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SLC CME- Evidence based medicine 07/27/2007

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Saint Luke's Care, a quality improvement organization within Saint Luke's Health System, presents a CME presentation by Dr. Brent Beasley on Evidence Based Medical Care.

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Evidence-based Medicine: from the Laptop to the Bedside Brent W. Beasley, MD, FACP Program Director, Internal Medicine Residency University of Missouri—Kansas City Medical Director, St. Luke’s Care
Case Presentation ,[object Object],[object Object]
Problem ,[object Object],[object Object],[object Object],[object Object]
Problem ,[object Object],[object Object],[object Object],[object Object],[object Object]
Do Subspecialists Provide the Best Care for Pneumonia? ,[object Object],[object Object],[object Object]
Relationship of provider characteristics to outcomes, process, and costs of care for community-acquired pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Med Care. 1998 Jul;36(7):977-87 Whittle J , Lin CJ , Lave JR , Fine MJ , Delaney KM , Joyce DZ , Young WW , Kapoor WN .
Relationship of provider characteristics to outcomes, process, and costs of care for community-acquired pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],Med Care. 1998 Jul;36(7):977-87 Whittle J , Lin CJ , Lave JR , Fine MJ , Delaney KM , Joyce DZ , Young WW , Kapoor WN . Conflict Of Interest? The article came from the Pittsburgh Division of General Internal Medicine. On the other hand, Michael Fine has carved a name out for himself in the care of patients with pneumonia.
(N Engl J Med 1997;336:243-50.) The Fine Pneumonia Severity Index (PSI)
Problem ,[object Object],[object Object],[object Object],[object Object],[object Object]
Should she just try to write the orders from memory? ,[object Object],[object Object]
Physician awareness and self-reported use of local and national guidelines for community-acquired pneumonia. ,[object Object],[object Object],[object Object],[object Object],[object Object],J Gen Intern Med. 2003 Oct;18(10):816-23. Links Switzer GE , Halm EA , Chang CC , Mittman BS , Walsh MB , Fine MJ .
Problem ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
All Roads Lead to Rome!!!
 
 
 
 
 
 
UpToDate Editorial Policy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://www.uptodate.com/
UpToDate Editorial Policy ,[object Object],[object Object],[object Object],[object Object],http://www.uptodate.com/
UpToDate Editorial Policy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],http://www.uptodate.com/
UpToDate Editorial Policy ,[object Object],http://www.uptodate.com/
UpToDate Editorial Policy ,[object Object],[object Object],http://www.uptodate.com/
UpToDate Editorial Policy ,[object Object],[object Object],[object Object],[object Object],[object Object],http://www.uptodate.com/
UpToDate Editorial Policy ,[object Object],[object Object],[object Object],[object Object],http://www.uptodate.com/
The Problem ,[object Object],[object Object],[object Object]
Problem ,[object Object],[object Object],[object Object],[object Object],[object Object]
IDSA/ATS Consensus Guidelines on the Management of CAP in Adults ,[object Object],[object Object],[object Object],Mandell, et al. Clinical Infectious Diseases    2007;44:S27-S72
[object Object],[object Object],[object Object],[object Object],IDSA/ATS Consensus Guidelines on the Management of CAP in Adults Mandell, et al. Clinical Infectious Diseases    2007;44:S27-S72
 
 
 
 
Plan ,[object Object],[object Object],[object Object],[object Object]
Design ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What’s Wrong with this Picture? ,[object Object],[object Object],[object Object],[object Object]
Measure
Measure
Improve ,[object Object],[object Object],[object Object],[object Object]
Improve ,[object Object],[object Object]
St. Luke’s Care Cardiology Evidence-based Practice Team Product: ACS Orders
St. Luke’s Care Cardiology Evidence-based Practice Team Product: ACS Orders
Complete Post-Test for credit ,[object Object]
Post-Test Questions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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