Academic literature on the topic 'Practice Management, Medical'

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Journal articles on the topic "Practice Management, Medical"

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Noone, R. Barrett. "Medical Practice Management." Plastic and Reconstructive Surgery 80, no. 3 (September 1987): 467–68. http://dx.doi.org/10.1097/00006534-198709000-00033.

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Haskell, Scott R. R., Carol J. Ormond, Larry P. Occhipinti, and Ed L. Powers. "Medical waste management in veterinary practice." Journal of the American Veterinary Medical Association 223, no. 1 (July 2003): 46–47. http://dx.doi.org/10.2460/javma.2003.223.46.

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Al-Mosawi, Aamir Jalal. "Principles of Medical Journals Editorship and Medical Editing." Archives of Urology and Nephrology 1, no. 1 (December 23, 2022): 01–03. http://dx.doi.org/10.58489/2836-5828/001.

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Peer reviewed medical journals are established with main aim of publishing scientific reliable articles that accurately reflect current medical knowledge and add additional information to the available medical information. Medical editorship and medical editing represent some of the important tools and practices of medical knowledge management which enables doctors to generate knowledge, and to share, translate and apply what they know to create value and improve effectiveness. The aim of this paper is to provide a concise but comprehensive guide about the practice of medical journals editorship and medical editing.
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Chawner, J. "Successful Private Practice: a Guide to Effective Medical Practice Management." Postgraduate Medical Journal 63, no. 746 (December 1, 1987): 1118. http://dx.doi.org/10.1136/pgmj.63.746.1118-a.

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Singh, Kuldev, and Anurag Shrivastava. "Medical management of glaucoma: Principles and practice." Indian Journal of Ophthalmology 59, no. 7 (2011): 88. http://dx.doi.org/10.4103/0301-4738.73691.

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Merrill, Douglas G. "Practice Management/Role of the Medical Director." Anesthesiology Clinics 32, no. 2 (June 2014): 529–40. http://dx.doi.org/10.1016/j.anclin.2014.02.021.

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Rutland, Catherine. "Management of medical emergencies in dental practice." Dental Nursing 7, no. 5 (May 2011): 274–77. http://dx.doi.org/10.12968/denn.2011.7.5.274.

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Chiriac, Delia-Nona. "Medical practice variation." Management in Health XII, no. 3 (September 30, 2008): 10–16. http://dx.doi.org/10.5233/mih.2008.0012.

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Coulthard, Paul. "Medical Management of Dental Anxiety." Primary Dental Journal 7, no. 4 (May 2018): 40–44. http://dx.doi.org/10.1177/205016841800700410.

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The use of medical management techniques for the management of anxiety is fundamental to the practice of dentistry. Around 7% of the population are likely to need these techniques for general dental care and a higher proportion for more invasive treatment such as oral surgery. This paper highlights the current expectation of effective and safe practice of conscious sedation techniques in light of recent updated guidance from several UK institutions.
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Arenas, Sabrina Palma. "Project management: Implementation of portfolio management applied in medical practice." Scientific Journal of Applied Social and Clinical Science 4, no. 9 (April 24, 2024): 2–13. http://dx.doi.org/10.22533/at.ed.216492424045.

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Dissertations / Theses on the topic "Practice Management, Medical"

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Siyongwana, Chuma. "Managing a sustainable private radiographic practice in Gauteng and Limpopo provinces." Thesis, Nelson Mandela Metropolitan University, 2017. http://hdl.handle.net/10948/20189.

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Radiography is a constantly changing environment that is continuously evolving with new technology and new techniques on how to image human anatomy. This has led to cheaper and easier ways of imaging that present an opportunity for radiographers to practice independently from radiologists. The increase in the number of radiographers going into private practice since 2006 has led to a number of private radiography practices failing due to competition and other management and financial factors. This study seeks to provide insight into the changing environment of private radiographic practice and the level of success it can bring to radiographers. This will enable radiographers to better determine their personal and professional development needs, which will effectively improve their ability to manage and sustain private radiographic practices. This approach stems from the researcher’s belief that with the right skill and knowledge radiographers can run successful private practices and in so doing be able to empower others to do the same. The researcher has chosen to carry out a qualitative, exploratory, descriptive and contextual research design in order to explore and describe the detailed recommendations and views of private radiographic practice owners and how they manage their practices. The chosen method of data collection for this study is individual one-on-one interviews supported by a literature control. The one-on-one interview was used to collect the data from participants who meet the inclusion criteria. The researcher purposively selected participants to ensure that their ideas and opinions will benefit the study. The chosen method of data analysis is Tesch’s data analysis approach as it follows the qualitative way of data analysis which occurs in three phases: description, analysis, and interpretation. This research made use of Guba’s trustworthiness model to establish the validity and reliability of the qualitative research. The four criteria in this model for trustworthiness are truth-value by using the qualitative approach of credibility; applicability determined by using transferability; consistency determined by using the qualitative approach of dependability and, finally, neutrality determined by the qualitative approach to confirmability. The following six (6) ethical principles were followed to ensure no harm came to the participants: beneficence and non-maleficence, autonomy, justice, veracity, confidentiality and privacy. On completion of the study, the researcher made recommendations based on the findings for inclusion in basic radiographic training and continuous professional development. These recommendations are: Complete reviewing of the management training syllabus in radiography education. Compilation of literature that deals with private practice radiography. Inclusion of private practice radiographers in radiography societies. Further research into the subject of private practice radiography. This will allow for the knowledge contained in the study to be accessible to those who need it. It is also important to note that a study of this nature has never been conducted and therefore sharing of this information will allow for radiographers to know and understand what sustaining a private radiographic practice involves. The findings will be disseminated in seminars, conferences and publications.
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Verill, Joanne. "Management in practice : analysing the impact of policy change on managers and doctors in general medical practice." Thesis, Northumbria University, 2005. http://nrl.northumbria.ac.uk/1976/.

