MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'clinical guidelines'. Sat, 03 Sep 2011 02:38:12 +0100 http://www.medworm.com/index.php?rid=5130660&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F08%2F15%2Fkeeping-patients-safe-when-they-transfer-between-care-providers-%25e2%2580%2593-getting-the-medicines-right-good-practice-guidance-for-healthcare-professions%2F Title: Keeping patients safe when they transfer between care providers – getting the medicines right: Good practice guidance for healthcare professions Scan or Click to download 'Keeping patients safe when they transfer between care providers – getting the medicines right: Good practice guidance for healthcare professions' The Skinny: Guidance from the Royal Pharmaceutical Society on the safe and effective transfer of information about patients’ medicines. The guidance contains high level core principles and responsibilities that underpin the safe transfer of information about medicines whenever a patient transfers care providers both internally within an organisation or externally, at any point in the care pathway. Publisher: Royal Pharmaceutical Society Published: 13/07/1... Fade Library blogs http://www.medworm.com/rss/comments.php?id=5130660 Mon, 15 Aug 2011 13:53:30 +0100 5130660 http://www.medworm.com/index.php?rid=4747612&cid=t_134525_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fwhat-do-clinical-guidelines-and-the-us-tax-code-have-in-common%2F2011.04.25 The above graph from the Cato Institute demonstrates the growing complexity of the U.S. tax code over the years. After doing my taxes recently and trying to track the ins and outs of the law for my wife’s private practice, I can attest to the graph’s accuracy. But then I was reading an interesting editorial in Circulation: Arrhythmia and Electrophysiology by N.A. Mark Estes III, MD and Jonathan Weinstock, MD that reviewed an article by Roos, et al in the same journal that found only 27 of 698 guideline recommendations from the European Society of Cardiology (median 1.2% per guideline [IQR 0.95% to 3.7%]) were correctly referenced as Class I or III Level of Evidence A recommendations, calling into question the accuracy of guideline recommendations. In their editorial, Estes and ... Better Health blogs http://www.medworm.com/rss/comments.php?id=4747612 Mon, 25 Apr 2011 15:00:00 +0100 4747612 http://www.medworm.com/index.php?rid=4394442&cid=t_134525_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fclinical-guidelines-who-writes-them-anyway%2F2011.01.25 While DrRich is a conservative American, and has made plain the difficulties he has with the Progressive program in general and with Progressive healthcare reform in particular, at times he is forced to admit that, on occasion, the Progressive way of looking at the world has certain merits. And as DrRich contemplates a question that has been bothering him lately, a question that no doubt plagues many American physicians who (unlike DrRich) are still toiling away in the trenches, he finds that this is one such occasion. That question is: Just who are the people writing all those clinical guidelines — the  “guidelines” physicians are now expected to follow in every particular in every case, on pain of massive fines, loss of career, and/or incarceration? DrRich is quick to say that... Better Health blogs http://www.medworm.com/rss/comments.php?id=4394442 Tue, 25 Jan 2011 14:00:26 +0100 4394442 http://www.medworm.com/index.php?rid=4151792&cid=t_134525_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fwhen-doctors-are-paid-less-unnecessary-prescriptions-drop%2F2010.11.09 Take medical uncertainty. Add financial incentive to treat. Voila! Increased utilization. Now take away financial incentive to treat. Guess what you get? MedPageToday explains, in the case of hormone therapy for prostate cancer: Medicare accomplished what clinical guidelines and evidence-based medicine couldn’t: it reduced unnecessary use of androgen deprivation therapy (ADT) in prostate cancer. Inappropriate use decreased by almost 30% from 2003 to 2005, following enactment of the Medicare Modernization Act, which lowered physician reimbursement for ADT. Appropriate use of ADT did not change during the same time period, according to an article in the Nov. 4 issue of the New England Journal of Medicine. “Our findings suggest that reductions in reimbursement may influence the de... Better Health blogs http://www.medworm.com/rss/comments.php?id=4151792 Tue, 09 Nov 2010 19:00:48 +0100 4151792 http://www.medworm.com/index.php?rid=4105840&cid=t_134525_122_f&fid=36582&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSharpBrains%2F%7E3%2FzhPYbx7FCjA%2F Malpractice Methodology (New York Times OpEd by Peter Orszag) Right now, health care