What Constitutes Evidence For Physicians - 1630 Words

What constitutes evidence for nurses? What constitutes evidence for patients? What constitutes evidence for physicians? How are they the same or different? T he movement toward evidenced based healthcare has necessitated change in practice approaches and a broader understanding of what constitutes evidence for physicians, nurses, allied health professionals and consumers. There is a significant amount of literature published regarding this practice change in all clinical areas. Not all literature is supportive of the use of evidence based medicine The original conceptualization of evidence based medicine was the integration of clinical experience with conscientious, explicit, and judicious use of current research. However, there are differences in opinion regarding the value of evidence based medicine. An article written by Hermann W. Borg entitled â€Å"The Evidence Based Transformation of American Medicine† indicated that the ideal originally presented with evidence based medicine reflected a process of decision making by individual physicians in treating individual patients. This author notes that the ranking of evidence using randomized controlled trials as the highest level of evidence has devalued the role of intuition, clinical experience and theory derived conclusions in practice. Part of the concern addressed is the distorted use of evidence based practice by administrators, pharmaceutical companies and payers. Instead of an individualized approach to careShow MoreRelatedThe Information Assessment Method1 038 Words   |  4 Pagesresearch studies are published daily; thus, it is difficult for physicians and pharmacists (indeed all healthcare professionals) to find the time to absorb this new knowledge. Electronic knowledge resources, specifically the pre-appraised evidence resources, can help family physicians in two ways. These resources provide clinical information to answer clinical questions at the point of care (Pull Technology) (e.g. Up-To-Date and Essential Evidence Plus), and they raise awareness of new research through informationRead MoreReasoning, Reasoning ( A )1745 Words   |  7 Pagesthe defendant’s appeal regarding the application of â€Å"learned intermediary† into 3 sections. 1. Defining â€Å"Learned Intermediary† and what it means to the case in South Dakota Law. 2. How this applies to the deceit claim 3. How this applies to the failure to warn claim Learned Intermediary doctrine places the responsibility on the manufacturer to clearly warn physicians of the risks of their product. In this case, it was clear that the company had neglected to include key information that could haveRead MoreUtilization Review ( Ur ) Can Constitute Practicing Medicine1157 Words   |  5 PagesIn some way, Utilization Review (UR) can constitute â€Å"practicing medicine† because UR is an evaluated healthcare services based on standards of care, treatment guidelines, and evidence-base medicine (Wolter, Beeman, Lynch, n.d.). The provider must address UR in the proposed decision. UR is a system designed for monitoring, evaluating and efficiency for services provided. UR should not be limited to only medical professionals licensed to practice medicine. Any provider, licensed or unlicensedRead MoreHealth Care : Helping Patients Live Better Lives And Die Better Deaths Essay1649 Words   |  7 Pagesdespite the growing number of chronically ill people, the supply of PC specialists â€Å"falls short of what is necessary to serve the population in need† (Kelley Morrison, 2015). More must be done to improve and integrate PC into all medical and health care. This health policy brief is aimed at informing the general public on the importance of expanding PC education and research, current legislation, and what steps to take to make a difference in PC. Background/Significance PC services have been increasingRead MoreAn End Stage Lung Disease1534 Words   |  7 Pageswith an end-stage lung disease. Currently, she is unconscious and is under aggressive life support. The health care team feels that she will not be able to be off of the ventilator, and that she had actually, although there is no proof, told the physician that she did not want to be on life support if there were no other choices. Since Mrs. Celeste did not assign anyone to hold her power of attorney, the doctors turn to her four children. Three of the children are religious and believe that a miracleRead MoreCase Case Study : Rite Aid Corporation V. Ellen R. Levy Gray1407 Words   |  6 Pagesâ€Å"Rite Advice† pamphlet believing that the use of milk absorbed the drug’s affectability. However, the â€Å"Rite Advice† pamphlet did enclose that the provided information did not cover all possible circumstances and that one should seek judgment from a physician prior to cons umption. Procedural History: Ms. Levy-gray filed a complaint in the Circuit Court for Baltimore County on November 2, 2001. Her initial complaint against Rite Aid was based on the ideas of negligence, product liability, failure to warnRead MoreUnit 7 Project Part 3: Opposing Sides Essay916 Words   |  4 Pagesgovernment enacted Baby Doe Legislation, which would withhold federal funds from hospitals that kept lifesaving treatment from newborns based on the expectation of disability. The medical community has to have restrictions on what it may do to people with disabilities. What would happen if some members of that community are willing to do anything when no restrictions are in place? Savings to governments could become a consideration. Drugs for assisted suicide cost about $35 to $45, making themRead MoreHealth Information Technology For Economic And Clinical Health1283 Words   |  6 Pageshealth services research, and clinical education (Gunter and Terry 1). This IT-led healthcare system reform involves several intersecting technologies, including: tracking systems (barcodes and Radio Frequency Identification [RFID]); computerized physician order entry (CPOE) systems; clinical decision support systems (CDSSs) that complement order entry devices operating with server-side systems that reference drug interaction information or treatment models (such as clinical practice guidelines); andRead MoreForced Sterilization And Its Effects On Society1711 Words   |  7 Pages2005). Between the years 1929 to 1974, North Carolina sterilized over 7600 people. Government officials concluded these people were indolent, promiscuous, or poor. Records have revealed the extent of the discriminatory nature of this program, and evidence confirmed that welfare recipients were the biggest targets. In the final 15 years of its operation, the majority of victims were women and most of those were African-American (Cussins, 2016). Indiana was the very first state to pass a law allowingRead MoreMedication Error1645 Words   |  7 Pagesindustry are due to communication that breaks down at the nurse-physician level. Often, dysfunctional communication patterns between professionals in healthcare entities results from the organizational structure which determines how professionals interact with each other, who has the power (individual and group), and the cultural norms of the organization. RN’s are accountable to provide safe care to the point of questioning physician orders in order to fulfill the role of patient advocate. This can