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This thesis explores the impact of changes in health policy introduced by Conservative administrations in the period 1987 to 1995 on the definition, management and control of professional work within general medical practice. The research underpinning this work combined secondary analysis, large-scale primary fieldwork and qualitative research with clinicians and managers. The first stage of primary fieldwork was conducted during the period September 1994 to June 1995 and consisted of a postal survey of 750 practices across England and Wales. This was followed up with a second phase of research involving depth interviews with managers and clinicians, delivered in the period July to November 1995. This pluralist methodology sought to connect micro and macro levels of analysis in exploring the relationship between the state, professions and managers in primary care. The research explores the extent to which a number of professional freedoms have been challenged by policy change including political, economic and technical autonomy and the extent to which this had changed the position and rewards of managers in general practice. Employing a multi-dimensional approach to the analysis of power this thesis suggests that prevailing theories of a decline in professional power, based primarily on economic relations at the macro level cannot account for the complexity of relations found in UK general practice. Further, studies focusing at the collective level of bargaining between the state and the medical profession in the UK have over-estimated the impact of policy change due to a neglect of study at the micro level. Rather this study has revealed a complex picture of both continuity and change in which general practitioners have lost, retained and in some cases extended their power as a result of policy initiatives. Whilst professional freedoms have remained relatively intact, the impact of policy change on the occupation of Practice Management has been more significant, with prevailing discourses of `managerialism' creating gendered struggles over the definition and meaning of management in primary care. This work therefore calls for a multi-dimensional account of social life which can explain the complex interaction of differing sites of power, within which a wide range of power resources are deployed. Further this work would endorse a dynamic concept of power in which 'patterns of interaction' (Bradley 1999) are fluid and changeable rather than fixed and self-sustaining systems. It is argued here that constraints on social action are created by the history of past agency, embedded in institutions and social practices that both shape, and are shaped by the agency of individuals.
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Thierry, Linda. "Does Implementing a Quality Improvement Practice Decrease Falls on the Medical Wards?" Thesis, Grand Canyon University, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=13807507.

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Rationale/Background: Fall prevention is a paramount and lifesaving healthcare initiative. The investigation of interventions for the prevention of falls may lead to a decrease in injuries and promotion of superlative care for patients hospitalized in an acute healthcare environment.

Purpose: The purpose of this quantitative correlational direct practice improvement (DPI) project is to determine the relationship between the implementation of a fall prevention training program and changes in fall rates over a period over three months.

Theoretical Framework: The Neuman system model served as the theoretical foundation for this project. The model presents a holistic approach to patient at-risk for falling and guides bedside nursing care, assess stressors, safety needs, and environmental factors suggest potential indicators linked to fall-risk patients.

Project Method and Design: A quantitative method and correlational design was used to investigate the impact of the intervention. The intervention involved training for a total 28 nurses (N = 28) on two wards. The final data collection included fall rates for 56-patients (N = 56).

Data Results: The control ward had a fall rate of nearly twice as high than the ward who received the intervention. There is a statistically significant reduction in fall rates on the intervention ward (p = 0.04).

Implications: Based on the findings of this project, a fall education training program supported safety through a reduction of falls. The training program was adopted as a part of standard education for the site.

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Mojon-Azzi, Stefania. "Management der ärztlichen Gruppenpraxis /." [S.l.] : [s.n.], 1999. http://aleph.unisg.ch/hsgscan/hm00002115.pdf.

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Johnson, Ericka. "Situating simulators : the integration of simulations in medical practice /." Lund : Arkiv, 2004. http://www.bibl.liu.se/liupubl/disp/disp2004/arts294s.pdf.

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Granara, Brittany. "Provider Attitudes and Practice Patterns of Obesity Management with Pharmacotherapy." ScholarWorks @ UVM, 2017. http://scholarworks.uvm.edu/graddis/666.