is more evidence-free than you might think. And even where evidence-based clinical guidelines exist, research suggests that doctors follow them only about half of the time. One estimate suggests that it takes 17 years on average to incorporate new research findings into widespread practice. As a result, any clinical guidelines that exist often have limited impact. How might we encourage doctors to adopt new evidence more quickly? If this is the case with health care overall, despite much progress over the last 30–40 years, imagine how worse it may be when we talk about brain health, when neuroscience and cognitive neuroscience are relatively more recent disciplines. This is a key insight to keep in m... SharpBrains blogs http://www.medworm.com/rss/comments.php?id=4105840 Mon, 25 Oct 2010 09:09:04 +0100 4105840 http://www.medworm.com/index.php?rid=3662672&cid=t_134525_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fless-is-more-in-medicine-why-patients-arent-buying-it%2F2010.06.14 In a recent article, the editors of the Archives of Internal Medicine make the case that too much unneeded care is being delivered in physician’s offices these days. According to the authors, “patient expectations” are a leading cause of this costly problem. Their solution? Get physicians to share with patients the “evidence” for why their requests are crazy, wrong, ill-informed or just plain stupid. But getting patients to buy into the “less is more” argument is a daunting task as most physicians already know. The problem is complicated by the fact that patients have a lot good reasons for not buying it. (more…) *This blog post was originally published at Mind The Gap* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3662672 Mon, 14 Jun 2010 20:00:18 +0100 3662672 http://www.medworm.com/index.php?rid=3662674&cid=t_134525_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Funnecessary-tests-and-treatments-responsible-reporting-can-help%2F2010.06.14 Just when I’ve lost hope that mainstream media will stop perpetuating the myth the more medicine equals better care, the Associated Press came up with this excellent piece. The article states, rightly, that “anywhere from one-fifth to nearly one-third of the tests and treatments we get are estimated to be unnecessary,” and that, “it may lead to dangerous side effects.” Regular readers of this blog should be familiar with those concepts. I wrote recently that patients often reject evidence-based medicine. One reason is that there aren’t enough clinical guidelines available for patients to make an informed decision. (more…) *This blog post was originally published at KevinMD.com* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3662674 Mon, 14 Jun 2010 16:00:37 +0100 3662674 http://www.medworm.com/index.php?rid=3089209&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F12%2F15%2Fpandemic-h1n1-2009-influenza-clinical-management-guidelines-for-pregnancy%2F Title: Pandemic H1N1 2009 influenza: clinical management guidelines for pregnancy Skinny: Updates  provisional guidance for the clinical management of pregnant women with symptoms of influenza–like illness, severe influenza and complications, provided in 2007 by the British Infection Society, British Thoracic Society and Health Protection Agency in collaboration with the Department of Health. Publisher: DH Size of Publication: 27p. Published: 14/12/2009 Posted in Clinical Governance, Clinical Guidelines, Grey Literature, Influenza, Pandemic Tagged: Clinical Guidelines, Grey Literature, H1N1, Influenza, Pandemic (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3089209 Tue, 15 Dec 2009 15:00:52 +0100 3089209 http://www.medworm.com/index.php?rid=3089210&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F12%2F15%2Fpandemic-h1n1-2009-influenza-clinical-management-guidelines-for-adults-and-children-2%2F Title: Pandemic H1N1 2009 influenza: Clinical management guidelines for adults and children Skinny: Updates provisional guidance for the clinical management of adults and children with symptoms of influenza–like illness, severe influenza and complications, provided in 2007 by the British Infection Society, British Thoracic Society and Health Protection Agency in collaboration with the Department of Health. Publisher: DH Size of Publication: 25p. Published: 14/12/2009 Posted in Clinical Governance, Clinical Guidelines, Grey Literature, Influenza, Pandemic Tagged: Clinical Guidelines, Grey Literature, H1N1, Influenza, Pandemic (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3089210 Tue, 15 Dec 2009 14:30:59 +0100 3089210 http://www.medworm.com/index.php?rid=3003871&cid=t_134525_113_f&fid=35744&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fe-CareManagement%2F%7E3%2FE-Jk96eOPWk%2F Last week I asked whether Medicare’s Biggest Change in 40 Years is on the horizon. That post described and discussed implications of Medicare’s new direction for the medical home — the shelving of Medicare Medical Home Demonstration (MMHD) and the refocusing on the recently announced Multi-Payer Advanced Primary Care Initiative (MAPCI). In that post I touched briefly on the potential for MAPCI to create effective networks at multiple levels — contracting networks, health IT networks, social and collaborative care networks.  