scholarly journals Clinical Pathway Based on Evidence-Based Medicine (EBM) for Chemotherapy for Lung Cancer

2004 ◽  
Vol 124 (12) ◽  
pp. 973-981 ◽  
Author(s):  
Mari KOGO ◽  
Yumi SAITO ◽  
Yuka KASHIWABARA ◽  
Kayoko KOICHI ◽  
Ikue ICHIKAWA ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Clinical Pathway ◽  
Evidence Based Medicine ◽  
Evidence Based ◽  
Based Medicine

scholarly journals Elderly patients with lung cancer: does clinical practice reflect evidence-based medicine? our four-year experience (2013-2016)

2017 ◽  
Vol 28 ◽  
pp. vi64-vi65
Author(s):  
E. Arnoldi ◽  
A. Bettini ◽  
L. Bonomi ◽  
C. Tasca ◽  
L. Livraghi ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Clinical Practice ◽  
Elderly Patients ◽  
Evidence Based Medicine ◽  
Evidence Based ◽  
Based Medicine

scholarly journals Construction of Clinical Pathway Information Management System under the Guidance of Evidence-Based Medicine

2021 ◽  
Vol 2021 ◽  
pp. 1-12
Author(s):  
Xinyu Wang ◽  
Jie Chen ◽  
Fang Peng ◽  
Jingtai Lu
Keyword(s):  
Adverse Events ◽  
Information Management ◽  
Clinical Pathway ◽  
Evidence Based Medicine ◽  
Medical Staff ◽  
Management System ◽  
Information Management System ◽  
Evidence Based ◽  
Work Efficiency ◽  
Based Medicine

This study focuses on clinical pathways guided by evidence-based medicine (EBM). With the clinical pathway as the center, the subjective and objective medical knowledge of medical staff are collected, and a clinical pathway management system guided by EBM is established through a unified process; user demand analysis; main considerations; implementation, evaluation, and monitoring of the clinical path; and dictionary maintenance, to help hospitals fully regulate medical behaviors. Next, the study displays the path access prompt box, area 1 management page, table management page, exit prompt box, mutation record page, doctor order interface, revocation of execution, and monitoring interface, and the system designed is compared with the Beijing Shankang Technology (ASK) clinical data management system in terms of user experience. The results showed that the reporting rate of medical adverse events in the system in this study was 0.21%, and the work efficiency was increased by 14%. In terms of users’ satisfaction, the hospital managers’ satisfaction was 84 ± 5.36%, and it was 95 ± 4.72% for medical staff and 88 ± 4.91% for system administrators, superior to the ASK system; the differences were statistically significant ( P < 0.05 ). In conclusion, the clinical pathway information management system is in line with the working environment of medical staff, and the synchronous monitoring and management of medical quality are achieved through digital means, which can reduce the occurrence of medical adverse events and improve the work efficiency of medical staff.

Applied evidence-based medicine. Guidelines for the diagnosis and management of lung cancer

2015 ◽  
Vol 87 (6) ◽  
pp. 441-457 ◽  
Author(s):  
S. Nikolouzos ◽  
G. Zacharia ◽  
A. Mouzakiti ◽  
N. Kapodistrias ◽  
E. Douvelis ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Evidence Based Medicine ◽  
Evidence Based ◽  
Diagnosis And Management ◽  
Based Medicine

Enhancing evidence-based medicine skills in oncology training with cognitive technology.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. 10532-10532
Author(s):  
Chun-You Chen ◽  
Hui-Chun Hung ◽  
Hsin-Yi Chiu ◽  
Po-Li Wei ◽  
Pih-Lian Kuo ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Colon Cancer ◽  
Medical Students ◽  
Clinical Experience ◽  
Evidence Based Medicine ◽  
Evidence Based ◽  
Cancer Type ◽  
Significant Difference ◽  
Preliminary Study ◽  
Based Medicine

10532 Background: Evidence-based medicine (EBM) requires applying literature evidence to inform practice. Students from Taipei Medical University Hospital, trained in EBM concepts, participated in a preliminary study using Watson for Oncology (WfO), an evidence-based decision-support system to enhance the EBM skills of medical students. Methods: A class of 50 medical students compared traditional search methods (TSM) and WfO in a workshop divided into 2 sequential sessions on colon and lung cancer, respectively. All students were trained on WfO, and 2 groups of 25 students each were randomly assigned to either TSM or WfO in the first session. Those groups were then assigned to the alternate approach in the second session. Students completed a profile that included their clinical experience with each cancer type. Students used either WfO or TSM to help answer a series of questions related to colon or lung cancer. Students then completed a survey of attitudes towards the technology, followed by a constructed-response learning assessment without the aid of TSM or WfO. Assessments were scored and results compared using a Mann-Whitney U Test; outcomes at two different experience levels, based on student profiles, were compared using a Kruskal-Wallis test. Results: In this preliminary study, more than 70% of students reported limited clinical experience with either cancer. On the colon cancer assessment, students in the WfO group performed significantly better than the TSM group ( p = 0.0001); there was no significant difference detected for lung cancer. Students with more clinical experience felt that TSM was easier to learn than WfO ( p= 0.005); students with less experience felt that WfO was clearer and more understandable than TSM ( p= 0.002). Conclusions: These preliminary results are consistent with better learning outcomes for students using WfO in the colon cancer module. Students with more clinic experience reported that TSM was easier to learn than WfO, however it is unknown if this might be due to a potentially greater familiarity with TSM in this more experienced group. More studies are needed to determine what features, if any, of WfO can facilitate EBM approaches in oncology education.

scholarly journals Does the Implementation of Clinical Pathways Affect Hierarchical Structures Within a Surgical Department? A Qualitative Study

2019 ◽  
Vol 103 (1-2) ◽  
pp. 48-55
Author(s):  
Ulrich Ronellenfitsch ◽  
Adrian Loerbroks ◽  
Matthias Schwarzbach
Keyword(s):  
Clinical Pathway ◽  
Evidence Based Medicine ◽  
Clinical Pathways ◽  
Hierarchical Structures ◽  
Clinical Approach ◽  
Evidence Based ◽  
Surgical Department ◽  
Care Plans ◽  
Junior Staff ◽  
Based Medicine

Objective: To explore effects of the implementation of clinical pathways (CPs) on hierarchical structures within a surgical department. Summary of background data: CPs are care plans stipulating diagnostic and therapeutic measures along a time axis for a given condition or procedure. They are widely used in surgery. There is limited evidence to what extent CP implementation has an effect on hierarchical structures within surgical departments. Methods: Semistructured individual interviews were conducted with key members of a CP project team in a large academic surgery department. Interviews were carried out by an external researcher to increase the likelihood of obtaining unbiased opinions. Using an interview guide, it was ensured that respondents provided opinions on various issues related to CP implementation, including hierarchical relationships within the department, but also between caregivers and patients. The transcribed text was independently content analyzed by 2 researchers who converged their findings. Results: Clinical pathway implementation changed perceived surgical hierarchy from a top-down to a participatory approach. However, it was acknowledged that some form of hierarchy is required to ensure successful clinical pathway implementation. Respondents felt that clinical pathways changed surgical culture from a largely eminence-based to more evidence-based medicine. Conclusions: The implementation of CPs potentially affects several dimensions of surgical hierarchy. It changes “traditional” surgical hierarchy and is associated with perception of increased autonomy and competency in junior staff. The clinical approach appears to shift from eminence- to evidence-based medicine. The knowledge about these changes is important for carrying out CP projects in surgery.

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