SLC CME- Evidence based medicine 07/27/2007

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)

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 .

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/

The Problem ,[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]

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

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]

SLC CME- Evidence based medicine 07/27/2007

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SLC CME- Evidence based medicine 07/27/2007