Emergency medicine decision making: critical choices in chaotic environments
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
New York
McGraw-Hill
[2006]
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| Schriftenreihe: | Medical
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| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis Klappentext |
| Beschreibung: | 371 Seiten Illustrationen, Diagramme |
| ISBN: | 9780071442121 007144212X |
Internformat
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Datensatz im Suchindex
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| adam_text | CONTENTS Foreword Preface Introduction PAKT xi xiii xv I MAKING DECISIONS: INCORPORATING EVIDENCE AND AVOIDING ERROR Chapter 1 Good Decisions Where Does the Evidence Come From? The Progression of Use of Evidentiary Sources How Much Information from a Study do we Actively Use? Forms of NEEDLEs Types of Decisions Sources of Error A Method to Our Madness 1 3 3 4 4 7 7 8 8 Chapter 2 Diagnostic Decisions Making the Diagnosis Differential Diagnosis The Statistics of Likelihood Pre-test Probability Decision Thresholds Characteristics of Diagnostic Tests Applicability of Diagnostic Tests Post-test Probability Sources of Error Putting It All Together 11 11 12 17 19 26 32 51 55 58 72 Chapter 3 Treatment Decisions Treatment Choices Treatment Decision-making 81 81 81 - vii -
CONTENTS via - Treatment Parameters Patient-oriented Evidence Applicability of Treatment Effects Risks of Treatment Patient Values Sources of Error Putting It All Together Case Continued: The Clock IsTicking 84 92 99 104 108 110 119 120 Chapter 4 Decisions aboutPrognosis The Art of Prognostication Prognostic Evidence Clinical Prediction Rules Making the Decision Sources of Error Putting It All Together Onward 129 129 130 133 135 136 136 137 PART 11 EVALUATING THE EVIDENCE 139 Chapter 5 Good Evidence Bias Random Error Deliberate Misrepresentation 141 141 142 143 Chapter 6 Initial Evaluation of a Study Foreground and Background Knowledge The First Page Avoiding Preconceptions 145 145 146 147 Chapter 7 Validity of Individual Studies Understanding Validity Diagnostic Studies Treatment Studies Prognostic Studies Retrospective Studies 149 149 150 160 174 178 Chapter 8 Evaluating Study Results Precision and Significance Pitfalls in the Assessment of Statistical Significance 187 187 198
CONTENTS - ix - Chapter 9 Integrative Literature Systematic Reviews and Meta-analyses LLSA and Non-systematic Reviews Clinical Practice Guidelines Clinical Prediction Rules Chapter 10 Miscellaneous Study Types 207 207 217 221 228 235 Economic Analyses Qualitative Studies 235 236 Chapter 11 239 Deliberate Misrepresentation Reading Is Not Believing Deceptive Authorship Deceptive Study Design Deceptive Data Deceptive Analysis and Reporting Deceptive Publication Deceptive Marketing Summary Onward PART 239 241 243 246 247 249 251 253 253 III FINDING THE EVIDENCE 255 Chapter 12 Good Searches 257 Chapter 13 Asking Questions Choosing a Question Analyzing the Question Background Questions Refining Foreground Questions Choosing a Category of Evidence When PICO Causes a Revision of the Question Type Choosing the Type of Study When the Ideal Study Is Not Available Summary Chapter 14 Searching for Answers Prefiltered Resources MEDLINE and Other Large Databases Internet Resources Rating Resources 261 261 262 266 268 276 278 279 283 286 287 287 298 311 315
CONTENTS X- Chapter 15 Search Results Did We Find What We Need? Sources of Error Chapter 16 Saving the Evidence 317 317 319 323 Critically Appraised Topics (CATs) NEEDLEs 323 327 Conclusion 336 PART IV ENDMATTER Epilogue Selected Online Resources Additional Reading References Index ЪЪ7 339 341 343 345 361
SCOTT WEINGART, MD • PETER WYER, MD ASSESS AND APPLY EVIDENCE FOR FASTER, BETTER ED DECISION MAKING Concise and highly readable, Emergency Medicine Decision Making is the first and only guide that applies the principles of evidence-based medicine to the unique mindset and clinical needs of the emergency medicine physician. This one-of-a-kind guide discusses the search, evaluation, and proper use of the literature of emergency medicine, from textbooks to trials and qualitative studies to systematic reviews. It reveals how and where to find the quality information needed when seconds count. Fully exploring medical decision making using cognitive psychology, Bayesian analysis and more, it shows how to apply the knowledge they provide to achieve superior diagnosis and management of ED patients. The avoidance of medical errors is emphasized through the precepts of critical thinking and heuristics. Appropriate for residents, attendings, and medical students, this is the ultimate guide to thinking and deciding in the complex field of emergency medicine.