I’d like to expand a bit today… So, why is Medicare’s participation in MAPCI  and other regional collaboratives such a big deal? Here’s my hypothesis: Medicare’s non-participation (to-date) in regional payer/provider collaboratives has been a rate... e-CareManagement blogs http://www.medworm.com/rss/comments.php?id=3003871 Wed, 18 Nov 2009 00:53:23 +0100 3003871 http://www.medworm.com/index.php?rid=2950683&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F11%2F02%2Fpandemic-h1n1-2009-influenza-clinical-management-guidelines-for-adults-and-children%2F Title: Pandemic H1N1 2009 influenza: clinical management guidelines for adults and children Skinny: Updates provisional guidance for the clinical management of adults and children with symptoms of influenza–like illness, severe influenza and complications, provided in 2007 by the British Infection Society, British Thoracic Society and Health Protection Agency in collaboration with the Department of Health. Publisher: DH Size of Publication: 25p Published: 30/10/2009 Posted in Clinical Governance, Clinical Guidelines, Grey Literature, Influenza, NHS, Pandemic Tagged: Children, Clinical Guidelines, Grey Literature, H1N1, Influenza, Pandemic (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=2950683 Mon, 02 Nov 2009 11:05:36 +0100 2950683 http://www.medworm.com/index.php?rid=2855504&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F10%2F02%2Fguidance-for-the-pharmacological-management-of-substance-misuse-among-young-people%2F Title: Guidance for the pharmacological management of substance misuse among young people The Skinny: Document describing good practice on the best ways to manage substance dependence among young people, a clinically complex condition which to date has had no formal guidance. Publisher: DH Size of Publication: 99p Published: 02/10/2009 Posted in Clinical Guidelines, Drugs of Abuse, Grey Literature, NHS, Young People Tagged: Clinical Guidelines, Drugs of Abuse, Good Practice, Grey Literature, Young People (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=2855504 Fri, 02 Oct 2009 15:50:24 +0100 2855504 http://www.medworm.com/index.php?rid=2751845&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F09%2F01%2Fguidelines-for-the-clinical-management-of-people-refusing-food-in-immigration-removal-centres-and-prisons%2F Title: Guidelines for the clinical management of people refusing food in immigration removal centres and prisons The Skinny: Information, for health professionals in prisons and immigration removal centres, on the physical effects of food refusal, the most effective practical and clinical management of individuals refusing to eat and drink, legal aspects and the relevance of the Mental Capacity Act 2005. It also addresses the considerable dangers and risks associated with refeeding individuals who have been starving but who then decide to eat again. Publisher: DH Size of Publication: 51p Published: 28/08/2009 Posted in Clinical Governance, Clinical Guidelines, Diet, Ethics, Grey Literature, Legislation, Mental Health, Prison Health Services, Prisons Tagged: Asylum Seekers, Clinical Guide... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2751845 Tue, 01 Sep 2009 09:37:02 +0100 2751845 http://www.medworm.com/index.php?rid=2709073&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F08%2F18%2Fguide-to-good-practice-in-clinical-perfusion%2F Title: Guide to good practice in clinical perfusion The Skinny: New guide to good practice in clinical perfusion has been developed in response to a critical incident in 2005 which led to the publication of the Gritten report. It provides a Quality Management System and a Framework for the Administration of Named Medicines to form the basis of patient-specific directions which are recorded in the patient’s notes and clinical perfusion record. This guidance and the recommended frameworks should assist in the assurance of safe and high quality clinical perfusion services provided by the NHS. Publisher: DH Size of Publication: 52p. Published: 22/07/2009 Posted in Acute Services, Cardiovascular Diseases, Circulatory Diseases, Clinical Guidelines, Grey Literature, Health and Safety, Heart Dis... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2709073 Tue, 18 Aug 2009 11:14:26 +0100 2709073 http://www.medworm.com/index.php?rid=1990572&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F11%2F26%2Fdefinitely-not-the-fifth-largest-city-in-france-new-nice-guidelines%2F Attention deficit hyperactivity disorder (ADHD) Osteoporosis- primary prevention Osteoporosis - secondary prevention Lung cancer (non-small cell) – erlotinib Electrically-stimulated intravesical chemotherapy for superficial bladder cancer Laparoscopic prostatectomy for benign prostatic obstruction Transabdominal artificial bowel sphincter implantation for faecal incontinence Posted in Clinical Governance, Clinical Guidelines, NHS   Tagged: Bladder Cancer, Clinical Guidelines, Drug Therapy, Faecal Incontinence, Hyperactivity, Lung Cancer, Osteoporosis, Surgery    (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1990572 Wed, 26 Nov 2008 07:15:04 +0100 1990572 http://www.medworm.com/index.php?rid=1901320&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F10%2F24%2Flatest-nice-guidelines%2F Surgical site infection Mental health and older people Chronic pain - spinal cord stimulation Posted in Evidence Based Practice   Tagged: Clinical Guidelines, Evidence Based Practice    (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1901320 Fri, 24 Oct 2008 07:30:53 +0100 1901320 http://www.medworm.com/index.php?rid=1891914&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F10%2F20%2Ftreatment-of-heart-attack-national-guidance-final-report-of-the-national-infarct-angioplasty-project-niap%2F Prefaced in the weekends media, the National Infarct Angioplasty Project (NIAP) is a feasibility study looking at how far primary angioplasty can be rolled out as the main treatment for heart attack in place of clot-busting drugs.  Treatment of heart attack national guidance: final report of the National Infarct Angioplasty Project (NIAP) concludes, it is feasible to roll out primary angioplasty for the majority of England within acceptable treatment times and is being published to encourage best practice. Posted in Grey Literature, Heart Diseases, NHS, Surgery   Tagged: Angioplasty, Clinical Guidelines, Grey Literature, Heart Diseases, Myocardial Infarction, NHS, Surgery    (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1891914 Mon, 20 Oct 2008 14:12:53 +0100 1891914 http://www.medworm.com/index.php?rid=1825429&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F09%2F24%2Fnice-to-meet-you-to-meet-you-latest-nice-guidance%2F Attention deficit hyperactivity disorder (ADHD) Chronic Kidney Disease Identifying and supporting people most at risk of dying prematurely Venous Thromboembolism - dabigatran Influenza (prophylaxis) - zanamivir, amantadine and oseltamivir Autologous pancreatic islet cell transplantation for improved glycaemic control after pancreatectomy Balloon catheter dilation of paranasal sinus ostia for chronic sinusitis Posted in NHS, Quality   Tagged: Clinical Guidelines, Diabetes, Drug Therapy, Hyperactivity, Influenza, Kidney Diseases, Mortality, Surgery, Thromboembolism, Transplantation Services    (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1825429 Wed, 24 Sep 2008 10:50:16 +0100 1825429 http://www.medworm.com/index.php?rid=1713846&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F08%2F18%2Fliverpool-care-pathway-lcp-guidelines-for-lcp-drug-prescribing-in-advanced-chronic-kidney-disease%2F National LCP Renal Symptom Control Guidelines are prescribing guidelines to ensure best practice in the care of kidney patients during the last weeks or days of their lives. Part of the LCP programme to extend LCP to kidney disease. The guidelines were developed by an expert project group, overseen by the LCP Renal Steering Group, and have been endorsed by the Department of Health, the Renal Association and the British Renal Society. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1713846 Mon, 18 Aug 2008 15:44:24 +0100 1713846 http://www.medworm.com/index.php?rid=1546568&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F06%2F26%2F714%2F from the Myocardial Ischaemia National Audit Project (MINAP) finds that MINAP has collected data for eight years (2000–2008), and since it started has accumulated data on over 607,000 patients. It now receives data from all but one hospital that admit heart attack patients in England and Wales. Increased survival from heart attacks has occurred against a background of faster thrombolytic treatment in hospital, the introduction of pre-hospital thrombolysis and primary angioplasty and the improved use of secondary prevention medication. While there is variation between hospitals, most patients with heart attack are treated sooner after calling for professional help than in 2006/7. The use of secondary prevention medication has continued to exceed the national standards. The early... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1546568 Thu, 26 Jun 2008 09:32:42 +0100 1546568 http://www.medworm.com/index.php?rid=1543004&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F06%2F25%2Ftwice-as-nice-im-in-paradise-latest-nice-guidelines%2F Lumbar infusion test for the investigation of normal pressure hydrocephalus (IP) Implantation of multifocal (non-accommodative) intraocular lenses during cataract surgery (IP) Stent insertion for bleeding oesophageal varices (IP) Transcatheter aortic valve implantation for aortic stenosis (IP) Surgical repair of vaginal wall prolapse using mesh (IP) Rimonabant for the treatment of overweight and obese patients (TA) Head and neck cancer - cetuximab (TA) Psoriasis- adaliumamb (TA) (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1543004 Wed, 25 Jun 2008 06:58:39 +0100 1543004 http://www.medworm.com/index.php?rid=1494233&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F06%2F05%2Fclinical-guidelines-for-immunoglobulin-use%2F , 2nd ed. aim to ensure best practice in the use of IVIg across all indications, based on available evidence and expert opinion. This supports the DH-initiated National Demand Management Progamme for Immunoglobulin to provide guidance on appropriate use, to manage demand and to ensure supply for patients for whom immunoglobulin is life-saving. Also reaching it’s second edition is the Demand management plan for immunoglobulin use, 2nd ed. which provides guidance on appropriate use, to manage demand and to ensure supply for patients for whom immunoglobulin is life-saving. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1494233 Thu, 05 Jun 2008 13:36:23 +0100 1494233 http://www.medworm.com/index.php?rid=1472375&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F05%2F28%2Fnicely-nicely-latest-guidance-from-nice%2F Anaemia (cancer-treatment induced) - epoetin (alfa & beta) & darbepoetin (TA) Adalimumab, etanercept and infliximab for ankylosing spondylitis Type 2 Diabetes (review) (CG) Lipid Modification (CG) Canaloplasty for primary open angle glaucoma (IP) Endoaortic balloon occlusion for cardiac surgery (IP) Single incision mid-urethral tape insertion for stress urinary incontinence in women (IP) Workplace physical activity (PH) (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1472375 Wed, 28 May 2008 11:19:59 +0100 1472375 http://www.medworm.com/index.php?rid=1392474&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F04%2F23%2Fnice-nice-baby-latest-clinical-guidelines-from-nice%2F Allogeneic pancreatic islet cell transplantation for type 1 diabetes mellitus Intraoperative red blood cell salvage during radical prostatectomy or radical cystectomy Interstitial photodynamic therapy for malignant parotid tumours Perioperative hypothermia (inadvertent) Ulcerative colitis - infliximab Abatacept for the treatment of rheumatoid arthritis (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1392474 Wed, 23 Apr 2008 07:52:45 +0100 1392474 http://www.medworm.com/index.php?rid=1329932&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F03%2F27%2Fsearch-20-tipping-you-the-red-spot-3-guidelines-and-care-pathways%2F If you are looking for a national or international clinical guideline, a protocol or a care pathway it’s worth remembering that Search 2.0 will search the National Library of Guidelines for guidelines published by NICE and professional bodies, both in the UK and around the world. The Content National Library of Guidelines (includes NICE Guidance) - The National Library of Guidelines (the resource formerly known as the Guidelines Finder) indexes over 2000 selected care guidelines available in fulltext format online. These are mainly fom the UK but there are some international guidelines included. NICE Guidance (only) -National guidance on the promotion of good health and the prevention and treatment of ill-health, produced by the Nat... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1329932 Thu, 27 Mar 2008 08:31:56 +0100 1329932 http://www.medworm.com/index.php?rid=1329003&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F03%2F26%2Ftwice-as-nice-latest-nice-guidance%2F Antenatal care Diabetes in pregnancy Prophylaxis for Infective Endocarditis Maternal and child nutrition Mental wellbeing of children in primary education Sleep apnoea hypopnea syndrome (obstructive) - continuous positive airway pressure Asthma (in adults) - corticosteroids Intraoperative nerve monitoring during thyroid surgery Suburethral sling insertion for stress urinary incontinence in men (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1329003 Wed, 26 Mar 2008 15:53:16 +0100 1329003 