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Background and Purpose: More than one-third of American adults are obese. The prevalence of extreme obesity is rapidly rising. Nine medications are currently approved for weight loss yet they remain under utilized with the focus primarily on lifestyle modifications. The study's objective was to determine current prescribing patterns and attitudes of weight loss medications in the management of obesity among primary care providers (PCPs). Methods: PCPs were surveyed to determine practice patterns, attitudes, barriers, and facilitators for prescribing weight loss medications. Conclusions: A total of 105 surveys were completed. 76% of all PCPs did not prescribe weight loss medications for long-term weight loss therapy and 58% of PCPs had negative perceptions of pharmacotherapy as a treatment. Significant differences existed between prescribing patterns and attitudes of advanced practice clinicians and physicians. Safety concerns were identified as the greatest barrier. Having 2+ comorbidities and severe obesity were identified as facilitators for prescribing weight loss medications. Under utilization of pharmacotherapy suggests that PCPs may not have sufficient knowledge about medication safety profiles and efficacy. Delaying treatment until patients have reached a high level of morbidity may be less efficacious than earlier treatment. Implications for Practice: Education regarding effectiveness and risks of weight loss medications for obesity management is needed and earlier interventions with pharmacotherapy may prevent significant morbidity and mortality.
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Stellmach, Darryl. "Coordination in crisis : the practice of medical humanitarian emergency." Thesis, University of Oxford, 2016. https://ora.ox.ac.uk/objects/uuid:c81d8b4a-4e73-4bbb-b66f-7c84885ab9b8.

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This thesis in anthropology investigates how emergency is socially constituted as a named and actionable entity. Specifically, it asks how human values and techno-scientific practices contribute to the constitution of emergency in the context of medical humanitarian intervention. The study considers emergency from an ethnographic perspective, as a group of international medical humanitarian practitioners from the aid group Médecins San Frontières (MSF) come to understand and respond to the 2013 outbreak of armed conflict in South Sudan and the potential for mass starvation among certain groups within that country. Through the method of participant observation, it examines how emergency is understood or constituted at three different conceptual levels: at the level of the individual clinical encounter, the level of population statistics, and the level of political representations of crisis. By extension, it inquires as to how professional formation and moral categories determine appropriate response. The study reveals how values, ethics and conceptions of "the good" are embodied in-yet imperfectly translated through-numerical measures and institutional structures. This reveals a key paradox of medical humanitarianism: that rational, technocratic institutions simultaneously enable and debilitate the goals and means of humanitarian action. This study is based on 11 months of fieldwork (Oct 2013-Sept 2014) with the Amsterdam operational section of MSF. The fieldwork was multi-sited; it included participant observation of MSF activities in Amsterdam (The Netherlands), Juba, Leer and Bentiu (South Sudan).
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Benjamin, Jennifer Claudette. "Incorporating ADA Best Practice Guidelines in Electronic Medical Records to Improve Glycemic Management in Hospitals." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/318.

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Aggressive management of diabetes using American Diabetes Association (ADA) best practice guidelines in hospitalized patients reduces morbidity and mortality. Inpatient electronic medical records systems improve care in chronic diseases by identifying care needs and improving the data available for decision making and disease management. The purpose of this quality improvement project was to evaluate the impact of ADA best practice guidelines of glycemic management once they have been entered into the electronic medical record (EMR) of hospitalized diabetics. Kotter's organizational change process guided the project. The project question investigated whether nurses' use of ADA Best Practice Guidelines incorporated into the EMR improves glycemic management in hospitalized patients. A quality improvement project pretest-posttest design evaluated the intervention to assess whether the program goals were met. A convenience sample of 8 nurses practicing in a subacute health care facility participated in the program with data obtained from a convenience sampling of diabetic patients admitted to the facility (n = 50). A1C, diabetes types, and hypo/hyperglycemic treatment event data were compared 30 days pre- and post-intervention. Outcome data calculated using descriptive statistics revealed improved documentation for A1C results (4% to 96%), the different types of diabetes (from 100% documented as Type 1 to 28 % documented as Type2), and increased corrective measures for abnormal glycemic events (increased 16% to 44%). EMR alerts and reminders provided timely information to health care practitioners, resulting in better management for the diabetic patient, thus affecting social change of diabetes care.
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Callanan, Michael I. "Doctor's Orders| A Grounded Theory of Physician Power Relations in the Practice of Medicine." Thesis, The George Washington University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10748433.

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Dramatic shifts in the way healthcare and related healthcare services are delivered and managed in the United States are unfolding at an unrelenting pace. Concurrent with ongoing changes in United States’ delivery of medicine, some argue that traditional notions of power are undergoing an equally transformative shift (Mintzberg, 2015; Naím, 2013). The confluence of the emerging reconsideration of the role of power in our society and organizations along with the dramatic changes in the American healthcare system provides a fertile backdrop and context for this study of power.

