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Results for “Consensus Statements as Topic”

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At least 1,117 records · Page 62Linked to original sources
PubMed2001

Making mistakes in practice. Developing a consensus statement.

OBJECTIVE: To develop a reference statement for the appropriate management of mistakes in the general practice training environment. METHOD: The setting was a series of focus groups held during workshops with The Royal Australian College of General Practitioners Training Program in the Northern Territory (NT). The participants included NT supervisors and registrars, and representatives of the Consumer Reference Group, Top End Division of General Practice. RESULTS: A reference statement and mutually agreed list of duties for registrars, their supervisors and patients. CONCLUSION: Mistakes are a part of the practice of medicine and can impact on everyone. An appropriate response and the opportunity to reflect and learn from the experience are important elements in minimising the adverse impact. We recommend that the issue of mistakes be considered a priority in the teaching of medicine.

Consensus Statements as Topic↗
PubMed2001

Magnetic resonance imaging in rheumatoid arthritis: summary of OMERACT activities, current status, and plans.

Complementing the 3 papers that precede it, this paper explains the rationale for the activities of an OMERACT working party on magnetic resonance imaging (MRI) evaluation of rheumatoid arthritis (RA), sets out provisional recommendations for the acquisition and scoring of MRI of the hand and wrist in RA, and delineates some of the many residual problems that need to be addressed.

Arthritis, Rheumatoid↗
PubMedDate not supplied

PDA establishes position statement on cola contracts in schools.

The soft drink industry promises that it will do everything possible to persuade even more Americans to drink even more soda pop more often. Parents and health-care providers need to recognize soft drinks for what they are--liquid candy--and do everything possible to return these beverages to their former, reasonable role as an occasional treat. School districts should not auction themselves off to the highest bidder for exclusive pouring rights contracts with soft drink companies. These deals profit the soft drink companies and, to a much lesser degree, the school districts at the expense of the students' health.

Adolescent↗
PubMedDate not supplied

[Drugs that alter hemostasis and regional anesthetic techniques: safety guidelines. Consensus conference].

Patients about to undergo surgery are often taking drugs that alter hemostasis and affect anesthesia, particularly when neuroaxial techniques are used for subarachnoid or epidural anesthesia. The aim of this paper is to provide safety guidelines for regional anesthesia in patients receiving hemostasis-altering drugs, in order to reduce the risk of bleeding. We offer a detailed discussion of patients treated with inhibitors of platelet aggregation (emphasizing that such treatment alone is not a contraindication for neuroaxial blockade although certainly guidelines must be followed), unfractionated heparin (anesthesia should be started at least 4 hours after administration of this drug or 30 minutes before, provided pulmonary arterial pressure is normal), low molecular weight heparin (which should be administered 12 hours before or 12 hours after the anesthetic technique), and oral anticoagulants (provision of regional anesthesia depends mainly on International Normalized Ratio monitoring). We also stress that removal of catheters should follow criteria similar to those listed above, that the risk of complications due to bleeding increases considerably in association with these drugs, and that adequate neurological monitoring is essential during postoperative recovery. Overall, the final decision to use regional anesthesia in patients receiving drugs that alter hemostasis must be made on an individual basis after assessment of benefit and risk.

Administration, Oral↗
PubMed2001

[Functional gastrointestinal diseases. More reliable diagnosis using new criteria. Modification required in primary care, however].

The diagnosis of functional gastrointestinal disorders is symptom based. New viewpoints go beyond the old concept of a disease-based reductionistic model, according to which effort is directed toward identifying a single underlying biological etiology, to a more integrated biopsychosocial model of illness. "Rome II: A Multinational Consensus Document on Functional Gastrointestinal Disorders" is an attempt to condense present knowledge into a practical systematic manual. Whereas the ordinary clinician may benefit from it in the understanding of the often confusing accumulation of alternating bowel complaints, its main area of application will be international studies. It will also serve as a basis for taking the concept of functional gastrointestinal disorders further.

Abdomen, Acute↗
PubMed2000

RSV infection and bronchiolitis: who qualifies for prevention?

(1) Approximately 80% of cases of bronchiolitis appear to be due to respiratory syncytial virus (RSV). (2) Overall, about 1% of cases of bronchiolitis lead to hospitalisation. This rises to about 25% in children with a history of severe prematurity, bronchopulmonary dysplasia or congenital heart disease.

Antibodies, Monoclonal↗