http://www.medworm.com/index.php?rid=1266524&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F02%2F29%2Fsafe-births-everybodys-business-an-independent-inquiry-into-the-safety-of-maternity-services-in-england%2F Safe Births: Everybody’s business: An independent inquiry into the safety of maternity services in England from the Kings’s Fund makes the following recommendations: Teams themselves should: agree safety-focused objectives identify clear roles and responsibilities utilise clear communication standards and protocols Safety should be placed at the heart of shared objectives for maternity services in quality joint working The Royal College of Midwives (RCM) and Royal College of Obstetricians and Regular reviews of demand and staffing should be conducted with an emphasis on deliveringthe right skill mix todeliver safe services Trust boards and managers should regularly receive information employment levels, skill mix and deployment achieved across all shift. Simple and effectiv... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1266524 Fri, 29 Feb 2008 04:14:09 +0100 1266524 http://www.medworm.com/index.php?rid=1261579&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F02%2F27%2Fwouldnt-it-be-nice-if-a-bird-of-paradise-landed-at-my-feet%2F Latest guidance from NICE. Prostate cancer Osteoarthritis Ventilation tubes (grommets) in children with OME Irritable bowel syndrome Liposuction for chronic lymphoedema Laparoscopic mobilisation of the greater omentum for use in breast reconstruction Endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA) for mediastinal metastases Psychosis (first onset) - neuroimaging Follicular non-hodgkins lymphoma (recurrent or refractory stage III or IV) - rituximab Community engagement Smoking cessation (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1261579 Wed, 27 Feb 2008 13:39:36 +0100 1261579 http://www.medworm.com/index.php?rid=1247800&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F02%2F21%2Fcks-not-dfs%2F Updated from Prodigy to new CKS Format: Anaemia - iron deficiency Immunizations - childhood Leg ulcer - venous Opioid dependence Palliative cancer care - constipation Clinical summaries of the Topic Reviews issued in February 2008 please follow the links below: Clinical summary: Iron deficiency anaemia – assessment Clinical summary: Iron deficiency anaemia - management Clinical summary: Immunizations childhood programme Clinical summary: Immunizations childhood – children up to 1 year of age Clinical summary: Immunizations childhood – children 1-2 years of age Clinical summary: Immunizations childhood – children 2-10 years of age Clinical summary: Immunizations childhood – children over 10 years of age Clinical summary: Immunizations childhood – additional immunizations Clin... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1247800 Thu, 21 Feb 2008 17:26:50 +0100 1247800 http://www.medworm.com/index.php?rid=1222284&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F02%2F11%2Fsmashy-and-nicey-consultations-from-nice%2F Consultations from NICE seeking views on a clinical practice guideline developments for: Familial hypercholesterolaemia: consultation Lipid modification: Consultation on section 4.3 - Cardiovascular risk assessment and requesting views on the use of erlotinib to treat small-cell cancer. Lung cancer (non-small cell) - erlotinib (appraisal consultation) (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1222284 Mon, 11 Feb 2008 16:54:42 +0100 1222284 http://www.medworm.com/index.php?rid=1173048&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F01%2F23%2Fphysical-activity-and-environment%2F Guidance offering evidence-based recommendations on how to improve the physical environment to encourage physical activity. It demonstrates the importance of such improvements and the need to evaluate how they impact on the public’s health PH008 Physical activity and environment: Quick reference guide PH008 Physical activity and environment: Guidance 2008/004 New NICE public health guidance on creating environments to encourage physical activity PH008 Physical activity and environment: Costing report (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1173048 Wed, 23 Jan 2008 20:47:56 +0100 1173048 http://www.medworm.com/index.php?rid=1169549&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F01%2F23%2Fnot-naughty-but-nice-latest-nice-guidelines%2F Interventions in medicines reconcilliation at the point of admission Physical activity and environment Psoriasis - infliximab Ultrasound guided catheterisation of the epidural space Arteriovenous extracorporeal membrane carbon dioxide removal Mesothelioma - Pemetrexed (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1169549 Wed, 23 Jan 2008 09:25:03 +0100 1169549 