At the center of this transformation, the physician maintains a unique and “very special position” in the hospital setting (Freidson, 1970). This grounded research study investigates the ways in which 24 physicians in modern hospital healthcare setting (MedHealth) conceptualize their exercise of power, autonomy, and control in their day-to-day interactions in the practice of medicine.

I find physicians at MedHealth chose to conceptualize their exercise of their power, autonomy and control unitarily. Physicians in all three participant groups at MedHealth (surgeons, pediatricians and others) conceptualized a significant loss of power, autonomy, and control, in the practice of medicine. Additionally, physician conceptualizations of their exercise of power, autonomy, and control in the practice of medicine are shaped and fashioned by micro, meso, and macro level interactions.

I present a theoretical model in an effort to gain a richer appreciation of how physicians at MedHealth conceptualize their power, autonomy, and control (PAC). I argue a reconceptualization of their PAC is necessary given the transformative changes to the US healthcare model. Last, I offer numerous implications for theory and practice, and recommendations for areas for future research that emerged from this research project.

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Wang, Yunmei. "Bridging the medical knowledge and practice gap: antecedents of successful scientist-physician collaboration." Case Western Reserve University School of Graduate Studies / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=case1396616643.

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Books on the topic "Practice Management, Medical"

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Association, New Zealand Medical, ed. Medical practice management. Wellington [N.Z.]: Brookers, 2002.

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Group, Practice Resource. Practice management guide. Burlington, Mass: Practice Resource Group, 1993.

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White, Jerry. Medical/dental office practice management. Don Mills, Ont: CCH Canadian, 1986.

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Atkinson, Phillip S. Medical office practice. 7th ed. Clifton Park, NY: Delmar Learning, 2003.

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Lyle, James R. The encyclopedia of medical practice management. 3rd ed. Augusta, GA (609 Fifteenth St., Augusta 30901): HealthCare Consultants of America, 1996.

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Doris, Humphrey. The Medical manager: Computerized practice management. 5th ed. Cincinnati: South-Western Pub. Co., 1992.

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1944-, Stanley Kay, Coker Group, and American Medical Association, eds. Personnel management in the medical practice. 2nd ed. [Chicago, Ill.?]: AMA Press, 2002.

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Nelson, John M. Medical practice handbook. Oradell, N.J: Medical Economics Books, 1990.

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Forster, Peter. Practice management handbook. London: BMJ, 1995.

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Holly, Hosford-Dunn, Roeser Ross J, and Valente Michael, eds. Audiology: Practice management. 2nd ed. New York: Thieme, 2008.

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Book chapters on the topic "Practice Management, Medical"

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Fry, John, Kenneth Scott, and Pauline Jeffree. "Medical Checks." In Practice Management Compendium, 225–30. Dordrecht: Springer Netherlands, 1990. http://dx.doi.org/10.1007/978-94-011-3913-7_5.

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Parish, Lawrence Charles, Joseph A. Witkowski, and John Thorne Crissey. "Medical Management." In The Decubitus Ulcer in Clinical Practice, 77–83. Berlin, Heidelberg: Springer Berlin Heidelberg, 1997. http://dx.doi.org/10.1007/978-3-642-60509-3_10.

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Geisler, Eliezer, and Ori Heller. "MMT: Education and Practice." In Management of Medical Technology, 239–49. Boston, MA: Springer US, 1998. http://dx.doi.org/10.1007/978-1-4615-5519-3_11.

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Hijji, Fady Y., Ankur S. Narain, Krishna T. Kudaravalli, Kelly H. Yom, Edward Goldberg, and Kern Singh. "Independent Medical Examinations and Legal Depositions." In Orthopedic Practice Management, 161–70. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-96938-1_13.

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Ciurea, Ana M., and Kim Margolin. "Medical Management of Melanoma." In Cancer Consult: Expertise for Clinical Practice, 651–60. Oxford, UK: John Wiley & Sons, Ltd, 2014. http://dx.doi.org/10.1002/9781118589199.ch100.

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Catoira-Boyle, Yara P., Darrell WuDunn, Louis B. Cantor, John T. Lind, Elizabeth Ann Martin, and Steve L. Gerber. "Medical Management of Glaucoma." In Albert and Jakobiec's Principles and Practice of Ophthalmology, 1–69. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-319-90495-5_176-1.

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Catoira-Boyle, Yara P., Darrell WuDunn, Louis B. Cantor, John T. Lind, Elizabeth Ann Martin, and Steve L. Gerber. "Medical Management of Glaucoma." In Albert and Jakobiec's Principles and Practice of Ophthalmology, 2331–99. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-42634-7_176.

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Harris, Leslie, Juhee C. McDougal, and Louisa Whitesides. "Crisis Management: The Pandemic." In Leading an Academic Medical Practice, 525–34. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-40273-9_35.

