Wisdom is the principal thing; therefore get wisdom and with all thy getting get understanding. —Proverbs 4:7 In addition to wisdom, physicians need information—in many different settings—when learning new and reviewing previously learned material, during case conferences, and at the point-of-care while taking care of patients. Num- ous studies have shown that physicians regularly encounter questions that need an answer while they are seeing patients (1). Unfortunately, only about one-third of those questions are eventually pursued to find an answer, likely because of the difficulty of finding answers and the time constraints under which physicians find themselves (2–4). It is important to understand that when information is readily available, physicians utilize that information, and that information impacts on patient care and can alter the clinical decisions that occur (5–7). National clinical guidelines have been increasingly recognized as a potential way of improving the quality of medical care by giving physicians clear, eviden- based guidance on how to treat complex diseases where an abundance of lite- ture may exist. The evolution of medical knowledge proceeds along a predictable route. It starts with careful observation. Next comes the generation of hypotheses. The hypotheses are then tested through studies. These studies are eventually synt- sized into evidence-based guidelines developed through a rigorous process that includes a comprehensive review of the literature combined with expert opinion.
表中的内容
Cardiology.- Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure.- Hyperlipidemia.- Management of Newly Diagnosed Atrial Fibrillation.- Antithrombotic Therapy for Venous Thromboembolic Disease.- Antithrombotic Therapy for Atrial Fibrillation, Valvular Heart Disease, Management of Elevated INRs, and Perioperative Management.- Prevention of Bacterial Endocarditis.- Respiratory.- Clinical Guidelines for the Diagnosis and Treatment of Asthma.- Infectious Disease.- Community-Acquired Pneumonia and Health Care-Associated Pneumonia Clinical Guidelines.- Diagnosis and Management of Otitis Media.- Appropriate Antibiotic Use for Treatment of Nonspecific Upper Respiratory Infections, Rhinosinusitis, and Acute Bronchitis in Adults.- Group A Streptococcal Pharyngitis.- Prevention of Perinatal Group B Streptococcal Disease.- Adult Immunizations.- Rabies Prevention.- Practice Guidelines for the Management of Infectious Diarrhea.- Tuberculosis Testing and Treatment of Latent Infection.- Sexually Transmitted Diseases Treatment Guidelines, 2006.- Updated US Public Health Service Guidelines for the Management of Occupational Exposure to HBV, HCV, and HIV and Recommendations for Postexposure Prophylaxis.- Endocrinology.- Screening for Osteoporosis in Postmenopausal Women.- Gynecology.- Managing Abnormal Cervical Cytology and Cervical Intraepithelial Neoplasia.- Neurology.- Dementia.- Diagnosis and Treatment of Migraine Headaches.- Concussion Guidelines in Athletes.- Restless Legs Syndrome.- Psychiatry.- Depression.- Diagnosis, Evaluation, and Treatment of the School-Aged Child With Attention Deficit Hyperactivity Disorder.- Practice Guidelines for the Treatment of Patients With Delirium.- Panic Disorder.
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