|
| adam_txt |
CONTENTS Foreword Preface Introduction PAKT xi xiii xv I MAKING DECISIONS: INCORPORATING EVIDENCE AND AVOIDING ERROR Chapter 1 Good Decisions Where Does the Evidence Come From? The Progression of Use of Evidentiary Sources How Much Information from a Study do we Actively Use? Forms of NEEDLEs Types of Decisions Sources of Error A Method to Our Madness 1 3 3 4 4 7 7 8 8 Chapter 2 Diagnostic Decisions Making the Diagnosis Differential Diagnosis The Statistics of Likelihood Pre-test Probability Decision Thresholds Characteristics of Diagnostic Tests Applicability of Diagnostic Tests Post-test Probability Sources of Error Putting It All Together 11 11 12 17 19 26 32 51 55 58 72 Chapter 3 Treatment Decisions Treatment Choices Treatment Decision-making 81 81 81 - vii -
CONTENTS via - Treatment Parameters Patient-oriented Evidence Applicability of Treatment Effects Risks of Treatment Patient Values Sources of Error Putting It All Together Case Continued: The Clock IsTicking 84 92 99 104 108 110 119 120 Chapter 4 Decisions aboutPrognosis The Art of Prognostication Prognostic Evidence Clinical Prediction Rules Making the Decision Sources of Error Putting It All Together Onward 129 129 130 133 135 136 136 137 PART 11 EVALUATING THE EVIDENCE 139 Chapter 5 Good Evidence Bias Random Error Deliberate Misrepresentation 141 141 142 143 Chapter 6 Initial Evaluation of a Study Foreground and Background Knowledge The First Page Avoiding Preconceptions 145 145 146 147 Chapter 7 Validity of Individual Studies Understanding Validity Diagnostic Studies Treatment Studies Prognostic Studies Retrospective Studies 149 149 150 160 174 178 Chapter 8 Evaluating Study Results Precision and Significance Pitfalls in the Assessment of Statistical Significance 187 187 198
CONTENTS - ix - Chapter 9 Integrative Literature Systematic Reviews and Meta-analyses LLSA and Non-systematic Reviews Clinical Practice Guidelines Clinical Prediction Rules Chapter 10 Miscellaneous Study Types 207 207 217 221 228 235 Economic Analyses Qualitative Studies 235 236 Chapter 11 239 Deliberate Misrepresentation Reading Is Not Believing Deceptive Authorship Deceptive Study Design Deceptive Data Deceptive Analysis and Reporting Deceptive Publication Deceptive Marketing Summary Onward PART 239 241 243 246 247 249 251 253 253 III FINDING THE EVIDENCE 255 Chapter 12 Good Searches 257 Chapter 13 Asking Questions Choosing a Question Analyzing the Question Background Questions Refining Foreground Questions Choosing a Category of Evidence When PICO Causes a Revision of the Question Type Choosing the Type of Study When the Ideal Study Is Not Available Summary Chapter 14 Searching for Answers Prefiltered Resources MEDLINE and Other Large Databases Internet Resources Rating Resources 261 261 262 266 268 276 278 279 283 286 287 287 298 311 315
CONTENTS X- Chapter 15 Search Results Did We Find What We Need? Sources of Error Chapter 16 Saving the Evidence 317 317 319 323 Critically Appraised Topics (CATs) NEEDLEs 323 327 Conclusion 336 PART IV ENDMATTER Epilogue Selected Online Resources Additional Reading References Index ЪЪ7 339 341 343 345 361
SCOTT WEINGART, MD • PETER WYER, MD ASSESS AND APPLY EVIDENCE FOR FASTER, BETTER ED DECISION MAKING Concise and highly readable, Emergency Medicine Decision Making is the first and only guide that applies the principles of evidence-based medicine to the unique mindset and clinical needs of the emergency medicine physician. This one-of-a-kind guide discusses the search, evaluation, and proper use of the literature of emergency medicine, from textbooks to trials and qualitative studies to systematic reviews. It reveals how and where to find the quality information needed when seconds count. Fully exploring medical decision making using cognitive psychology, Bayesian analysis and more, it shows how to apply the knowledge they provide to achieve superior diagnosis and management of ED patients. The avoidance of medical errors is emphasized through the precepts of critical thinking and heuristics. Appropriate for residents, attendings, and medical students, this is the ultimate guide to thinking and deciding in the complex field of emergency medicine. |
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| illustrated | Illustrated |
| index_date | 2024-07-03T22:54:46Z |
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| isbn | 9780071442121 007144212X |
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| spelling | Weingart, Scott Verfasser (DE-588)173863833 aut Emergency medicine decision making critical choices in chaotic environments Scott Weingart, MD, Peter Wyer, MD New York McGraw-Hill [2006] 371 Seiten Illustrationen, Diagramme txt rdacontent n rdamedia nc rdacarrier Medical Notfallmedizin (DE-588)4042676-2 gnd rswk-swf Evidenz-basierte Medizin (DE-588)4543414-1 gnd rswk-swf Entscheidungsfindung (DE-588)4113446-1 gnd rswk-swf Notfallmedizin (DE-588)4042676-2 s Evidenz-basierte Medizin (DE-588)4543414-1 s Entscheidungsfindung (DE-588)4113446-1 s DE-604 Wyer, Peter Verfasser (DE-588)173863841 aut Digitalisierung UB Augsburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=034632017&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Augsburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=034632017&sequence=000003&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext |
| spellingShingle | Weingart, Scott Wyer, Peter Emergency medicine decision making critical choices in chaotic environments Notfallmedizin (DE-588)4042676-2 gnd Evidenz-basierte Medizin (DE-588)4543414-1 gnd Entscheidungsfindung (DE-588)4113446-1 gnd |
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| title | Emergency medicine decision making critical choices in chaotic environments |
| title_auth | Emergency medicine decision making critical choices in chaotic environments |
| title_exact_search | Emergency medicine decision making critical choices in chaotic environments |
| title_exact_search_txtP | Emergency medicine decision making critical choices in chaotic environments |
| title_full | Emergency medicine decision making critical choices in chaotic environments Scott Weingart, MD, Peter Wyer, MD |
| title_fullStr | Emergency medicine decision making critical choices in chaotic environments Scott Weingart, MD, Peter Wyer, MD |
| title_full_unstemmed | Emergency medicine decision making critical choices in chaotic environments Scott Weingart, MD, Peter Wyer, MD |
| title_short | Emergency medicine decision making |
| title_sort | emergency medicine decision making critical choices in chaotic environments |
| title_sub | critical choices in chaotic environments |
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| topic_facet | Notfallmedizin Evidenz-basierte Medizin Entscheidungsfindung |
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