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Porter, Neil C. "Trigeminal Neuralgia: Medical Management Perspective." In Principles and Practice of Stereotactic Radiosurgery, 535–39. New York, NY: Springer New York, 2008. http://dx.doi.org/10.1007/978-0-387-71070-9_54.

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MacVicar, Gary R., and Timothy M. Kuzel. "Medical Management of Renal Cancer." In Cancer Consult: Expertise for Clinical Practice, 621–27. Oxford, UK: John Wiley & Sons, Ltd, 2014. http://dx.doi.org/10.1002/9781118589199.ch95.

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Conference papers on the topic "Practice Management, Medical"

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Zhang, Chun-Qing, Jun Wang, Jun-Yan Han, Wei Qin, Hong-Wei Xing, Shu-Li Zhang, and Xiao-Jie Zhang. "Research and Practice of Medical Personnel Training of "Three Categorization”." In Proceedings of the 6th International Conference on Management Science and Management Innovation (MSMI 2019). Paris, France: Atlantis Press, 2019. http://dx.doi.org/10.2991/msmi-19.2019.38.

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Bin Li, Dehua He, and Lijun Wang. "The practice of new framework of medical equipment service management." In 2005 IEEE Engineering in Medicine and Biology 27th Annual Conference. IEEE, 2005. http://dx.doi.org/10.1109/iembs.2005.1615868.

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Ling, Ronghua, Hong Liu, Chengcheng Fan, and Zhexu Li. "Construction and Practice of Medical Imaging Simulation Laboratory." In Proceedings of the 2018 3rd International Conference on Modern Management, Education Technology, and Social Science (MMETSS 2018). Paris, France: Atlantis Press, 2018. http://dx.doi.org/10.2991/mmetss-18.2018.107.

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Orudjev, Nazim, Olga Poplavskaya, Lev Lempert, and Natalia Salnikova. "Problems of Medical Confidentiality While Using Electronic Documents in Psychiatric Practice." In Information Technologies in Science, Management, Social Sphere and Medicine. Paris, France: Atlantis Press, 2016. http://dx.doi.org/10.2991/itsmssm-16.2016.75.

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Bohua, Feng, Peng Liufen, Wang Bo, Liu Hua, Liu Shijun, and Ruan Ping. "THE DESIGN AND IMPLEMENT OF MEDICAL X-RAY MACHINE PRACTICE COURSE." In International Symposium on Multidisciplinary Inclusive Education, Management and Legal Services (ISMIEMLS). Volkson Press, 2018. http://dx.doi.org/10.26480/ismiemls.01.2018.01.03.

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Guiry, Michael. "TRAVELING TO THAILAND FOR MEDICAL CARE AND PERCEPTIONS OF SERVICE QUALITY: A CONTENT ANALYSIS OF MEDICAL TOURISTS’ ONLINE TESTIMONIALS." In Bridging Asia and the World: Globalization of Marketing & Management Theory and Practice. Global Alliance of Marketing & Management Associations, 2014. http://dx.doi.org/10.15444/gmc2014.09.03.01.

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Tan, Wenbin, Jian Zhou, Jianning Qiu, Xue Wang, Yugang Yan, Feng Qin, and Weijuan Dai. "Practice and Reflection on Innovation and Entrepreneurship Education in Medical Colleges and Universities in China." In 8th International Conference on Education, Management, Information and Management Society (EMIM 2018). Paris, France: Atlantis Press, 2018. http://dx.doi.org/10.2991/emim-18.2018.39.

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Guo, Shijun, Geer Yang, Jie Lyu, Hao Ding, Anmin Peng, Yang Liu, and Dan Lyu. "Research and Practice of the Integration of Theory and Practice Teaching Method Based on the Life Cycle of Medical Device Products: A Case Study of Medical Optical Instrument." In International Conference on Education, Economics and Information Management (ICEEIM 2019). Paris, France: Atlantis Press, 2020. http://dx.doi.org/10.2991/assehr.k.200401.063.

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Archer, Norm, and Mihail Cocosila. "Improving EMR System Adoption in Canadian Medical Practice: A Research Model." In 2009 World Congress on Privacy, Security, Trust and the Management of e-Business (CONGRESS). IEEE, 2009. http://dx.doi.org/10.1109/congress.2009.15.

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Dima, Alexandra Lelia, Eric Van Ganse, Helene Le Cloarec, and Marijn De Bruin. "Asthma management in French general practice: Physician-reported medical care and adherence support." In Annual Congress 2015. European Respiratory Society, 2015. http://dx.doi.org/10.1183/13993003.congress-2015.pa1818.

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Reports on the topic "Practice Management, Medical"

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Tkachenko, Tatyana, Evgeny Silchuk, Lidiya Neupokoeva, Anastasia Shestakova, Natalia Berthold, Olesya Pasko, Igor Koloman, Anastasia Shaforostova, Dmitry Syskov, and Svetlana Tuzlukova. Information technologies in pedagogy: the information educational environment of the Medical University. SIB-Expertise, January 2024. http://dx.doi.org/10.12731/er0787.29012024.

