Med-on-@ix

2011 ◽  
pp. 974-994
Author(s):  
In-Sik Na ◽  
Max Skorning ◽  
Arnd T. May ◽  
Marie-Thérèse Schneiders ◽  
Michael Protogerakis ◽  
...  

The aim of the project Med-on-@ix is to increase the quality of care for emergency patients by the operationalisation of rescue processes. The currently available technologies will be integrated into a new emergency telemedical service system. The aim is to capture all the necessary information comprising electrocardiogram, vital signs, clinical findings, images and necessary personal data of a patient at the emergency scene and transmit this data in real time to a centre of competence. This would enable a “virtual presence” on site of an Emergency Medical Services physician (EMS-physician, the German Notarzt). Thus, we can raise the quality of EMS in total and counter the growing problem of EMS-physician shortage by exploiting the existing medical resources. In addition, this system offers EMS-physicians and paramedics consultation from a centre of competence. Thereby referring to evidence-based medicine and ensuring the earliest possible information of the hospital.

Author(s):  
In-Sik Na ◽  
Max Skorning ◽  
Arnd T. May ◽  
Marie-Thérèse Schneiders ◽  
Michael Protogerakis ◽  
...  

The aim of the project Med-on-@ix is to increase the quality of care for emergency patients by the operationalisation of rescue processes. The currently available technologies will be integrated into a new emergency telemedical service system. The aim is to capture all the necessary information comprising electrocardiogram, vital signs, clinical findings, images and necessary personal data of a patient at the emergency scene and transmit this data in real time to a centre of competence. This would enable a “virtual presence” on site of an Emergency Medical Services physician (EMS-physician, the German Notarzt). Thus, we can raise the quality of EMS in total and counter the growing problem of EMS-physician shortage by exploiting the existing medical resources. In addition, this system offers EMS-physicians and paramedics consultation from a centre of competence. Thereby referring to evidence-based medicine and ensuring the earliest possible information of the hospital.


2011 ◽  
Vol 2011 ◽  
pp. 1-2 ◽  
Author(s):  
Sungmi Lian

Complementary and alternative medicine (CAM) is no longer new terminology in the healthcare system but,evidence-based CAMis still an unfamiliar term. Evidence-based medicine, a practice of medicine based on the recommendation derived from a systematic, scientific study of published data, is accepted as the standard in the healthcare.ACP Evidence-Based Guide to Complementary and Alternative Medicineby Bradly Jacobs and Katherine Gundling is reviewed. Up-to-date reference books like theACP Evidence-Based Guide to Complementary and Alternative Medicineis an essential tool for improving quality of care when the providers aim to practice evidence-based medicine.


2014 ◽  
Vol 10 (3) ◽  
pp. 200-202 ◽  
Author(s):  
Benjamin Djulbegovic

Enhancing application of evidence-based medicine along with rigorous monitoring of quality of care is the key to improvement of the current unsatisfactory situation. However, calls to improve use of evidence-based interventions remain unheeded.


Author(s):  
Nicolas Danchin ◽  
Fiona Ecarnot ◽  
François Schiele

This chapter will describe what databases and registries can provide for clinicians and researchers. It will also describe the respective position of randomized clinical trials and databases/registries as complementary pillars of evidence-based medicine, and how they are of particular importance in the field of acute cardiac care. Finally, the importance of databases in quality of care processes will be discussed.


Author(s):  
Nicolas Danchin ◽  
Fiona Ecarnot ◽  
François Schiele

This chapter will describe what databases and registries can provide for clinicians and researchers. It will also describe the respective position of randomized clinical trials and databases/registries as complementary pillars of evidence-based medicine, and how they are of particular importance in the field of acute cardiac care. Finally, the importance of databases in quality of care processes will be discussed.


2021 ◽  
pp. bmjebm-2021-111670
Author(s):  
Clara Locher ◽  
David Moher ◽  
Ioana Alina Cristea ◽  
Florian Naudet

During the COVID-19 pandemic, the rush to scientific and political judgements on the merits of hydroxychloroquine was fuelled by dubious papers which may have been published because the authors were not independent from the practices of the journals in which they appeared. This example leads us to consider a new type of illegitimate publishing entity, ‘self-promotion journals’ which could be deployed to serve the instrumentalisation of productivity-based metrics, with a ripple effect on decisions about promotion, tenure and grant funding, but also on the quality of manuscripts that are disseminated to the medical community and form the foundation of evidence-based medicine.


2003 ◽  
Vol 3 ◽  
pp. 1117-1127 ◽  
Author(s):  
Soren Ventegodt ◽  
Niels JØrgen Andersen ◽  
Joav Merrick

In this paper we present a new research paradigm for alternative, complementary, and holistic medicine — a low-cost, effective, and scientifically valid design for evidence-based medicine. Our aim is to find the simplest, cheapest, and most practical way to collect data of sufficient quality and validity to determine: (1) which kinds of treatment give a clinically relevant improvement to quality of life, health, and/or functionality; (2) which groups of patients can be aided by alternative, complementary, or holistic medicine; and (3) which therapists have the competence to achieve the clinically relevant improvements. Our solution to the problem is that a positive change in quality of life must be immediate to be taken as caused by an intervention. We define “immediate” as within 1 month of the intervention. If we can demonstrate a positive result with a group of chronic patients (20 or more patients who have had their disease or state of suffering for 1 year or more), who can be significantly helped within 1 month, and the situation is still improved 1 year after, we find it scientifically evidenced that this cure or intervention has helped the patients. We call this characteristic curve a “square curve”. If a global, generic, quality-of-life questionnaire like QOL5 or, even better, a QOL-Health-Ability questionnaire (a quality-of-life questionnaire combined with a self-evaluated health and ability to function questionnaire) is administered to the patients before and after the intervention, it is possible to document the effect of an intervention to a cost of only a few thousand Euros/USD. A general acceptance of this new research design will solve the problem that there is not enough money in alternative, complementary, and holistic medicine to pay the normal cost of a biomedical Cochrane study. As financial problems must not hinder the vital research in nonbiomedical medicine, we ask the scientific community to accept this new research standard.


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