진료 현장의 임상적 의사 결정
Critical Decision Making at the Point of Care
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Optimal decision-making requires an understanding of the principles of evidence-based medicine to judge the quality of the evidence. Numerous pitfalls exist in diagnostic reasoning and decision-making. There are also many considerations with regard to evidence-based prescription. Increasingly, hospitalists have to work in wards organized as Accountable Care Units (ACUs). Practice guidelines and systematic reviews represent the highest quality of evidence available. There is great clinical importance in rapid access to precise answers, especially those based on summary literatures, to various challenging questions. In practice, a culture of education, updates to support hospitalists, and integration of evidence-based medicine into clinical practice, using diverse digital medical resources and cloud storage, are necessary.
Abstract
Optimal decision-making requires an understanding of the principles of evidence-based medicine to judge the quality of the evidence. Numerous pitfalls exist in diagnostic reasoning and decision-making. There are also many considerations with regard to evidence-based prescription. Increasingly, hospitalists have to work in wards organized as Accountable Care Units (ACUs). Practice guidelines and systematic reviews represent the highest quality of evidence available. There is great clinical importance in rapid access to precise answers, especially those based on summary literatures, to various challenging questions. In practice, a culture of education, updates to support hospitalists, and integration of evidence-based medicine into clinical practice, using diverse digital medical resources and cloud storage, are necessary.
참고문헌 (24)
- Akobeng AK, "Principles of evidence based medicine", Arch Dis Child, 90, pp.837~840 (2005)
- Eriksen MB, "The impact of patient, intervention, comparison, outcome (PICO) as a search strategy tool on literature search quality: a systematic review", J Med Libr Assoc, 106, pp.420~431 (2018)
- McKean SC, "Principles and practice of hospital medicine" (2017), McGraw-Hill Education
- Corazza GR, "Diagnostic reasoning in internal medicine : a practical reappraisal", Intern Emerg Med, 16, pp.273~279 (2021)
- Croskerry P, "A universal model of diagnostic reasoning", Acad Med, 84, pp.1022~1028 (2009)
- Kallet RH, "How to write the methods section of a research paper", Respir Care, 49, pp.1229~1232 (2004)
- Alqenae FA, "Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings : a systematic review", Drug Saf, 43, pp.517~537 (2020)
- Whitehead SJ, "Health outcomes in economic evaluation : the QALY and utilities", Br Med Bull, 96, pp.5~21 (2010)
- Kenealy T, "Patient preference for autonomy : does it change as risk rises?", Fam Pract, 28, pp.541~544 (2011)
- Mallal S, "HLA-B*5701 screening for hypersensitivity to abacavir", N Engl J Med, 358, pp.568~579 (2008)
- Holm L, "Influence of age, sex and seriousness on reporting of adverse drug reactions in Sweden", Pharmacoepidemiol Drug Saf, 26, pp.335~343 (2017)
- Gregory N. Orewa, "Using Accountable Care Teams to Improve Timely Discharge: A Pilot Study", Quality Management in Health Care, 31(1), pp.22~27 (2021), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Institute of Medicine (US) Committee on Standards for Developing Trustworthy Clinical Practice Guidelines, "Clinical Practice Guidelines We Can Trust" (2011), National Academies Press
- Atkins D, "Grading quality of evidence and strength of recommendations", BMJ, 328, pp.1490~ (2004)
- "Guidance on the development of medical guidelines" (2009)[URL]
- Guyatt GH, "GRADE : an emerging consensus on rating quality of evidence and strength of recommendations", BMJ, 336, pp.924~926 (2008)
- Jadad AR, "Assessing the quality of reports of randomized clinical trials : is blinding necessary?", Control Clin Trials, 17, pp.1~12 (1996)
- Berger VW, "A general framework for the evaluation of clinical trial quality", Rev Recent Clin Trials, 4, pp.79~88 (2009)
- Wever-Pinzon O, "Principles and practice of hospital medicine" (2017), McGraw Hil
- "Catching up on the latest article" (2017)[URL]
- Duran-Nelson A, "Should we Google it? Resource use by internal medicine residents for point-of-care clinical decision making", Acad Med, 88, pp.788~794 (2013)
- Sayyah Ensan L, "To compare PubMed Clinical Queries and UpToDate in teaching information mastery to clinical residents : a crossover randomized controlled trial", PLoS One, 6, pp.e23487~ (2011)
- Michtalik HJ, "Impact of attending physician workload on patient care : a survey of hospitalists", JAMA Intern Med, 173, pp.375~377 (2013)
- Elliott DJ, "Effect of hospitalist workload on the quality and efficiency of care", JAMA Intern Med, 174, pp.786~793 (2014)