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The electronic educational resource is designed for teachers to master the theoretical foundations and practical skills of using information technology in the educational process and education management, as well as the application of various models of e-learning (EE) and distance learning technologies (DOT) in teaching practice. The electronic educational resource provides for the study of the regulatory framework governing the use of information and distance learning technologies in the education system. Formation and improvement of skills in using the tools of the digital educational environment of the medical university in the context of the transformation of distance learning. The course contains 2 modules MODULE 1. Information technology in education management. MODULE 2. Information technology in the educational process
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Blakley, H. Water Efficiency Improvements at Various Environmental Protection Agency Sites: Best Management Practice Case Study #12 - Laboratory/Medical Equipment (Brochure). Office of Scientific and Technical Information (OSTI), March 2011. http://dx.doi.org/10.2172/1010453.

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Sri, B. Translating medical evidence into practice: Working with communities and providers to promote active management of the third stage of labour. Population Council, 2009. http://dx.doi.org/10.31899/rh5.1020.

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Carney, Nancy, Tamara Cheney, Annette M. Totten, Rebecca Jungbauer, Matthew R. Neth, Chandler Weeks, Cynthia Davis-O'Reilly, et al. Prehospital Airway Management: A Systematic Review. Agency for Healthcare Research and Quality (AHRQ), June 2021. http://dx.doi.org/10.23970/ahrqepccer243.

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Objective. To assess the comparative benefits and harms across three airway management approaches (bag valve mask [BVM], supraglottic airway [SGA], and endotracheal intubation [ETI]) by emergency medical services in the prehospital setting, and how the benefits and harms differ based on patient characteristics, techniques, and devices. Data sources. We searched electronic citation databases (Ovid® MEDLINE®, CINAHL®, the Cochrane Central Register of Controlled Trials, the Cochrane Database of Systematic Reviews, and Scopus®) from 1990 to September 2020 and reference lists, and posted a Federal Register notice request for data. Review methods. Review methods followed Agency for Healthcare Research and Quality Evidence-based Practice Center Program methods guidance. Using pre-established criteria, studies were selected and dual reviewed, data were abstracted, and studies were evaluated for risk of bias. Meta-analyses using profile-likelihood random effects models were conducted when data were available from studies reporting on similar outcomes, with analyses stratified by study design, emergency type, and age. We qualitatively synthesized results when meta-analysis was not indicated. Strength of evidence (SOE) was assessed for primary outcomes (survival, neurological function, return of spontaneous circulation [ROSC], and successful advanced airway insertion [for SGA and ETI only]). Results. We included 99 studies (22 randomized controlled trials and 77 observational studies) involving 630,397 patients. Overall, we found few differences in primary outcomes when airway management approaches were compared. • For survival, there was moderate SOE for findings of no difference for BVM versus ETI in adult and mixed-age cardiac arrest patients. There was low SOE for no difference in these patients for BVM versus SGA and SGA versus ETI. There was low SOE for all three comparisons in pediatric cardiac arrest patients, and low SOE in adult trauma patients when BVM was compared with ETI. • For neurological function, there was moderate SOE for no difference for BVM compared with ETI in adults with cardiac arrest. There was low SOE for no difference in pediatric cardiac arrest for BVM versus ETI and SGA versus ETI. In adults with cardiac arrest, neurological function was better for BVM and ETI compared with SGA (both low SOE). • ROSC was applicable only in cardiac arrest. For adults, there was low SOE that ROSC was more frequent with SGA compared with ETI, and no difference for BVM versus SGA or BVM versus ETI. In pediatric patients there was low SOE of no difference for BVM versus ETI and SGA versus ETI. • For successful advanced airway insertion, low SOE supported better first-pass success with SGA in adult and pediatric cardiac arrest patients and adult patients in studies that mixed emergency types. Low SOE also supported no difference for first-pass success in adult medical patients. For overall success, there was moderate SOE of no difference for adults with cardiac arrest, medical, and mixed emergency types. • While harms were not always measured or reported, moderate SOE supported all available findings. There were no differences in harms for BVM versus SGA or ETI. When SGA was compared with ETI, there were no differences for aspiration, oral/airway trauma, and regurgitation; SGA was better for multiple insertion attempts; and ETI was better for inadequate ventilation. Conclusions. The most common findings, across emergency types and age groups, were of no differences in primary outcomes when prehospital airway management approaches were compared. As most of the included studies were observational, these findings may reflect study design and methodological limitations. Due to the dynamic nature of the prehospital environment, the results are susceptible to indication and survival biases as well as confounding; however, the current evidence does not favor more invasive airway approaches. No conclusion was supported by high SOE for any comparison and patient group. This supports the need for high-quality randomized controlled trials designed to account for the variability and dynamic nature of prehospital airway management to advance and inform clinical practice as well as emergency medical services education and policy, and to improve patient-centered outcomes.
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5

McCausland, Rachel, Joann Fontanarosa, and Ravi Patel. Nonemergent Percutaneous Coronary Intervention Versus Optimal Medical Treatment for Stable Ischemic Heart Disease: A Rapid Response Literature Review. Agency for Healthcare Research and Quality (AHRQ), August 2023. http://dx.doi.org/10.23970/ahrqepcrapidcoronary.

