Browsing by Subject "recommendations"

Now showing 1 - 3 of 3
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    A critical appraisal of guidelines for electronic communication between patients and clinicians: the need to modernize current recommendations
    (Oxford, 2018-04) Lee, Joy L.; Matthias, Marianne S.; Menachemi, Nir; Frankel, Richard M.; Weiner, Michael; Medicine, School of Medicine
    Background Patient-provider electronic communication has proliferated in recent years, yet there is a dearth of published research either leading to, or including, recommendations that improve clinical care and prevent unintended negative consequences. We critically appraise published guidelines and suggest an agenda for future work in this area. Objective To understand how existing guidelines align with current practice, evidence, and technology. Methods We performed a narrative review of provider-targeted guidelines for electronic communication between patients and providers, searching Ovid MEDLINE, Embase, and PubMed databases using relevant terms. We limited the search to articles published in English, and manually searched the citations of relevant articles. For each article, we identified and evaluated the suggested practices. Results Across 11 identified guidelines, the primary focus was on technical and administrative concerns, rather than on relational communication. Some of the security practices recommended by the guidelines are no longer needed because of shifts in technology. It is unclear the extent to which the recommendations that are still relevant are being followed. Moreover, there is no guideline-cited evidence of the effectiveness of the practices that have been proposed. Conclusion Our analysis revealed major weaknesses in current guidelines for electronic communication between patients and providers: the guidelines appear to be based on minimal evidence and offer little guidance on how best to use electronic tools to communicate effectively. Further work is needed to systematically evaluate and identify effective practices, create a framework to evaluate quality of communication, and assess the relationship between electronic communication and quality of care.
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    Dental X-Ray Exposure The Past has become the Future
    (California Dental Association, 2019) Miles, Dale A.; Yepes, Juan F.; Pediatric Dentistry, School of Dentistry
    Most dental X-ray procedures are delegated to office staff and some recommendations and techniques, such as selection criteria and rectangular collimation for intraoral imaging, have been ignored or forgotten by some dentists. Some of the X-ray exposure recommendations, updated by the American Dental Associtation’s Science Institute in June 2018, and the need to adopt guidelines proposed by the public campaign Image Gently are discussed to help the reader develop safe X-ray protocols, from intraorals to CBCT.
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    Optimizing Hip and Knee Arthroplasty in the COVID Era
    (Elsevier, 2021) Meneghini, R. Michael; Orthopaedic Surgery, School of Medicine