid
Engaging multidisciplinary teams in translational research and quality improv...Cancer Institute NSW
The Sydney West Translational Cancer Research Centre is a five year program grant funded by the Cancer Institute NSW aimed at improving patient outcomes through translational research. Multidisciplinary teams (MDTs) are key to the delivery of cancer care in Australia. There is a lack of knowledge and research into how these MDT teams can best be engaged in translational research from basic science through to implementation science and quality improvement.
Optimising the Model of Care for Patient Management at The Tweed Cancer Care ...Cancer Institute NSW
The commonly understood model of shift to shift nursing handover does not apply to most ambulatory day treatment units. Nonetheless, ‘handover’ of patient clinical information remains quintessential to safe clinical practice. Of considerable interest is how EMR may aid the transfer of patient clinical information in these circumstances and address the question: does this facilitate improved patient care?
Anti-cancer therapy is big business. In Australia alone between 2000 and 2009, cancer-related pharmaceutical expenditure has risen over 200% to over half a billion dollars per annum.
A Dartmouth Microsystem Assessment was conducted to examine a hospital unit\\’s functionality and to highlight opportunities for improvement. To enhance the gathering of data, a statistical tool was created to measure a wider sample population. The CNL student implemented a more reliable and valid data gathering system. The nurse educator asked to use the graduate student’s tool on the unit and throughout the hospital.
ASCO 2014 Highlights: Breast Cancer, Prostate Cancer; AI diagnosingdianecleverley
American Society of Clinical Oncology, 2014.
ALTTO: all groups did well.
IOM reports: Out-of-pocket costs, termed financial toxicity, are a side effect of this disease.
Obese women with ER+ breast cancer are at a greater risk.
WATSON-like Artificial Intelligence computer program useful in as daignosis aid
Engaging multidisciplinary teams in translational research and quality improv...Cancer Institute NSW
The Sydney West Translational Cancer Research Centre is a five year program grant funded by the Cancer Institute NSW aimed at improving patient outcomes through translational research. Multidisciplinary teams (MDTs) are key to the delivery of cancer care in Australia. There is a lack of knowledge and research into how these MDT teams can best be engaged in translational research from basic science through to implementation science and quality improvement.
Azhar General knowledge Quiz (Questions and Answers)AzharKharal7
This is my another General Knowledge Presentation, for latest general knowledge quizzes videos visit my direct youtube channel, name "Azhar Kharal", if you have any suggestion about this presentation visit my facebook page., www.facebook.com/azharkharalpage. Have fun!
Answers to the Prelims of the 'Funda'mentals Quiz 2014 held on 6th August 2014 at K J Somaiya Institute of Management Studies and Research by Acumen: The Quizzing and Debating Society of SIMSR
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GUDHIA HIGH SCHOOL GOLDEN JUBILEE QUIZ - 2015; GUDHIA, MURSHIDABAD; W.B.Saswata Chakraborty
GUDHIA HIGH SCHOOL GOLDEN JUBILEE QUIZ - 2015
(QUIZZARS FROM VARIOUS EDUCATIONAL INSTITUTES OF THE DISTRICT OF MURSHIDABAD, W.B. TOOK PART IN THE QUIZ)
DATE: 10/02/2015
VENUE : GUDHIA HIGH SCHOOL; GUDHIA, MURSHIDABAD, W.B.
How general internists can participate in the continuum of care for patients with cancer. (Talk given at Internal Medicine Grand Rounds, St. Elizabeth Hospital, General Santos City, 10 Feb 2021.)
YCN Breast Educational Meeting 2015-NICE Breast Cancer Quality Standards- E A...Jay Naik
Background to the the NICE Breast Cancer Quality Standards, desinged as simple measures to ensure delivery of quality care. Regional audit data for 3 Trusts presented comparing and contrasting performance against selected audit data.
MedicReS Winter School 2017 Vienna - Importance of Selection of Outcomes - Ma...MedicReS
Importance of Selection of Outcomes and Covariates in Comparative Effectiveness of Cancer ...
International Conference Good Biostatistical and Publication Practice in Cancer Research with “Real Work Data”
February 13-14th, Vienna
Mariana Chavez Mac GregorMD, MSc.
Assistant Professor, Health Services Research Department
Breast Medical Oncology Department
ISSN 2347-2251
It appears that you're describing the scope of a scientific journal. This journal covers a wide range of topics related to both Pharmaceutical Sciences and Biological Sciences of the scopus database journal.
1. Intervention to Reduce Inappropriate Papanicolaou Testing in a Resident Clinic
L. Kyle Horton MD, MBA; Samantha H. H. Hudson MD, MEng; Denise L. Borden MD; Arpita Aggarwal MD, MSc
Department of Internal Medicine, Virginia Commonwealth University, Richmond, VA
#
83%
14%
2%
1%
17%
Inappropriate
Appropriate
17% Inappropriate
(229 Patients)
1.7% Inappropriate
(119 Patients)
Background
High-quality clinical care follows cancer
screening guidelines.
Non-adherence to US Preventive
Services Task Force (USPSTF)
guidelines for cervical cancer screening
was prevalent in our clinic.
Goal to design and implement an
intervention to improve
-Understanding of guidelines
-Adherence to guidelines
AIM: 95% adherence to USPSTF
guidelines
Methods
Pilot chart review (n=229) for
appropriate Pap testing and adherence
to USPSTF guidelines
Implemented a “Pap Clinic” for focused
women’s health visits
-Used an electronic medical record
(EMR) template to guide decisions
-Focused gynecologic history
-Patient-centered discussion of
cervical cancer screening guidelines
Retrospective chart review (n=119)
from the “Pap Clinic”
Statistical Analysis
-Univariate and bivariate analyses
using Fischer exact, and ANOVA tests
-SAS 9.2 statistical software
-p<0.05 for statistical significance
Statistically Significant Decrease
in Inappropriate Pap Smears
Fischer Exact Test (p<0.0001)
Conclusions
Inappropriate Pap testing was prevalent in our
resident clinic, especially post-hysterectomy for
benign reasons.
Creating a clinic for focused women’s health visits
using an EMR template was effective at reducing
inappropriate Pap testing.
Educational intervention at the intern level is likely
to enhance compliance with USPSTF guidelines
throughout the trainee’s future career.
Discussion
Confusion exists about conflicting sources of
guidelines (ACOG, USPSTF, and ACS) and varied
medical school training with different specialties.
EMR templates may prove effective at improving
compliance with Pap testing guidelines in primary
care by highlighting pertinent history and guiding
decision-making in the context of cervical cancer
screening.
Results
Pilot Study
Post-Intervention with the “Pap Clinic”
Similar baseline demographic characteristics
(age, race, and insurance status).
Twenty patients deemed inappropriate referrals to
the “Pap Clinic” and did NOT undergo Pap testing.
Limitations
May lack generalizability
-Interns receptive to educational intervention
-Unique factors to underserved urban population
Results may reflect selection bias to those referred
to “Pap clinic” and over or under-estimate effect size
Small sample size
Too early to assess long-term efficacy
-Not all residents have participated in “Pap Clinic”
-Still 16.8% inappropriate referrals (close to
17% inappropriate Pap smears done initially)
Pre-Intervention Post-Intervention
Appropriate
Inappropriate
Post-hysterectomy
>age 65
Post-hyst and >65