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Aims. There is uncertainty around the optimal role of percutaneous coronary intervention (PCI) for management of chronic coronary syndrome, specifically when patients have disease in multiple coronary vessels and disease in the proximal portion of the left anterior descending coronary artery. This uncertainty was reflected in 2021 guidance from the American College of Cardiology (ACC)/American Heart Association (AHA) on coronary artery revascularization. The Agency for Healthcare Research and Quality has commissioned this rapid response literature review to meet a Congressional request for a summary of recent evidence on the benefits of angioplasties conducted in nonemergency situations. Methods. This rapid response literature review on the comparative effectiveness of nonemergent PCI followed established best systematic review methods, modified to meet a shortened project timeframe. We searched PubMed®, Embase®, and the Trip© medical database from 2018 through April 2023 for systematic reviews (SRs), clinical practice guidelines, and randomized controlled trials, and summarized the evidence comparing PCI to optimal medical therapy (OMT) for stable ischemic heart disease (SIHD). Our primary outcomes of interest were major objective cardiovascular outcomes, including mortality, myocardial infarction, stroke, urgent revascularization, or composites of one or more of these hard clinical outcomes. Where available, we also abstracted patient reported outcomes (e.g., angina severity and quality of life [QoL]) from included studies. Findings. Key findings from nine SRs and one primary study include: • The body of evidence directly comparing PCI to OMT for SIHD has remained largely unchanged since the 2021 ACC/AHA guidance’s publication. • Most studies of revascularization for coronary artery disease do not focus on direct head-to-head comparisons of PCI versus OMT for SIHD but instead either (1) compare OMT to invasive revascularization (PCI and coronary artery bypass graft [CABG] combined cohort); (2) compare PCI to CABG; or (3) compare different PCI techniques. • Another factor that complicates comparison is that the meta-analyses often included data from CABG and PCI combined cohorts (e.g., the recent landmark ISCHEMIA trial) but reported the outcomes as PCI specific. • In the general SIHD population, our review did not find evidence to support survival benefit or effect on hard clinical outcomes when PCI is added to OMT. • Limited evidence indicates there may be a beneficial effect of PCI on angina symptoms and measures of QoL, but most systematic reviews focused on major objective cardiovascular outcomes and did not consider QoL or freedom from angina. • Both OMT and PCI have evolved significantly during the period of time in which the systematic reviews’ included studies were conducted. It is not clear how these changes may have affected the applicability of past studies to current practice. Conclusions. The evidence directly comparing PCI to OMT for SIHD has remained largely unchanged since publication of the 2021 ACC/AHA guidelines. More research is needed to verify the comparative effectiveness of nonemergent PCI compared to medical treatment for individuals with SIHD, and how the effectiveness varies by certain patient populations and clinical presentation.
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6

Lochab, Dr Prachi, Dr Lata Rajoria, Dr Sunita Hemani, and Dr Akanksha Akanksha. EVALUATION OF IOTA SIMPLE ULTRASOUND RULES AND HISTOPATHOLOGY TO DISTINGUISH BETWEEN BENIGN AND MALIGNANT OVARIAN TUMORS : A DESCRIPTIVE STUDY. World Wide Journals, February 2023. http://dx.doi.org/10.36106/ijar/5405931.

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Introduction: Ovarian masses present with very vague symptoms and thus it is imperative to establish a quick diagnosis at the rst point of contact. Pre-operative diagnosis of an ovarian mass and its classication as benign or malignant helps in timely referral to specialized gynecologist/oncologist and proper surgical/medical management. IOTA simple Rules provides one such criteria for pre-operative classication of ovarian mass and has proved to be reliable, accurate and highly reproducible in all settings. a hospital Methods: based prospective study was done on 100 patients. Initial pre-operative classication was done using IOTA Simple Rules and the ndings were compared to histo-pathological ndings after surgery which were considered gold standard. Out of the 100 masses under study, 86% Results: could be classied according to IOTA Simple Rules with a sensitivity of 96.36% and specicity of 91.4%. The positive predictive value was 80.3% and the negative predictive value was 94.1%. The accuracy was 85%. Thus, IOTA S Conclusion: imple Rules is a cost-effective, simple, reliable, accurate scoring system with excellent sensitivity and specicity that is easily applicable in primary evaluation of patients with ovarian masses in clinical practice. Only unclassied masses on IOTA Simple Rules need further evaluation. Use of these rules in discriminating the masses will help in timely referral of the patient to specialized gynecologist /oncologist to receive optimal management.
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Domanick, Joe. Communicating to Build Trust: A Best Practices Guide for Law Enforcement Specialists in Latin America and the Caribbean. Inter-American Development Bank, September 2016. http://dx.doi.org/10.18235/0006324.