http://www.medworm.com/index.php?rid=1140905&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F01%2F10%2Fthe-house-of-commons-health-committee-national-institute-for-health-and-clinical-excellence-first-report-of-session-2007%25e2%2580%259308-volume-i-report-together-with-formal-minutes%2F The report identifies the following problems Topic selection. Only a few selected medical technologies are chosen as suitable for assessment as technology appraisals. There is also far too little emphasis on disinvestment. Here we found NICE’s responses to our questions disingenuous. While few older treatments may do no good at all, many will not be cost-effective; The wider benefits of treatment to society, for example to carers, are not included in NICE’s economic evaluations; NICE often does not have all the information it needs to make a full assessment. It does not have access to all the information the Medicines and Healthcare products Regulatory Agency (MHRA) uses and clinical trials are usually designed without NICE’s work on cost-effectiveness in mind; Experts are no... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1140905 Thu, 10 Jan 2008 09:00:42 +0100 1140905 http://www.medworm.com/index.php?rid=1088656&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2007%2F12%2F12%2Fsquare-leg-square-root-square-egg-new-fruit-nice-suit-nice-latest-guidance%2F Latest Nice Guidelines are: Interventions in medicines reconcilliation at the point of admission (PSP) Atopic eczema in children (CG) Thoracoscopic aortopexy for severe primary tracheomalacia (IP) Circumferential epithelial radiofrequency ablation for Barrett’s oesophagus (IP) Thoracoscopically-assisted mitral valve surgery (IP) Hybrid procedure for interim management of hypoplastic left heart syndrome in newborns (IP) Thoracoscopic excision of mediastinal parathyroid tumours (IP) Endoscopic saphenous vein harvest for coronary artery bypass graft (IP) Apologies for the title which will only make sense if you are familiar with the work of the Jazz Butcher but a pun is always worthwhile. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1088656 Wed, 12 Dec 2007 10:57:49 +0100 1088656 http://www.medworm.com/index.php?rid=1079672&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2007%2F12%2F07%2Fnational-library-for-health-stroke-specialist-library%2F The Stroke Specialist Library is being developed to provide high quality, evidence-based information on all of aspects of Stroke. This site is aimed at health professionals with an interest in Stroke. Using the traditional NLH hub approach with information divided into Guidance & Pathways, Evidence, Reference, Education/CPD and Patient Information the Library offers information on the following topics. Ischaemic Stroke General / Overviews Causes / Risk Factors Diagnosis Disease Management Prevention Patient Information Rehabilitation Haemorrhagic Stroke General / Overviews Causes / Risk Factors Diagnosis Disease Management Rehabilitation Prevention Patient Information Subarachnoid Haemorrhage General / Overviews Causes / Risk Factors Diagnosis Disease Management Rehabilitation Pre... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1079672 Fri, 07 Dec 2007 14:48:38 +0100 1079672 http://www.medworm.com/index.php?rid=1055601&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2007%2F11%2F28%2Fnice-isnt-just-a-place-in-the-south-of-france%2F Alcohol and schools intervention Asthma (in children) - corticosteroids Hypercholesterolemia - ezetimibe Asthma (for severe persistant allergic) - omalizumab Grenz rays therapy for inflammatory skin conditions Percutaneous Pulmonary valve implantation for right ventricular outflow tract dysfunction Mini/Micro screw implantation for orthodontic anchora ge Laparoscopic techniques for hysterectomy Soft palate implants for simple snoring Soft palate implants for obstructive sleep apnoea Transcranial magnetic stimulation for severe depression (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1055601 Wed, 28 Nov 2007 11:26:40 +0100 1055601 http://www.medworm.com/index.php?rid=1049831&cid=t_134525_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2007%2F11%2F26%2Fclinical-guidelines-intravenous-immunoglobulin%2F provide guidance on appropriate use of immunoglobulin products and a framework for the promotion of evidence based clinical practice to help improve consistency in patient care. The guidelines support the Demand management plan for immunoglobulin use use makes recommendations on appropriate indications for immunoglobulin and the processes to be implemented by Trusts or SHAs to ensure that immunoglobulin is used appropriately by means of local Immunoglobulin Assessment Panels. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1049831 Mon, 26 Nov 2007 13:19:20 +0100 1049831