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This guidebook seeks to provide communicators with the practical tools and recommendations to do a better job, particularly in their dealings with reporters on issues from crisis management, violence against women, to reporting on crime statistics, among others. The aim is help build trust among all actors involved. Having the police communicate in a more professional way with the media (and its broader audiences through social media) is helpful not only to the police but to journalists, too, who can then report relevant news more accurately and fairly.
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Mohammadian, Abolfazl, Amir Bahador Parsa, Homa Taghipour, Amir Davatgari, and Motahare Mohammadi. Best Practice Operation of Reversible Express Lanes for the Kennedy Expressway. Illinois Center for Transportation, September 2021. http://dx.doi.org/10.36501/0197-9191/21-033.

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Reversible lanes in Chicago’s Kennedy Expressway are an available infrastructure that can significantly improve traffic performance; however, a special focus on congestion management is required to improve their operation. This research project aims to evaluate and improve the operation of reversible lanes in the Kennedy Expressway. The Kennedy Expressway is a nearly 18-mile-long freeway in Chicago, Illinois, that connects in the southeast to northwest direction between the West Loop and O’Hare International Airport. There are two approximately 8-mile reversible lanes in the Kennedy Expressway’s median, where I-94 merges into I-90, and there are three entrance gates in each direction of this corridor. The purpose of the reversible lanes is to help the congested direction of the Kennedy Expressway increase its traffic flow and decrease the delay in the whole corridor. Currently, experts in a control location switch the direction of the reversible lanes two to three times per day by observing real-time traffic conditions captured by a traffic surveillance camera. In general, inbound gates are opened and outbound gates are closed around midnight because morning traffic is usually heavier toward the central city neighborhoods. In contrast, evening peak-hour traffic is usually heavier toward the outbound direction, so the direction of the reversible lanes is switched from inbound to outbound around noon. This study evaluates the Kennedy Expressway’s current reversing operation. Different indices are generated for the corridor to measure the reversible lanes’ performance, and a data-driven approach is selected to find the best time to start the operation. Subsequently, real-time and offline instruction for the operation of the reversible lanes is provided through employing deep learning and statistical techniques. In addition, an offline timetable is also provided through an optimization technique. Eventually, integration of the data-driven and optimization techniques results in the best practice operation of the reversible lanes.
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Bian, Zhiyuan, Jie Yu, Mingqi Tu, Binjun Liao, Jingmei Huang, Yongliang Jiang, and Jianqiao Fang. Acupuncture and related therapies for carpal tunnel syndrome: A protocol for systematic review and Bayesian network meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, November 2021. http://dx.doi.org/10.37766/inplasy2021.11.0094.

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Review question / Objective: We aim to compare the efficacy and safety of different acupuncture and related therapies for carpal tunnel syndrome (CTS) using systematic review and network meta-analysis (NMA). Condition being studied: CTS is a symptomatic condition caused by compression of the median nerve within the carpal tunnel. Patients with CTS typically report paresthesia or pain in distribution of median nerve distal to the wrist. Diverse non-surgical treatments and surgical decompression have been used in the management of CTS. Acupuncture, a prominent component of traditional Chinese medicine (TCM), has also been practiced when treating CTS as a complementary therapy. However, the relative treatment effects of different acupuncture methods for CTS are unclear.
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O'Donnell, Kevin, and Anne Greene. A Risk Management Solution Designed to Facilitate Risk-Based Qualification, Validation, and Change Control Activities within GMP and Pharmaceutical Regulatory Compliance Environments in the EU—Part II. Institute of Validation Technology, July 2006. http://dx.doi.org/10.1080/21506590.wp7142006agko-rmsdii.

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highlight the need for patient-focused and value-adding qualification, validation, and change control programmes for manufacturing and regulating medicinal products in the EU, which are cost-effective and in-line with current regulatory requirements and guidance. To this end, a formal risk management solution was presented that seeks to demonstrate, in a practical way, how Regulators and Industry in the EU may achieve these goals. This solution represents a formal and rigorous approach to risk management, offering a scientific and practical means for determining and managing, on a risk basis, the scope and extent of qualification and validation, and the likely impact of changes. Based on a ten-step, systematic process, this approach offers a ready-to-use and documented risk management methodology for these activities. This tool is not intended for use in all situations, or to address all risk areas or concerns encountered in GMP and Regulatory Compliance environments. Rather, its use should be commensurate with the complexity and/or criticality of the issue to be addressed, and in many instances, and in-line with ICH Q9 principles, a more informal approach to risk management may be more useful, and indeed proportionate.
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